RN Care Manager - Occasional - Days

Job overview

RN Care Manager, onsite, in UTICA, NY. The pay range is $31 - $45 Per Hour. Mohawk Valley Health System is a healthcare provider. The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee.

What you'll do

• Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services).
• Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services.
• Educates and completes with enrollee all necessary consents and documentation.
• Initiates and carries out continuous assessment of physical, emotional, social, cultural, economic, and environmental needs of the enrollee and coordinates services for needs as determined.
• Observes the enrollee for changes in condition and follows up with appropriate services or providers to attempt to prevent disease exacerbations.
• Develops, monitors and revises a Plan of Care with the enrollee or enrollee’s designee that has problem, enrollee centered goals and interventions.
• Implements orders for Durable Medical Equipment items and treatments as prescribed by the physician, submitting and maintaining appropriate medical orders and documentation.
• Completes documentation per company standards/policy utilizing an Electronic Medical Record (EMR) system.
• Participates in Marketing Activities as requested by Executive Director or Designee.
• Accepts assignments and performs duties within their nursing scope of practice, seeking and obtaining sufficient information/education necessary to function effectively in the managed long term care setting.
• Participates in departmental and organizational committees and meetings as applicable.
• Participates in the orientation of new staff, mentors peers, and promotes collaborative teamwork.
• Performs all duties and responsibilities in accordance with the Nurse Practice Act and in accordance with the basic principles of professional nursing.
• Maintains a working knowledge of, and adheres to applicable federal/state regulations including, but not limited to, patient confidentiality, release of information, and HIPAA.
• Performs other related duties as requested by the Executive Director or Clinical Services Manager.
• Clarifies issues and actively addresses concerns in a timely manner.
• Ability to manage conflict, stress, and multiple simultaneous work demands in an effective, professional manner.
• Ability and willingness to self-motivate, prioritize, and be willing to change processes to improve effectiveness efficiency.
• Adapts to changing enrollee or organizational priorities.
• Ability to make independent decisions in accordance with established policies and procedures.
• Performs related duties as assigned.

What we're looking for

Education

Computer literacy, including but not limited to data entry, retrieval, and report generation. Excellent written, verbal and listening communication skills. Strong organizational and time management skills. Ability to work with patients/families of all ages and in a variety of settings, including inpatient facility and patients’ homes presenting diverse physical conditions and social/cultural environments. Ability to drive to and from a variety of settings in varying weather conditions.

Experience

1-2 years in community based care or health care area that cares for the community population.

Skills & competencies

rn care manager

utica ny

mohawk valley health system

per diem

days

rn

care management

assessment

planning

coordination

hipaa

About the employer

Mohawk Valley Health System is hiring for this role. Industry: Promoters of Performing Arts, Sports, and Similar Events without Facilities. Sector: 71.