✨ About The Role
- The role involves acting as a liaison with members, clients, families, employers, providers, insurance companies, and healthcare personnel as appropriate
- Responsibilities include implementing and coordinating all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care
- The position requires assessing and analyzing injured, acute, or chronically ill members/clients medical and/or vocational status to develop a plan of care
- Involves communicating with members/clients and other stakeholders, preparing documentation of case work activities, and providing educational and prevention information for best medical outcomes
- The job also includes conducting evaluations of members/clients' needs and benefit plan eligibility, facilitating appropriate condition management, and monitoring progress toward desired outcomes through assessment and evaluation
⚡ Requirements
- Must possess active and unrestricted RN licensure in the state of NY
- 3+ years clinical practical experience preference in areas such as diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac with Medicare members
- Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise
- Efficient and effective computer skills including navigating multiple systems and keyboarding
- Excellent analytical and problem-solving skills