3 rn care manager jobs found

Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).  Core Job Responsibilities 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....

Description Are you a compassionate and motivated RN looking to make a meaningful difference in the lives of individuals with developmental disabilities? If so, join our team at The TemPositions Group of Companies as an RN Case Manager and play a critical role in supporting the health and well-being of individuals living in our community-based day program. POSITION DUTIES : Supervises RN and LPN and provides oversight and instructions to the nursing staff and direct care staff in the OPWDD certified programs, (24 hours nursing ICF).  Monitor and evaluate staff performance related to delegated tasks. Monitors and assures the accurate implementation of the health care plan by the nursing staff.  In collaboration with Nurse Administrator and VP of Nursing establishes systems for day-to-day medical/nursing operations.   Evaluates effectiveness of care plans in meeting all outcomes, goals and objectives to ensure that the best care is...

Description Are you a compassionate and motivated RN looking to make a meaningful difference in the lives of individuals with developmental disabilities? If so, join our team at The TemPositions Group of Companies as an RN Case Manager and play a critical role in supporting the health and well-being of individuals living in our community-based day program. POSITION DUTIES : Supervises RN and LPN and provides oversight and instructions to the nursing staff and direct care staff in the OPWDD certified programs, (24 hours nursing ICF).  Monitor and evaluate staff performance related to delegated tasks. Monitors and assures the accurate implementation of the health care plan by the nursing staff.  In collaboration with Nurse Administrator and VP of Nursing establishes systems for day-to-day medical/nursing operations.   Evaluates effectiveness of care plans in meeting all outcomes, goals and objectives to ensure that the best care is...