Complex Care Manager - RN

EmblemHealth; New York (NY); Remoto; USD 68.000 - 119.000; Tempo pieno

Descrizione del lavoro

EmblemHealth seeks an experienced Registered Nurse to provide care management within a multidisciplinary team. You will assess high-risk members, coordinate care with physicians, caregivers and community resources to close care gaps and improve outcomes.

You will develop care plans, monitor progress, and document in the EMR, while maintaining flexibility to support evenings or weekends as needed by members and departments.

Competenze

• Active and unrestricted RN license in NY state.
• Bachelor's degree required.
• CCM certification preferred.
• 4–6+ years of clinical experience.
• Strong communication and collaboration skills.

Mansioni

• Assess and evaluate the needs of the most complex members through multidisciplinary assessments and resources.
• Identify goals, strategies and interventions including referrals and health education based on areas of concern.
• Develop and evaluate medical management strategies to ensure high-quality, cost-effective care with the team.
• Include member and family as appropriate and engage with the member's PCP/designee.
• Coordinate and participate in case conferences to ensure action plans are understood by all stakeholders.
• Enter and maintain EMR documentation within defined timeframes and performance standards.
• Attend mandated training and participate in department committees.
• Provide ongoing monitoring and guidance to coordinate the member's health care.

Conoscenze

RN license

Case management

Care coordination

Communication skills

Flexible schedule

Formazione

Bachelor's degree

Strumenti

EMR systems

MS Office

Mobile technology

Descrizione del lavoro

EmblemHealth seeks an experienced Registered Nurse to provide care management within a multidisciplinary team. You will assess high-risk members, coordinate care with physicians, caregivers and community resources to close care gaps and improve outcomes.

You will develop care plans, monitor progress, and document in the EMR, while maintaining flexibility to support evenings or weekends as needed by members and departments.