Long Term Care RN Specialist – Field Based
Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination.
MUST BE LOCATED IN OR NEAR BROOKLYN, NY - This is a field role.
*Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development
*Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact
*Authorize and coordinate referral for services
*Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care
*Assist in coordinating the development of informal or voluntary services to integrate into the member care plan
*Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services
*Assist member with filing and resolving complaints and appeals
*Direct care to participating network providers
*Participate in care management committees and work on special projects related to care management as needed
*Education/Experience: 3+ years of care management experience preferred, Home health, discharge planning, or long term care experience preferred.
Licenses/Certifications: Valid driver's license. NYS RN license required.
The salary range for NY is: $31.69 - $57.12 per hour
Bilingual in Russian, Spanish or Mandarin/Cantonese a plus. Prior field experience.