• Social Work Care Manager

    Job Locations US-NY-Brooklyn
    Req #
    107133
    Agency
    Elderplan
    Status
    Regular Full-Time
    Location : Postal Code
    11220
    Category
    Managed Care Nursing
    Office or Field
    Office-based
  • Overview

    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.

    Responsibilities

    Reporting to the Supervisor of care management this position will provide case management to our members including medical, social, psychological, physical and spiritual needs by Developing, implementing and monitoring the care plan, in conjunction with the PCP, caregivers and other team members, to help meet the member's needs. managed care nurse, managed care rn, nursing, rn, nurse, care management

    Qualifications

    • Graduate from an accredited school of nursing
    • Associates or Diploma in Nursing, BSN preferred
    • Must have an RN license in the State of NY
    • Minimum of three years experience in acute or longterm care with prior medicare managed care experience required
    • CCM preferred
    • Working knowledge of utilization management processes and case management also required
    • Knowlege of federal and State Managed Care regulations, InterQual, and local medicare coverage guidelines
    • Knowledge of windows, Word and Excel
    • Good written and verbal communication skills

    Benefits

    We truly value our staff and further acknowledge their contributions by offering:

    • Employee and family health coverage
    • Competitive salaries
    • Employer contributed pension plan
    • Generous time off
    • Employee tuition reimbursement
    • Dependent tuition reimbursement
    • 403(b) retirement plan

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