RCM Healthcare Services
NY, USA
RN Case Manager – MLTC (Bilingual highly preferred) – Hybrid (4 days remote)
Job Summary:
The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes.
Essential Functions:
Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status.
Authorizes covered services and coordinates care regardless of payer.
Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team.
Works with member/family to maintain the most independent living situation possible
Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings.
Regularly assesses...
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Assistant & Support
Nursing
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