RN Case Manager

5 days ago

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

💵 $85k - $95k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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ConcertoCare

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ConcertoCare is a healthcare provider that specializes in delivering in-home medical care and support services for seniors. Their mission is to enable elderly patients to maintain independence and quality of life by providing coordinated health services right in their homes. With a focus on both medical and social needs, ConcertoCare offers a range of services, including primary care, transportation assistance, food support, and palliative care, particularly for those with complex care requirements. As a risk-bearing provider, ConcertoCare emphasizes advanced analytics and virtual care technology to enhance health outcomes for vulnerable populations, ensuring that each patient receives tailored care that addresses their unique challenges.

Patient Care • Quality • Compliance • Utlilization Management • Case Management

201 - 500 employees

Founded 2015

⚕️ Healthcare Insurance

🌍 Social Impact

📋 Description

• Coordinate all aspects of a patient’s care as a patient advocate. • Engage patients and foster positive relationships to help them achieve their goals. • Conduct initial intake calls and outreach based on patient’s needs. • Provide ongoing care coordination for an assigned panel of complex patients. • Ensure care is coordinated and aligned with the needs of the patient. • Support patients during care transitions for effective discharge. • Identify and implement interventions collaborating with the multidisciplinary team. • Participate in quality improvement and adhere to compliance policies. • Serve as a mentor for new hires and existing case management team members.

🎯 Requirements

• Current RN License in good standing in the state of practice required. • Bachelor's degree in nursing required, or associates in nursing with other clinical or business bachelor’s degree • Minimum of 4 years experience working in a clinical setting, with at least 2 years of case management experience in home health care, ambulatory care, community public health, and/or the insurance setting • Certified Case Manager (CCM) certification or commitment to complete when eligible • Geriatric care experience is highly desired • 2 years of discharge planning, utilization management, case management, performance improvement, and/or managed care preferred. • Knowledge of Medicare and Medicaid regulations and insurance benefits preferred • Strong knowledge of clinical best practices as they relate to case management, discharge planning, utilization management, performance improvement, and/or managed care • Strong clinical skills and ability to implement evidenced-based care. • Ability to manage patient complexity and multiple clients with diverse needs • Demonstrated ability to triage patient-reported symptoms and issues that require escalation to our field-based team and to apply critical thinking skills in unexpected circumstances. • Ability to communicate effectively in writing and verbally. • Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines. • Ability to work in a fast-paced, dynamic environment and work well with others on a team. • Proficient computer skills including Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) as well as clinical systems/ EMR competency • Knowledge and ability to navigate internet-based tools and applications, and proficiency in computer documentation • Demonstrates a high level of professionalism.

🏖️ Benefits

• Yearly continuing education allowance • Medical, Dental, Vision and 401k • Competitive salary and bonus program • 18 days of PTO • 8 paid holidays yearly