The schedule is Monday - Friday: 3 days/week 8 am - 5 pm, 2 days/week 11 am - 8 pm. Working until 8pm two nights/week is required.
Selected candidates must be able to start working on site in our office located at 600 Airborne Pkwy, Cheektowaga, NY. Opportunities for hybrid arrangements may be given over time based on business needs and if all job goals are being met.
Primary Responsibilities
- Make outbound calls to assess members' current health status
- Identify gaps or barriers in treatment plans
- Provide patient education to assist with self-management
- Interact with Medical Directors on challenging cases
- Coordinate care for members
- Make referrals to outside sources
- Coordinate services as needed (i.e., home health, DME, etc.)
- Educate members on disease processes
- Encourage members to make healthy lifestyle changes
- Document and track findings
- Utilize Milliman criteria to determine if patients are in the correct hospital setting
- Make 'welcome home' calls to ensure that discharged members receive the necessary services and resources
Required Qualifications
- Active, unrestricted RN license in the State of New York
- Multiple state licensure (in addition to Compact License if applicable) OR the ability to obtain multiple state nursing licenses
- 3+ years of RN experience in a hospital setting, acute care, direct care, or as a Case Manager at an insurance company
- Computer proficiency including navigating a Windows environment; using MS Outlook; creating, editing, saving, and sending documents in MS Word; talking and typing at the same time; and using multiple applications simultaneously
- Willing or ability to work Monday - Friday: 3 days/week 8 am - 5 pm and 2 days/week 11 am - 8 pm
- Willing or ability to work onsite in our Cheektowaga, NY office for the first 6-12 months
- Access to install secure, high-speed internet and a dedicated workspace at home
- Resides in New York
Preferred Qualifications
- Bachelor's degree
- Certified Case Manager (CCM)
- Home health experience
- Managed care experience
- Case management experience
- Maternal experience
- Experience with/exposure to discharge planning
The salary for this role will range from $60,200 - $107,400 annually based on full-time employment.