Job description

Job description

Position: RN Specialist (Remote)

Job Type: Full-time

Location: New York, NY, US

What are the 3-4 non-negotiable requirements of this position?

-New York State RN License -Driver's license and access to a vehicle -Must live in or near Brooklyn since this is a field position within the borough

What are the nice-to-have skills?

Bilingual in Russian, Spanish or Mandarin/Cantonese Prior field experience

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

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.

Job Type: Full-time

Salary: $30.66 - $55.00 per hour

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday

Experience:

• RN License: 5 years (Preferred)
• Driver's license and access to a vehicle: 5 years (Preferred)
• Prior field: 5 years (Preferred)

License/Certification:

• BLS Certification (Preferred)
• RN (Preferred)

Work Location: Remote

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