Hybrid Registered Nurse (RN) Care Manager - Brooklyn

Job description

Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essential Functions: - Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status. - Authorizes covered services and coordinates care regardless of payer. - Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team. - Works with member/family to maintain the most independent living situation possible - Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings. - Regularly assesses members for ongoing eligibility for services based on the specific plan’s eligibility criteria. - Performs home visits as required to assess members’ living situation, cultural influences, functional and cognitive needs. - Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centere...