Location: New York,NY, USA
Infojini Healthcare is seeking a travel nurse RN Care Manager for a travel nursing job in New York, New York.
Job Description & RequirementsHYBRID JOB CONTRACT ROLE (JAN START)Job Title: RN Care Manager EDDuration: 13 weeks contract assignment with extensionShift: Hybrid 9-5 M-F Required Education, Training & Professional Experience:- High School Diploma General Equivalency Diploma (GED) required; and- 2-5 years' clinical experience in an acute or applicable care setting.- UM/UR experience in managed care or hospital setting required.SCOPE OF ROLE & RESPONSIBILITIES:- Performs review of letters for Article 44 compliance, generates Lack of Clinical information letters, andancillary services review, etc., following established MetroPlusHealth Utilization Management policies,procedures, and protocols.- Oversee the coordination and delivery of comprehensive, quality healthcare and services for all membersrequiring care management in a cost-effective manner.- Interacts and obtains relevant clinical information from members' PCP and other providers; approves carethat meets established criteria; and refers all other cases to the MetroPlusHealth PhysicianAdvisor/Medical Director. - Informs member and provider of Utilization Management determinations andtreatment alternatives.- Identifies utilization trends and potential member needs by means of generating reports of encounter data,pharmacy data review, and new member health assessment forms.- Evaluate member needs for referred cases (from providers or member self-referred).- Assists all departments with the resolution of members' problems related to utilization managementissues.- Performs all Utilization Management activities in compliance with all regulatory agency requirements.- Conducts medical record reviews as appropriate to case management functions.- Participate in Medical Management grand rounds with the Physician Advisor.- Performs all other duties as assignThe Care Manager, under the direction of the Vice President of Clinical Services, is primarily responsible formanaging both simple and complex medical cases to achieve high-quality patient care outcomes and minimizeunnecessary medical expenses, through the coordination of services, both outpatient and inpatient. The CareManager will assist the provider in directing care to the most appropriate setting, evaluating alternative care plans,and assessing outcomes through outreach to the members.
Infojini Healthcare Job ID #33890985. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About Infojini HealthcareInfojini Healthcare is one of the fastest-growing healthcare staffing firms. Consecutively ranked among the INC 5000 fastest-growing companies from the past five years, Infojini is dedicated to serving excellence in a breadth of staffing services.
Our global footprints are spread over 26+ locations including the USA, Canada, and India. Working at the intersection of people, process, and technology, our recruiters constantly provide progressive and sustainable staffing solutions to challenges faced by our clients.
Being in the industry since 2006 and serving an array of healthcare facilities, we understand the key talent needs of the healthcare industry and its associated verticals. Full-time, part-time, temp-to-hire, contractual, or urgent hiring, whatever is your requirement, you can trust Infojini to deliver the specific skills and expertise you need.
At Infojini Healthcare, we understand the importance of quality in patient care. With our comprehensive allied professionals and nurse staffing services, we provide you access to a qualified network of healthcare professionals including allied and nursing staff. Each professional is pre-screened and matched to your specific qualifications, for assignments ranging from three weeks up to several months.
Trained in the latest technologies, our temporary allied professionals offer you a broad spectrum of specialties in therapy, imaging, laboratory, and pharmacy. Our extensive network of qualified travel nurses is available on a variety of assignment lengths customizable to your needs – Locals (13-52 weeks), Traditional Travel (13-52 weeks), and short-term travel (4-10 weeks).
We know every healthcare facility is incomplete without its backend teams. To support this, we place proficient and trained EMR & EHR professionals after thorough skill evaluation, licensing verification, and other background checks. These professionals combine their healthcare expertise and IT skills to strengthen your admin and clerical needs.
Healthcare roles we specialize in,
? Registered Nurses (All Specialties)
? Allied Healthcare Professional
? Healthcare IT Specialists
? Clerical & Admin Staff