Share Email Opening Title RN Care Manager-CIN  EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.   Description Position Summary: Accountable for engaging with patients and their family in telephonic-based Care Management. This role will provide care mangement to different targeted populations in various program arrangements., including but not limited to, management of care transitions, longitudinal care management and disease based care management. Works under direct supervision and is a part of an interdisciplinary Care Management team. Responsible for end to end comprehensive care management, overall care planning and performance metrics for assigned caseload. Engages with patients and their family, and members of the health care delivery team about goals of care and the care plan; knowledgeable about level care of needs, community resources, and insurance benefits, so that appropriate referrals and resouce linkages can be made to support ongoing self-care needs. Demonstrates and understanding of care mangement, complex disease management, transitions of care, post-acute care landscape/options, and community management standards. Maintain familiarity with community resources and agencies for assigned locality and update resouces as necessary. Demonstrates an understanding of current climate of economics and funding resources for care delivery/care management. Utilizes resources efficiently and effectively. Demonstrates an understanding of managed care trends, payer regulations, remibursement, and the effect of utilization on the different methods of reimbursment. Works as part of interdisciplinary "team rounds" to address utilization/resources and progession of care issues. Assists in developing and implementing an improvement plan to address issues. Adheres to communincated care mangement productivity metrics, and maintenance of caseload as per policy. Adheres to quality standards, including adherence to model of care/standard operating procedures as well as comprehensive documentation, actionable care plans, and appropriate cases closed in a timely fashion. Develops strong working relationships with internal and external customers to provide exemplary service and achieve goals. Proficiency in various word processing, spreadsheet, graphics, and database programs, including Microsoft Word, Excel, PowerPoint, Outlook etc... Demonstrates the abiiity to evaluate utilization/ resource/ clinical care management data to identify trends, develop actions plans, program modication for improved outcomes. Participates in special projects or other duties as assigned.   Category Nursing   Exempt/Non-Exempt Exempt   Location Suffolk County   Full-Time/Part-Time Full-Time   Position Requirements Minimum Education: Graduate of an accredited school of Nursing, RN. Preferred Education: Bachelor's or master's degree in Nursing (or in school for bachelor) Minimum Experience: 5 years of clinical experience in direct patient care 2 years of care management experience in an acute, community or post-acute provider or health plan. Working knowledge of the continuum of care (options for different levels of care), with solid understanding of the principles of Value Base Care, Population Health Strategies and Utilization Management. Working knowledge of customers and basic software applications used in job functions, such as word processing, databases, spreadsheets, and others as needed. Working knowledge and ability to apply professional standards of practice in a work environment. Require Certifications/Licensure:. Posession of a current Registered Nurse license in the state of hire Preferred Certifications/Licensure: Certified Case Manager (CCM) or ACM-RN certification or accredited equivalent certification. In accordance with the New York State Department of Health (DOH) order that all hospitals and nursing homes “continuously require all covered personnel to be fully vaccinated against COVID-19.” Upon receipt of a conditional job offer, candidates who are not already vaccinated must obtain the first dose of the vaccine within three (3) calendar days of job offer and must obtain any subsequent doses in accordance with the vaccine protocol. The order allows for limited medical exemptions with reasonable accommodations, consistent with applicable law.   Shift Days   Tags Full time, Monday-Friday   Salary Range   Position RN Care Manager-CIN   Open Date 9/7/2022   This position is currently not accepting applications. 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