What are the responsibilities and job description for the RN Manager - Care Manager CM Medicare - Managed Care - Hybrid - Manhattan NY position at Tandym Group?
A New York City-based health services network is currently seeking an experienced licensed Registered Nurse (RN) to join their growing team in Manhattan as their new Nurse Manager, Care Management (RN). In this role, the Nurse Manager, Care Management (RN) will be responsible for managing the daily activities of the Medicare team to ensure quality outcomes in the delivery of member-centered case management, including reduction in emergency room visits and hospital admissions, improved member satisfaction, improved member health, and cost effectiveness.
About the Opportunity :
Setting : MLTC
Patient Population : Adults & Geriatrics Responsibilities :
The Nurse Manager, Care Management (RN) will :
Provide clinical guidance and supervision to assigned Care Managers and clinical support staff to promote efficient and effective delivery of care management services
Supervise day to day activities to make certain that case management services are provided
Supervise the entire care management workflow including case referrals, assignments, interventions and goal setting, follow-up / follow-through activities, documentations, and escalations
Ensure care management activities are conducted in a safe, efficient, and effective manner to promote continuity and quality of care
Review, develop and modify day to day workflows to ensure timely follow up
Perform ongoing quality review of cases to ensure accuracy and compliance
Evaluate and document staff performance; coach staff to improve both quality and quantity of skills attaining optimal performances
Resolve issues and mitigate conflict encountered during daily operations, appropriately escalate issues to the Director of Medicare
Identify and report potential risk, operational opportunities, and barriers encountered
Conduct monthly audits for the purpose of departmental / organizational reporting and providing formal feedback to case management staff
Create and submit operational weekly / monthly / quarterly reports
Work with the leadership team to develop and implement ongoing training and development efforts
Perform other duties, as needed Qualifications :
5 years of Care Management experience in a Healthcare and / or Managed Care setting
Bachelor's Degree in Nursing
NYS Registered Nurse (RN) license
Managerial and / or Leadership experience in a Healthcare and / or Managed Care setting
Computer savvy
Microsoft Office proficient (Word, Excel, and PowerPoint and Outlook) Desired Skills :
Master's Degree in Nursing
Bilingual (English and Cantonese, Mandarin, or Spanish)
