RN Field Coordinator

50% - 70% Travel Position

Travel will be in Queens, New York Area

3 Months contract with a high possibility of going PERM

Job Description:

• Evaluates members for case management services and determines appropriate level of care coordination/ management services for member

• Completes a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the members need for alternative services

• Acts as a primary case manager for members identified as Complex as defined by Case Management Program Description

• Develops and monitors members plan of care to include progress toward meeting established goals and self-management activities

• Interacts continuously with member family physician(s) and other providers utilizing clinical knowledge and expertise to determine medical history and current status.

• Assess the options for care including use of benefits and community resources to update the care plan

• Supervises and/or acts as a resource for non-clinical staff (i.e. Service Coordinators and Field Social Workers

• Act as liaison and member advocate between the member/family physician and facilities/agencies

• Maintains accurate records of case management activities in the Enterprise Medical Management Automation (EMMA) System using clinical guidelines

• Coordinates community resources with emphasis on medical behavioral and social services.

• Applies case management standards maintains HIPAA standards and confidentiality of protected health information and reports critical incidents and information regarding quality of care issues

• Ensures compliance with all state and federal regulations as well as Corporate guidelines in day-to-day activities

• Meets with clients in their homes work-sites physician?s or hospital to provide management of services

• Adapts to changes in policies procedures new techniques and additional responsibilities

• Participates with other Case Managers and Medical Directors in regular or special meetings such as Clinical rounds

• Travel to inpatient bedside member?s home provider?s office hospitals etc required with dependable car. May spend up to 70% of time traveling with exposure to inclement weather and normal road hazards.

• RN license Required

• Clear and active Drivers License / Own Vehicle

• 2+ years of experience in clinical acute care Required

• 1+ year of experience in current case management

• Other Managed care experience Preferred

• Prior utilization management experience preferred in some geographic regions

• Experience in care of the elderly is required in some geographic regions

• Experience in home health physicians office or public health

All your information will be kept confidential according to EEO guidelines.