Registered Nurse - Care manager - Full Time - Days

apartment Mohawk Valley Health System location_onUtica, NY, US

Job Summary

The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).

Core Job Responsibilities

Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services).
Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services.
Educates and completes with enrollee all necessary consents and documentation.
Initiates and carries out continuous assessment of physical, emotional, social, cultural, economic, and environmental needs of the enrollee and coordinates services for needs as determined.
Observes the enrollee for changes in condition and follows up with appropriate services or providers to attempt to prevent disease exacerbations.
Develops, monitors and revises a Plan of Care with the enrollee or enrollee’s designee that has problem, enrollee centered goals and interventions.
Implements orders for Durable Medical Equipment items and treatments as prescribed by the physician, submitting and maintaining appropriate medical orders and documentation.
Completes documentation per company standards/policy utilizing an Electronic Medical Record (EMR) system.
Participates in Marketing Activities as requested by Executive Director or Designee.
Accepts assignments and performs duties within their nursing scope of practice, seeking and obtaining sufficient information/education necessary to function effectively in the managed long term care setting.
Participates in departmental and organizational committees and meetings as applicable.
Participates in the orientation of new staff, mentors peers, and promotes collaborative teamwork.
Performs all duties and responsibilities in accordance with the Nurse Practice Act and in accordance with the basic principles of professional nursing.
Maintains a working knowledge of, and adheres to applicable federal/state regulations including, but not limited to, patient confidentiality, release of information, and HIPAA.
Performs other related duties as requested by the Executive Director or Clinical Services Manager.
Clarifies issues and actively addresses concerns in a timely manner.
Ability to manage conflict, stress, and multiple simultaneous work demands in an effective, professional manner.
Ability and willingness to self-motivate, prioritize, and be willing to change processes to improve effectiveness efficiency. Adapts to changing enrollee or organizational priorities.
Ability to make independent decisions in accordance with established policies and procedures.
Performs related duties as assigned.

Education/Experience Requirements

REQUIRED:

Computer literacy, including but not limited to data entry, retrieval, and report generation.
Excellent written, verbal and listening communication skills.
Strong organizational and time management skills.
Ability to work with patients/families of all ages and in a variety of settings, including inpatient facility and patients’ homes presenting diverse physical conditions and social/cultural environments.
Ability to drive to and from a variety of settings in varying weather conditions.

PREFERRED:

1-2 years in community based care or health care area that cares for the community population.

Licensure/Certification Requirements

REQUIRED:

Licensed and currently registered to practice as a Registered Professional Nurse or BSN in New York State, with preferred 1-2 years in community based care or health care area that cares for the community population.
Valid New York State driver’s license and personal vehicle.
Current Basic Life Support (BLS) Certification.

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Req Id 91922
Department CARE MGMT SVCS
Shift Days
Shift Hours Worked 8.00
FTE 1
Work Schedule HRLY NON-UNION-8 HR
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $31 - $45 Per Hour

Share this job

Related Jobs

Director of Nursing

Hospice

Full-time

Assistant Director of Nursing (ADON)

apartment Serenity Hospice Care location_onHamilton, NY

About Us: Serenity Hospice Care is dedicated to providing compassionate, patient-centered end-of-life care with dignity and respect. We are seeking an experienced and motivated Assistant Director of Nursing (ADON) to join our leadership team and support our mission of excellence in hospice care. Position Summary: The Assistant Director of Nursing (ADON) supports the Director of Nursing (DON) and Clinical Director in overseeing clinical operations, ensuring regulatory compliance, and guiding nursing staff in delivering high-quality, compassionate hospice care. This role requires a balance of leadership, clinical expertise, and organizational skills. Schedule: Full-Time, Monday–Friday 8:30A-4:30P Key Responsibilities: Assist the Director of Nursing in managing daily clinical operations. Supervise, mentor, and evaluate nursing staff, ensuring adherence to hospice standards of care. Oversee patient assessments, care planning, and care delivery to ensure quality and compliance. Participate in staff training, education, and professional development initiatives. Assist with scheduling, staffing, and coordination of interdisciplinary team meetings. Ensure compliance with state, federal, and accreditation regulations. Serve as a clinical resource for staff, patients, and families. Support quality improvement initiatives and participate in audits/reviews. Qualifications: Current Registered Nurse (RN) license in the state of New Jersey (required). Bachelor of Science in Nursing (BSN) required; Master’s in Nursing or related field preferred. Minimum 1 year hospice REQUIRED. Prior leadership or supervisory experience in a healthcare setting preferred. Strong knowledge of hospice regulations and best practices. Excellent leadership, communication, and organizational skills. Compassionate, patient-focused approach to care. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training

