Care Manager Rn - Care Management

Premier Home Health Care Services, Inc. is a leading established Home Health Care Agency. We currently have a great remote opportunity for an RN Care Manager in New York City!

The RN Care Manager provides clinical support and oversight of care that ensure members are receiving safe and effective care in the community.

Qualifications:

• RN (BSN preferred). Must have current, valid, and unencumbered NY state license, certificate or registration or credentialing as required.
• Experience as a NY licensed RN working in a home care environment or in an acute, sub-acute, or long term care (LTC) setting or managed long term care (MLTCP).
• Must maintain all state and federal compliance requirements for licensure and employment.
• Bi-lingual, UAS certified, and knowledge of Care Management preferred.
• Must reside in Downstate NY, Westchester, Long Island or Northern New jersey

Essential Job Responsibilities:

• Must become proficient in article 49 regulation.
• Responsible for service authorizations, creates care plans, and coordinates services throughout the continuum of care for high-risk populations.
• Assesses and coordinates Hospitalization / Skilled Services CHHA /Nursing Home Communication and Planning.
• Coordination of Benefits for Medicare, Medicaid, Other insurance.
• Coordinates transitional Care Management (acute to home, home to skilled nursing facility SNF/custodial, home to hospital and acute to SNF/custodial.
• Completes Monthly Call Assessments and follows up on calls triggered by changes in meds, diagnosis or events such as ER visits, falls, etc.
• Coordinates post-discharge services as needed.
• All other duties as assigned

Bilingual (Spanish/ Cantonese / Mandarin) are a plus.

Premier Home Health Care Services offers a competitive salary. In addition, Full Time Employees are eligible for medical, dental, vision, 401K, paid time off, holiday pay, short-term disability, life insurance, and an optimal legal plan. All interested applicants please apply today!

EOE/M/F/D/V

Job Type: Full-time

Pay: $95,000.00 - $100,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Medical specialties:

• Home Health

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Remote

Education:

• Bachelor's (Preferred)

Experience:

• Case Management: 2 years (Required)
• Nursing: 4 years (Required)
• MLTC: 4 years (Required)
• Home Care: 4 years (Required)

License/Certification:

• RN (Required)

Work Location: Remote