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est. per hour
Case Manager III (55474)
•3 days ago
| Estimated Pay | $50 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | New York, New York |
Compare Pay
Estimated Pay We estimate that this job pays $49.78 per hour based on our data.
$37.21
$49.78
$63.38
About this job
Looking for a HealthcareCase Manager III. Must be Bilingual (Chinese, Cantonese or Mandarin) and have MLTC, UAS Assessment and NY Medicaid policy experience. Must have a NY license. The work schedule is M-F, 8:30am-5pm EST.
Summary:
Works with members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
Required Education | Experience:
Summary:
Works with members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
- Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member's needs and goals.
- Conducts telephonic, face-to-face, or home visits as required.
- Maintains ongoing member case load for regular outreach and management.
- Assesses barriers to care, provides care coordination and assistance to member to address concerns.
Required Education | Experience:
- Bachelor's degree in Nursing or Master's degree in Social Work.
- 5-7 years in case management, disease management, managed care or medical or behavioral health settings.
- Bilingual in any language
- Active, unrestricted State Registered Licensed RN/LMSW/LCSW- Licensed in the State of NY in good standing.
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