Contract

Registered Nurse (RN) - ER

apartment Blue United Sourcing location_onOneida, NY

$59 - $64 / hour

RN - ER (Acute Care)Location: Oneida, NY We're seeking an experienced RN - ER for a 13-week contract starting ASAP. This role provides direct patient care in the Emergency Department, supporting a fast-paced acute care environment. Start Date: ASAP Contract Length: 13 weeks Pay Rate: $59-$64/hr Schedule: Mids, 11:00 a.m. - 11:30 p.m. Key Responsibilities: Provide direct nursing care to ER patients Assess, triage, and monitor patient conditions Administer medications, treatments, and interventions as ordered Collaborate with interdisciplinary teams to ensure high-quality patient care Maintain accurate documentation in the medical record Requirements: Active Registered Nurse (RN) license in good standing Why this is a great opportunity: This assignment offers competitive pay, a structured mids schedule, and the chance to gain hands-on experience in a dynamic ER setting. Job ID: 159 Benefits Interested in other roles nationwide? Submit your resume by joining the Blue United Talent Network, and be notified when new opportunities become available. Feel free to share this link with your friends and colleagues as well: Blue United Sourcing is proud to be a Veteran-Owned Small Business. Learn more: http://www.blueunitedsourcing.com/

Full-time

Registered Nurse III, Acute Care - Emergency Services

apartment Bassett Healthcare location_onLittle Falls, NY

The best thing about this role Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Registered Professional Nurse III, Acute Care is accountable for the delivery of safe patient care utilizing the nursing process. The RN assesses, plans, delivers, coordinates, integrates, and evaluates nursing care related to patient's needs. The RN contributes to the support of patients through interdisciplinary teamwork. The RN III is accountable to assure that care provided is consistent with applicable standards, regulations, statutes and state, federal law. Serves as a resource for other staff and clinicians as required. Provides nursing care and services to patients throughout the life span and in various settings consistent with educational preparation. Collects, analyzes and records relevant patient health data accurately, with no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to identify patient problems, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Identifies expected outcomes individualized to the patient, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Develops a plan of care that describes interventions to attain expected outcomes, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Implements and records interventions appropriate to diagnosis or patient problem, with no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Evaluates the patient’s progress toward attainment of identified goals, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Adheres to approved, research-based practice standards, with no more than 2-3 exceptions, as measured by direct supervisory observation and random supervisory chart review. Directs and supervises patient care provided by LPNs and support personnel 100% of the time according to department guidelines, as measured by co-worker feedback and managerial observation. Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing patient care, as measured by direct supervisory observation and co-worker feedback. Acts effectively as charge nurse, group leader or preceptor when assigned, as determined by co-worker or preceptee feedback and direct managerial observation. Writes a progress note that demonstrates an understanding of the patient’s status and progress toward achievement of goals (80-90%). Effectively precepts new staff members or students as determined by preceptee/student feedback and direct managerial observation. Ability to function in charge nurse or leadership capacity as determined by practice arena. Advocates for patients to ensure that care preserves and protects the patient’s autonomy, dignity and rights. Delivers care in a non-judgmental and non-discriminatory manner that is sensitive to patient diversity, 100% of the time, as measured by no significant, substantiated patient or peer complaints received by the manager/supervisor. Assures that patients have informed consent signed for indicated procedures, 100% of the time, as measured by random supervisory chart review. Acts on behalf of patients in an ethical manner 100% of the time, as measured by co-worker and patient feedback and managerial observation. Adheres to ANA Code of Ethics for Professional Nurses. Acquires and maintains current knowledge and skills in his or her area of practice. Provides proof of current licensure validation to supervisor. (To achieve excellence, one must do this in a proactive, timely manner prior to due date). Completes required unit credentialing according to departmental policy by providing documented evidence of completion to supervisor. Provides to supervisor evidence of completion of all required training and competency validation. (To achieve excellence, one must take personal responsibility for this task and complete by the due date). Participates in level appropriate number of hours of educational activity, according to pathway, related to job function annually and provides documented evidence of attendance or activity to supervisor. Demonstrates clinical problem-solving ability through written exemplar, patient/family feedback, co-worker report or direct managerial observation. Participates in quality improvement processes for the department and institution as assigned and as measured by supervisory observation. Provides One required annual in-service for coworkers and provides documented evidence of activity to manager. Demonstrates operational problem-solving ability through written exemplar, coworker report or direct managerial observation. Leads performance improvement initiative demonstrating good organizational skills and follow-through as determined by direct managerial observation. Participates in nursing research. Commits to an attitude of inquiry, research-based practice, and the advancement of nursing science as observed by managerial observation. Helps to identify clinical problems requiring investigation as measured by co-worker feedback and managerial observation. Assists in the collection of data within a structured format as measured by co-worker feedback and managerial observation. Partners with senior nurses to use research findings in clinical practice as measured by co-worker feedback and managerial observation. Identifies clinical problems requiring investigation as measured by co-worker feedback and managerial observation. Performs other duties as requested and observed by supervisor or manager. What we need from you Education: 2 year / Associate degree in Nursing, required or... Vocational / Technical Diploma Professional Nursing Program, required or... 4 year / Bachelor's degree in Nursing, preferred All RN’s hired and do not currently hold a BSN will be expected to demonstrate enrollment in a bachelor’s prepared nursing program within 4 years of hire. BSN must be completed within 10 years. RN’s licensed on or before 12/19/17 are/remain exempt from this requirement. Experience: Minimum 3 years Registered Nurse Experience, 1 year must have been in a relevant practice area, required Must be able to perform as a preceptor, required Previous experience as a charge nurse/leadership role, preferred License/ Certification: Current NYS license as a Registered Nurse, required BLS certification will be required within 6 months Other certifications may be needed based on department requirements Skills: Training Leadership Clinical Skills Multi-Tasking Advocacy Adaptability Physical Requirements: Medium Work - Exerting up to 50 lbs. for force occasionally, and/or up to 20 lbs. of force frequently, and/or up to 10 lbs. of force constantly to move objects Occasional balancing, climbing, crouching, kneeling, lifting, pushing, pulling, reaching Frequent fit testing Constant typing, grasping, hearing, repetitive motion, seeing/ monitor/ computer use, standing, stooping, talking, visual acuity, walking Hazards: Occasional radiation/radiant energy Frequent bodily fluids/bloodborne exposure Working Conditions: Occasional noise, vibration, wet and/or humid Frequent odors Travel: Occasional Travel - The job may require travel from time- to-time, but not on a regular basis Total Rewards Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include: Paid time off, including company holidays, vacation, and sick time Medical, dental and vision insurance Life insurance and disability protection Retirement benefits including an employer match And more! Specific benefit offerings may vary by location and/or position. Pay Transparency Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement. Pay Range Minimum: USD $42.22/Hr. Pay Range Maximum: USD $63.33/Hr. We love the difference people bring We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.

