Bilingual RN Care Managers

Location: New York, NY

Department: MLTC

Type: Full Time

Min. Experience: Experienced

 

Registered Nurse Care Managers

 

Must be Fluent in Chinese Dialects

 

Centers Plan For Healthy Living is actively seeking a Bilingual RN Care Manager for our NYC MLTCP Programs.


Position is Field based - Schedule is based upon business needs

Excellent Compensation and Comprehensive Benefits Package provided!

 

DUTIES INCLUDE:

  • Provides case management through face to face assessments, care planning, implementation, care coordination, monitoring, and evaluation.
  • Develops, facilitates & communicates a plan of care in partnership with the member, primary caregiver and various others involved in the member’s care.
  • Provides utilization review for preauthorization, concurrent and discharge reviews and post service review.
  • Apply medical necessity guidelines based on appropriate criteria.
  • Utilizes knowledge of community resources and the member’s benefit structure.
  • Recognizes quality of care issues and escalates the issues appropriately.
  • Assists members with the coordination of services as necessary.
  • Complies with all CPHL’s standards for documentation.
  • Participates in case rounds, on call scheduling, quality initiatives.

REQUIREMENTS INCLUDE:

  • MLTC experience strongly preferred.
  • Active and unrestricted NYS RN license.
  • Bachelors of Science in Nursing preferred.
  • Minimum 2 yrs Geriatric Nursing experience.
  • Strong written and verbal communication skills.
  • Must have Driver’s License, Vehicle & Ability to travel within assigned boroughs.
  • Bilingual - Fluent in Chinese Dialects - Strongly Preferred.
  • CCM Certification a plus.
  • Must have flexible weekly schedule.

Location:

  • New York
  • Field based

 

Join the excitement at the ground floor and help us build out our MLTC business in support of our mission!

 

Centers Plan For Healthy  Living  is a Managed Long Term Care Plan (MLTCP) operating in the New York City area - Bronx, Kings (Brooklyn), Queens, Richmond (Staten Island) and Manhattan as well as the counties of Rockland, Erie and Niagara.

Our Mission is to provide an individual care manager to help those who are over 21 and have Medicaid or Medicaid/ Medicare get services you need in your home and community.  If you need home care, adult day health care, or other long term care for more than 120 days (four months) – Centers Plan for Healthy Living can help.

If you want to use your skills in a challenging position in a supportive culture and work environment, then contact us now! We will provide a flexible work schedule if needed!

We are part of the Centers for Specialty Care Group, a prominent healthcare resource in the nursing home, rehabilitation centers and home health care field.  Learn more about our parent organization at www.cfscgonline.com and about us at www.centersplan.com.

We are an Equal Opportunity Employer –M/F/D/V

 

Forward this Position
Recipient email address (one)
Your name
Your email address
Enter a message (optional)
Apply for this Position
* Required fields
Using "Apply With LinkedIn" in IE11? Read this first. Connecting LinkedIn
First name*
Last name*
Email address*
Location
Phone number*
Resume*

Attach resume ( .pdf, .doc, .docx ) or paste resume

Paste your resume here or attach resume file

Cover Letter
Who referred you to this position?
Do you have a valid driver’s license?*
Are you willing to relocate?
What’s your citizenship / employment eligibility?
What’s your highest level of education completed?
College or University
Are you 18 years of age or older?
LinkedInLinkedIn profile URL:
Twitter
Website, blog or portfolio:
What languages do you speak fluently?*
Desired salary
Earliest start date?
In 150 characters or fewer, tell us what makes you unique. Try to be creative and say something that will catch our eye!
References: Please enter names and contact information: