Nurse Case Manager II Job at SGS Consulting, New York, NY

WGtsRUFtUWpUSmpwR2Y1cHoxaFZuNFNvcGc9PQ==
  • SGS Consulting
  • New York, NY

Job Description

Job Responsibilities:

  • 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care.
  • Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member’s identified needs.
  • Provides evidence-based disease management education and support to help the member achieve health goals.
  • Ensure the appropriate members of the interdisciplinary care team are involved in the member’s care.
  • Provides care coordination to support a seamless health care experience for the member.
  • Meticulous documentation of care management activity in the member’s electronic health record.
  • Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition.
  • Identifies and connects members with health plan benefits and community resources.
  • Meets regulatory requirements within specified timelines.

Skills:

  • Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the CM RN role.
  • Minimum 3+ years of nursing experience
  • Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience
  • Experience providing care management for Medicare and/or Medicaid members.
  • Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health.
  • Experience conducting health-related assessments and facilitating the care planning process.
  • Bilingual skills, especially English & Spanish

Education/Experience:

  • Associates of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED)
  • Must have active and unrestricted Registered Nurse (RN) licensure in the state of NY. Additional licensure is preferred but not required. NY is not a compact state, single state licensure for NY is required.
  • Bachelor of Science in Nursing (BSN) (PREFERRED)

Job Tags

Work at office,

Similar Jobs

Acadia Therapy Services

Speech Language Pathologist Job at Acadia Therapy Services

 ...practice offering Occupational Therapy and Speech Therapy services. Our team helps...  ...children with communication, speech, and language needs. Develop individualized therapy...  ...Requirement Master's degree in Speech Language Pathology Maine State Licensure Perks... 

Theracare INC

Speech Language Pathologist Job at Theracare INC

 ...of contract Physical, Occupational, and Speech therapy. A known rehab provider of choice...  ...Qualifications The Speech/Language Pathologist would evaluate and treat patients...  ...information within the area of Speech/Language Pathology. The Speech/Language Pathologist will... 

Freeport McMoRan

Diagnostic Electrician - Mine Electric Job at Freeport McMoRan

 ...learn more. Description Highly skilled workers in the Electrical/Instrumentation craft who perform at or above a Journeyman level...  ...non-routine repairs and construction Perform preventative maintenance including installation, repair and troubleshooting of... 

Side

Senior Game Tester - QA Job at Side

 ...About Side Side (formerly PTW) is a global video game development and services provider, offering technical and creative solutions...  ...Job Overview: We are searching for Senior Game Testers - QA for our new Gaming studio in Charleston, South Carolina servicing... 

Gpac

Union Paint Estimator: $135K-$150K Job at Gpac

JOB DESCRIPTION: $ 135K -$150K SEEKING COMMERCIAL PAINT PROJECT MANAGER/ESTIMATOR GPAC: #1 Commercial Paint Recruiting Firm in...  ...* 5+ years as a Commercial Paint Estimator with a Union Paint Subcontractor* Ability to understand and present products and services*...