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RN Case Manager-$15,000 sign on bonus or Student Loan Assistance!

Mjhs

This is a Contract position in Suffolk County, NY posted June 10, 2021.

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients’ and members’ needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Ensures high quality and  cost effective care is coordinated as outlined in the model of care. Allows for appropriate allocation of Advantage member benefits and resources through partnership with participating facilities and providers.  Develops and facilitates collaborative partnerships with all members of the care team. Participates in and presents cases at interdisciplinary care team meetings to discuss changes in health status and/or level of care and coordinates interventions determined appropriate by the team. Ensures proper utilization management of skilled services and level of care changes.  Develops and updates holistic care plans that addresses members’ needs in collaboration with  the inter-disciplinary care team, Nurse Practitioner, and member/member representative in support of the model of care.  Provides ongoing assessment, planning, implementation and delivery of evidence based interventions in collaboration with Nurse Practitioner and the inter-disciplinary care team as outlined under the Chronic Care Improvement Program and Quality Indicators. Ensures that the member has a seamless transition from one level of care to another based on regulatory requirements and department policy and procedures.   Identify and track all Advance Care Directives discussions and placement.

 managed care nurse, managed care rn, nursing, rn, nurse, care management