RCM Health Care Services has over 45 years of experience in the healthcare staffing and consulting industry. We have long-standing relationships with many of the nation’s finest hospitals, health systems, care facilities, and school systems. With access to top talent across various healthcare professions, RCM offers uniquely tailored solutions to address gaps in Allied Health, Nursing, Physicians & Advanced Practice, School Services, Health Information Management, Revenue Cycle, and Clinical Data Abstraction. Recruiting across the world, RCM Health Care Services is committed to matching dedicated professionals to exceptional institutions. We proudly hold the Joint commission Gold Seal of Approval.

Job description

RN Case Manager - MLTC - Remote with One Field Day - Opportunities in Brooklyn and the Bronx

Position Summary

Overall, responsible for the care management of a defined population with the plan; within that, responsible for care planning that is of good quality and appropriate to the needs of the members, for determining that members receive the services they need, and that services are acceptable and accessible to the member; assures that the care plan changes as members' needs change.
Evaluate clinical assessments in developing the care plan and surfaces issues not readily resolved to the AVP for the region and the Intensive Care Management process.
Oversees, develops and approves the care plan and other disciplines of the MLTC member.
Re-evaluates clinical assessments and makes any necessary revisions to the care plan. Responsible for presenting at risk members to Intensive Care Management.
Makes home visits (one field day, one borough, 4-6 visits a week)

Qualifications:

Current New York State Registered Nurse License required. Bachelor Degree in Nursing or a Health or Human Services field required.
Two (2) years' experience in Home care required.
Experience assessing patients for home care safety and developing appropriate care plans and plan adjustments required.
Prior supervisory experience preferred.
MS Office required.
Bilingual Language Skill Strongly Preferred.

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