PMEis seeking anRNCare Managertoconduct UAS Assessments to support care management. Candidates will be assigned a minimum of 13-15 cases per week.The position will be a field position, and candidates must be local to Brooklyn and Queens in New York as field visits will be completed within these territories.***MUST be UAS Certified and bilingual (Bengali or Spanish).

Essential Functions/Responsibilities:

UAS Certified RN licensed in the state of NY.
Conduct face to face assessments of members' functional status, medical, behavioral, psychosocial and community resource needs.
Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members' needs are met.
Develop an ICP/PCSP based on members' clinical, behavioral, and social needs that addresses barriers to care.
Competently assesses members' health status and ensures that member is receiving all necessary medical and supportive services.
Manage care transitions through effective and timely communication necessary for member care and discharge planning.
Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies.
Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population.

Skills/Aptitudes:

Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management
Ability to work independently and maintain flexibly in fast paced environment.
Excellent communication skills
Self-starter with high level of accountability and responsibility for outcome of care
Strong computer skills: competent in Microsoft Office Products (Outlook, Word, Excel)
Ability to analyze data and use it to improve care delivery.

Required Education:
Bachelor's Degree (a combination of experience and education will be considered in lieu of degree).
Required Licensure/Certification:
NY State RN Licensein good standing.

PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.

Case Manager V (53247)

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