Case Manager
Company: The Judge Group
Location: Hoboken
Posted on: May 8, 2022
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Job Description:
Location: New York City, NYDescription: Location: Onondaga
County Hours: M-F 8:30am-5pm, ESTThe Judge Group is looking for a
Case Manager to be responsible for health care management and
coordination for members to achieve clinical, financial, and
quality of life outcomes.**Must be willing to follow vaccine
mandate and visit members in homes/hospital/nursing
facility**Essential Functions:Conduct face to face or home visits
as required.Provide case management services to members with
chronic or complex conditions including:Identifies members that may
qualify for potential case management services.Conduct assessment
of member needs by collecting in-depth information from our
information system, the member, member's family/caregiver, hospital
staff, physicians, and other providers.Develop and implement a case
management plan in collaboration with the member, caregiver,
physician and/or other appropriate healthcare professionals to
address the member needs.Perform ongoing monitoring of the plan of
care to evaluate effectiveness.Measure the effectiveness of
interventions to determine case management outcomes.Promote
integration of services for members including behavioral health and
long-term care to enhance the continuity of care.
Knowledge/Skills/Abilities:Knowledge of applicable state, and
federal regulations.Knowledge of ICD-9, CPT coding and HCPC.SSI,
Coordination of benefits, and Third-Party Liability programs and
integration.Familiarity with NCQA standards, state/federal
regulations, and measurement techniques.In depth knowledge of CCA
and/or other Case Management tools.Computer skills and experience
with Microsoft Office Products. Required:Bachelor's degree in
Nursing or master's degree in social work, or Health Education (a
combination of experience and education will be considered in lieu
of degree).0-2 years of clinical experience with case management
experience.Active, unrestricted State Registered Nursing license or
Licensed Clinical Social Worker LCSW or Advanced Practice Social
Worker APSW in good standing.A combination of experience and
education will be considered in lieu of LCSW or APSW.Valid driver's
license with good driving record and be able to drive locally. If
this sounds like an opportunity you would be interested in, please
send your updated resume to
chead@judge.comContact:chead@judge.comThis job and many more are
available through The Judge Group. Find us on the web at
www.judge.com
Keywords: The Judge Group, Hoboken , Case Manager, Executive , Hoboken, New Jersey
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