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.
When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!
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
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.