RN Case Manager Job in New York 10041, New York US

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RN Case Manager

About the Job

EmblemHealth, the parent company of HIP Health Plan of New York and GHI-Group Health Incorporated, is seeking an RN Case Manager.
Essential Duties:
Achieves optimal benefit and results from the comprehensive management of patients with chronic and/or catastrophic illness, patients who are frail elderly and/or patients whose illness is complicated by challenging psychosocial conditions.

• Identifies patients appropriate for case management early in their disease process, preferably at enrollment with HIP Health Plan of New York.
• Develops, facilitates, and communicates a plan of care in partnership with the patient, his/her significant other, the primary and attending physicians, and various providers.
• Optimizes both the quality of care and the quality of life for the patient.
• Minimizes risk for the patient, the employer and the Plan.

Knowledge Skills & Abilities:
·Action Oriented
·Process Oriented
·Resourceful
·Strong Communication Skills
·Strong Organizational Skills


Qualifications:

·Graduate of an accredited 2 or 4 year nursing program (advanced degree preferred).
·Current unencumbered professional New York State RN License.
·Certification as a Case Manager preferred.
·Minimum of 5 years of clinical experience in acute high-tech or home health setting.
·Prior case management and or managed care experience preferred.

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