Registered Nurse (RN) Field Case Manager

Healthcare Support Staffing; New York (NY); On-site; USD 70,000 - 90,000; Full time

Job summary

A national healthcare staffing firm is seeking a Registered Nurse (RN) Field Case Manager in New York. The role involves evaluating members for care management and maintaining compliance with regulations. Candidates should have experience in case management and preferred experience in home health and elderly care. This position offers flexible daytime hours and requires travel within the Bronx area to meet clients. Ideal for someone looking for a rewarding career in healthcare with opportunities for growth.

Qualifications

• 1+ year of experience in current case management.
• Managed care experience preferred.
• Experience in care of the elderly required in some regions.
• Prior utilization management experience preferred.
• Experience in home health or public health.

Responsibilities

• Evaluate members for case management services.
• Complete comprehensive assessments and care plans.
• Act as a primary case manager for complex cases.
• Interact with family physicians and providers.
• Maintain accurate records using EMMA System.
• Coordinate community resources and ensure compliance.

Skills

Experience in current case management

Managed care experience

Prior utilization management

Experience care of the elderly

Home health experience

Job description

Overview

Registered Nurse (RN) Field Case Manager for a large Healthcare organization. HealthCare Support Staffing, Inc. (HSS) is a proven industry-leading national healthcare recruiting and staffing firm that places talented healthcare professionals in clinical and non-clinical positions with healthcare facilities nationwide. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

We are aggressively seeking a Registered Nurse (RN) Field Case Manager to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be a Registered Nurse (RN) Field Case Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a Registered Nurse (RN) Field Case Manager who can provide a high level of service and attention to their patients. If you are a seasoned Registered Nurse (RN) Field Case Manager and you meet the qualifications listed below, please click apply below for consideration!

Responsibilities

• Evaluates members for case management services and determines appropriate level of care coordination/management services for member
• Completes a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the member’s need for alternative services
• Acts as a primary case manager for members identified as Complex as defined by Case Management Program Description
• Develops and monitors member’s plan of care to include progress toward meeting established goals and self-management activities
• Interacts continuously with member’s family physician(s) and other providers utilizing clinical knowledge and expertise to determine medical history and current status
• Assesses the options for care including use of benefits and community resources to update the care plan
• Supervises and/or acts as a resource for non-clinical staff (i.e. Service Coordinators and Field Social Workers)
• Acts as liaison and member advocate between the member/family physician and facilities/agencies
• Maintains accurate records of case management activities in the Enterprise Medical Management Automation (EMMA) System using clinical guidelines
• Coordinates community resources with emphasis on medical, behavioral and social services
• Applies case management standards, maintains HIPAA standards and confidentiality of PHI, and reports critical incidents and information regarding quality of care issues
• Ensures compliance with all state and federal regulations as well as corporate guidelines in day-to-day activities
• Meets with clients in their homes, work-sites, physician’s or hospital to provide management of services
• Adapts to changes in policies, procedures, new techniques and additional responsibilities
• Participates with other Case Managers and Medical Directors in regular or special meetings such as Clinical rounds
• Travels to inpatient bedside, member’s home, provider’s office, hospitals, etc. in Bronx, NY required with dependable car. May spend up to 70% of time traveling with exposure to inclement weather and normal road hazards

Hours

Monday - Friday daytime hours flexible

Requirements

• 1+ year of experience in current case management
• Other Managed care experience Preferred
• Prior utilization management experience preferred in some geographic regions
• Experience in care of the elderly is required in some geographic regions
• Experience in home health, physician’s office or public health

If you are interested, please call, Courtney Phelps at 407-636-7030 x 232 and email your resume to [e-mail]

The greatest compliment to our business is a referral.

If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.