Local Contract Nurse RN - Care Manager - $55 per hour
Company: Prokatchers
Location: New York
Posted on: November 13, 2024
Job Description:
Prokatchers is seeking a local contract nurse RN Care Manager
for a local contract nursing job in New York, New York.Job
Description & Requirements
- Specialty: Care Manager
- Discipline: RN
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Local ContractPay Rate: $55.00/hr.Medical
Specialty: Managed Long Term CareStandard Shift: DaysWeekly
Schedule: 5x8Shift Timings: 09:00 AM - 05:00 PM, Hybrid
role.Description:The Care Manager develops, facilitates, monitors,
and communicates a care plan in partnership with the member, their
family or significant other, primary caregiver, the primary and/or
the attending physicians, and various providers.Using the
assessments and interview done by the Assessment Nurse, the Care
Manager identifies the risk factors, strengths, challenges, and
service needs of the member as they strive to keep them safe and
well in their community setting.Job Duties:Review and evaluate the
assessment and UAS information for members in the MLTC and MAP
lines of business.Develop a working relationship with the PCP to be
able to contact and discuss the care of the member with them.Review
assessment findings with the PCP to identify any concerns that have
not been identified by the clinical team.Identify the risk factors
and assign the risk category to the member.As part of Care
Management team, develops a formal care plan for all services
needed for the member, including the member's disaster plan.Monitor
the condition of all members at least monthly, typically by
telephone but via face-to-face when necessary.Identify clinical
issues that require immediate clinical assessment and/or treatment
to reduce risk of unnecessary hospitalizations, ED visits or
nursing home admissions.Identify opportunities to improve the
quality of care by ensuring members receive needed preventative and
chronic disease care.Prior approve request for additional services
based on assessments and using evidencebased standards refer
denial, reduction, or limitation of service request to Medical
Director.Assist members with the coordination of services both
within and outside networks as appropriate.Includes facilitating
discharge from acute setting and alternate settings.Provides Care
Coordination through continuum of care.Optimizes both the quality
of care and the quality of life for the MetroPlusHealth
members.Coordinate with Utilization Management (UM) department on
concurrent and retrospective review.Follow up with assigned nurses
for clinical updates to care plan.Document within two business
day's coordination notes and routine contacts with the members
according to the level of risk assigned to them.Participate in team
care planning meetings.Handles complains that can be resolved in
one day.Assists Customer Service and the UM department by providing
records and materials needed for grievances from MLTC/MAP program
members.Speaks to members who are delinquent in their spend-down
payments.Cooperates with all department within
MetroPlusHealth.Identifies members appropriate for specialty
programs.Performs all MLTC/MAP management activities in compliance
with all regulatory agency requirements.Provides information on all
requests from Quality Management Department to be reviewed by the
various Quality committees.Completes all other tasks assigned by
MLTC Dept. Leadership.Participates in the department on call
schedule/being on call, which is rotated amongst the care
team.Education Required:Bachelor's Degree required; BSN
preferred.Experience Required: Two (02) to three (03) years
clinical experience in certified home health agency (CHHA),
Lombardi program and/or MLTC or MAP program.Five years minimum of
clinical experience as a Registered Nurse.Experience with Care
Coordination, Utilization review and discharge planning Computer
literacy required.Certifications & Licenses:RN Licensed as a
Registered Nurse in the State of New York required.PRI and Screen
certification within three months of employment is
required.Preferred Skills:Master's Degree and Bilingual Spanish
Certification in Case Management preferred.Leadership experience
preferred.ProKatchers LLC is revolutionizing healthcare staffing!
ProKatchers LLC has been recognized as one of the fastest-growing
healthcare staffing companies in the country by Staffing Industry
Analysts, real travel nurses, and allied healthcare professionals
that work with our team. Our focus is on empowering our healthcare
professionals to deliver exceptional patient care experiences.
We're dedicated to making your travel healthcare journey easy by
taking care of all the details, so you don't have to. Our goal is
to positively impact the healthcare industry by providing a truly
comfortable experience as you explore your travel nursing, therapy,
or allied career. Our responsive and friendly recruiters prioritize
our clinicians in fulfilling their dream and mission of improving
lives by providing quality patient care. If you don't have this
kind of relationship with your current recruiter and travel nurse
agency, maybe it's time you try one that's a little bit different
and join us in making a difference! Mission Statement:We are on a
mission to help others live better and we do this by helping the
healers of the world be as comfortable as possible. The Onboarding
Process You Deserve:Looking for a travel nursing company that's got
your back every step of the way? Look no further than ProKatchers
LLC. Our recruitment specialists are the most detailed in the
industry, and we work tirelessly to ensure your onboarding process
is stress-free. We understand that contract transparency is a major
concern for nurses, especially when navigating unfamiliar hospital
systems with complex pay packages and different rules for each
assignment, but don't worry, ProKatchers has got you covered! We
have several policies in place to prevent confusion about what's
expected from nurses before they begin a contract. Choose
ProKatchers LLC for the onboarding process you deserve.!Prokatchers
Job ID #33890985.About ProkatchersProKatchers LLC is a leading
force in US Healthcare Staffing, connecting top-tier professionals
with healthcare institutions. Committed to excellence and client
satisfaction, we specialize in providing innovative workforce
solutions, ensuring organizations thrive in the dynamic healthcare
landscape. With a focus on building enduring relationships, we
match qualified candidates to opportunities where they can make a
significant impact. Our streamlined recruitment processes and
cutting-edge technology set us apart, making ProKatchers LLC your
trusted partner for reliable, personalized, and efficient
healthcare staffing solutions. Your success is our priority.
Keywords: Prokatchers, Mount Vernon , Local Contract Nurse RN - Care Manager - $55 per hour, Executive , New York, New York
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