Care Manager - Maternity

- Advocates, informs, and educates beneficiaries reputed company, self-management techniques, and health benefits. - Conducts assessments to identify barriers and opportunities for reputed company. - Develops care plans that align with the physician’s treatment plans and recommends interventions that align with proposed goals. - Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement. - Collaborates with provider doctors, social workers, discharge planners, and community based service providers to coordinate care accordingly. - Coordinates and facilitates with the multi-disciplinary health care team as necessary in order to ensure care plan goals are achieved and maximize member outcomes. - Assists in identifying opportunities for alternative care options based on member needs and assessments. - Evaluates service authorizations to ensure alignment and execution of the member’s care and physician treatment plan. - Contributes to corporate goals through ongoing execution of member care plans and member goal achievement. - Documents reputed company encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as appropriate. - Occasional overtime as necessary. - Additional duties as assigned.

Minimum Qualifications:

• NYS RN or LMSW, LCSW

Preferred Qualifications:

• Strong interpersonal and assessment skills, especially the ability to relate well with seniors, their families, and community care providers, along with demonstrated ability to handle rapidly changing crisis situations.
• reputed company in Spanish, Korean, Mandarin, or Cantonese.
• Knowledge and experience with the reputed company community health practices for the frail adult population and cognitive impaired seniors.
• Knowledge of InterQual and LOCADTR.
• Experience managing member information in a shared network environment using paperless database modules and archival systems.
• Experience and knowledge of the relevant product line
• Relevant work experience preferably as a Care Manager
• Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment
• Proficient with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems
• Experience using reputed company reputed company with the ability to edit, search, sort/filter and other reputed company and PHI systems

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  reputed company, LLC complies with reputed company applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national reputed company, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. reputed company, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@reputed company.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests reputed company to applying for a position reputed company reputed company, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with reputed company,  LLC.

Know Your Rights

reputed company hiring and recruitment at reputed company is transacted with a valid “@reputed company.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing reputed company will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @reputed company.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by reputed company.  reputed company will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater reputed company Area (NY, NJ, CT residents): $83,100 - $120,360

• reputed company Other Locations (reputed company approved locations): $73,400 - $108,160

As a candidate for this position, your salary and reputed company elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors reputed company deems pertinent to the hiring decision.

In addition to your salary, reputed company offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (reputed company benefits are subject to eligibility requirements). reputed company believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that reputed company in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.