RN Case Manager: Remote Care Coordination Leader

Excellus Health Plan Inc.; City of Rochester (NY); Vor Ort; USD 62.000 - 96.000; Vollzeit

Zusammenfassung

Excellus Health Plan Inc. in Rochester, NY seeks a Case Management professional to conduct and coordinate member-focused programs per CMSA, NCQA and DOH standards.

You will assess needs, educate and support members, and collaborate with providers to optimize health outcomes and cost-effectiveness. You will work with an interdisciplinary team to open and manage cases, develop care plans, monitor progress, and ensure confidentiality.

Qualifikationen

• Associates degree required; Bachelor's preferred.
• RN, RD, or PT licensure required for the applicable line of business.
• Strong communication and multitasking skills are essential.

Aufgaben

• Handles physical health member clinical management programs.
• Maintains knowledge of CMSA and NCQA standards and regulatory requirements.
• Implements the Case Management Process across assessment, care planning and review.
• Collaborates with providers to develop interdisciplinary care plans.
• Maintains confidentiality and information management per policy.

Kenntnisse

Communication skills

Multitasking ability

Independent work capability

Integrity and confidentiality

Ausbildung

Associates degree

Bachelor's degree preferred

NYS RN/RD/PT licensure required

Tools

Microsoft Office Suite

Jobbeschreibung

Excellus Health Plan Inc. in Rochester, NY seeks a Case Management professional to conduct and coordinate member-focused programs per CMSA, NCQA and DOH standards.

You will assess needs, educate and support members, and collaborate with providers to optimize health outcomes and cost-effectiveness. You will work with an interdisciplinary team to open and manage cases, develop care plans, monitor progress, and ensure confidentiality.