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Bilingual RN | Care Manager (Remote) | NY State Lic | Up To $105,000 Annually

Company: TotalMed
Location: Hempstead
Posted on: June 5, 2021

Job Description:

Location: Must be located in one of the following states AND hold a New York RN licence

  • NY, NJ, CT, FL, TX

* Seeking candidates that are bilingual in English and Spanish

Pay: $95,000 – $105,000 Annually

Starts ASAP!

Summary:

The Registered Nurse (RN) Care Manager (CM) plans and manages behavioral and/or physical care with members and their beneficiaries and works with clinicians and health care team members. The Care Manager facilitates care and medical attention and addresses identified member needs across the continuum of care. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of the member’s health care services.

Position Requirements:

  • Must hold an active, unrestricted Registered Nurse license in the state of New York
  • Candidates must be located in the following states – NY, NJ, CT, FL, TX
  • +1 years of experience working in Care Management within an insurance or hospital setting
  • Ability to speak, read, and write in fluent English and Spanish

Duties/Responsibilities:

  • Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits
  • Conducts assessments to identify barriers and opportunities for intervention
  • Develops care plans that align with the physician’s treatment plans and recommends interventions that align with proposed goals
  • Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement
  • Collaborates with provider doctors, social workers, discharge planners, and community-based service providers to coordinate care accordingly
  • Coordinates and facilitates with the multi-disciplinary health care team as necessary in order to ensure care plan goals are achieved and maximize member outcomes
  • Assists in identifying opportunities for alternative care options based on member needs and assessments
  • Evaluates service authorizations to ensure alignment and execution of the member’s care and physician treatment plan
  • Contributes to corporate goals through ongoing execution of member care plans and member goal achievement
  • Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as appropriate
  • Occasional overtime, as necessary

Benefits: 

  • Medical Benefits: Protect yourself, your spouse or domestic partner, and children from the start with our day-of-hire health insurance
  • Dental: Stay with your favorite dentist for everything from routine cleanings to orthodontia for your kids
  • Vision: Keep your vision 20/20 with our comprehensive coverage for exams, contacts, and eyeglasses
  • Short and Long-Term Disability: Protect yourself and your family from unexpected illness or injury with our elective disability insurance
  • Life Insurance: Keep your mind off of the worst case scenario with our robust life insurance policies
  • 401(K): Enjoy the peace of mind that comes from enrolling in the best 401(k) plan in the industry

 

Experience the TotalMed Difference – Apply Today!

Keywords: TotalMed, Hempstead , Bilingual RN | Care Manager (Remote) | NY State Lic | Up To $105,000 Annually, Other , Hempstead, New York

Click here to apply!

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