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 Care Manager RN or Licensed Master Social Worker (LMSW) - Bilingual Spanish! - New York, New York, United States

Job information
Posted by: Premier Home Health Care Services, Inc. 
Hiring entity type: Health and Medical Svcs. 
Work authorization: Not Specified for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Health - Home Health Aide
Health - Social Work/Public Health
Nursing - Clinic RN
Travel: Minimal 
Accept candidates: in same country 
Languages: English - Fluent
Spanish - Fluent
Minimum education: Associate Degree 
Minimum years experience:
Resumes accepted in: English
Cover letter: No cover letter requested
Virtual interview questions: No questions which require answers when applying for this job posting.
Job code: / Latpro-3607087 
Date posted: Apr-12-2018
State, Zip: New York, 10017



Care Manager – Registered Nurse (RN) or
Licensed Master Social Worker (LMSW) - Bilingual Spanish!
New York, NY

Premier Home Health Care Services, Inc. is a leading established Home Health Care Agency. We currently have an opportunity for a Care Manager in our NYC mid-town office. Possible telecommuting potential.

The Care Manager provides clinical support and oversight of care that ensure members are receiving safe and effective care in the community.

Key functions include:

• Responsible for service authorizations, creates care plans, and coordinates services throughout the continuum of care for high-risk populations.
• Assesses and coordinates Hospitalization / Skilled Services CHHA /Nursing Home Communication and Planning.
• Coordination of Benefits for Medicare, Medicaid, Other insurance.
• Coordinates transitional care management (acute to home, home to skilled nursing facility SNF/custodial, home to hospital and acute to SNF/custodial.
• Completes Monthly Call Assessments and follows up on calls triggered by changes in meds, diagnosis or events such as ER visits, falls, etc.
• Coordinates post-discharge services as needed.
• Conducts managed long-term care quality measure planning and implements evidence based clinical pathways.
• Collaborates with Clinical Consultant Team on issues requiring additional psychosocial and clinical guidance for complex member needs. Examples include end of life care planning, acute condition management, completion of POA, health proxy, or guardianship documentation.
• Documents all findings and interventions.
• Participates as team member in Biannual Reassessments of Service Plans after UAS Completion.
• Member Education and Management of CDPAS Services and Health Care Proxy.
• Member PCA Service Review and Management.


Qualifications – RN

• R.N. diploma from an accredited NLN program with a minimum of an Associate’s Degree (BSN preferred).
• Unencumbered NYS RN License and Registration.
• NYS Driver’s License or NYS ID
• One year of experience of hospital and/or home care is required with working knowledge of Medicaid Managed Long Term Care plans and Medicare and Medicaid rules and regulations.

Qualifications – LMSW

• Unencumbered NYS LMSW License.
• NYS Driver’s License or NYS ID
• Previous work experience of hospital and/or home care is required with working knowledge of Medicaid Managed Long Term Care plans and Medicare and Medicaid rules and regulations is preferred. We will consider new grads.

Additional Requirements:

• Intermediate ability to use computerized systems such as Microsoft Outlook, Microsoft Word, Excel.
• Only candidates authorized to work in the United States will be considered.

Premier Home Health Care Services offers a competitive salary, plus full time employees are eligible for medical, dental, vision, 401K, paid time off, holiday pay, short term disability, life insurance, and an optional legal plan.

Interested candidates please forward your resume and salary requirements. Be sure to include position and location in subject line, or fax to 914-539-4000.

Premier Home Health Care Services, Inc.

Premier Home Health Care Services, Inc. is an Equal Opportunity Employer