Director of Nursing

Full-time

Assistant Director of Nursing

apartment American Medical Associates location_onSteuben, NY

Assistant Director of Nursing Located in Steuben, NY Salary Up To: 100K Per Year *Based On Experience* Responsibilities of the Assistant Director of Nursing: Assist in supervision of nursing staff in the facility Ensuring there is adequate nursing staff, and that the staff's skills remain current Overseeing nursing employee conduct Being knowledgeable of incidents at the facility Assessing the health needs of each resident Requirements of the Assistant Director of Nursing: • Must have New York RN license • Must have Assistant Director of Nursing experience • Must have long-term care experience • Must have strong leadership skills and experience • Strong written and verbal communication skills #6775

Full-time

Office RN - Waterville - Full Time - Days

apartment Mohawk Valley Health System location_onWaterville, NY

Job Summary The staff nurse uses the nursing process to provide patient care consistent with acceptable standards of the profession and Community Medicine with a minimum amount of Faxton - St. Luke's Healthcare supervision. Provides direct and indirect care in an office setting. Promotes high quality of care that reflects initiative, flexibility and responsibility. Determines priorities of care based on patient’s physical and psychosocial needs, as well as factors influencing patient flow through the system. Communicates with the Community Medicine providers about any changes in a patient’s status Core Job Responsibilities Able to perform assessment data collection on all patients utilizing tool / forms in EMR Demonstrates ability to adequately assess and reassess pain. Educates the patient and family regarding pain management. Demonstrates skills necessary to provide age appropriate care to patients in the community setting. Consistently documents procedures completed in the EMR, to include medications administered and follow-up assessments Delivers medication utilizing the five (5) rights and observes patient for desired untoward effects. Maintains current knowledge of medications and their correct administration Demonstrates knowledge of EKG or cardiac tracing Establishes priorities of patient care based on needs and office resources Demonstrates the ability to assist providers with procedures and perform services requiring technical and manual skills Education/Experience Requirements Required: Graduate of an accredited school of nursing or nursing program Licensure/Certification Requirements Required: Current New York State Professional Nursing Registration BLS Certification Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 97048 Department MG - PRIM - WATERVILLE Shift Days Shift Hours Worked 8.50 FTE 1.0 Work Schedule HRLY NON-UNION-8 HR Employee Status A1 - Full-Time Union Non-Union Pay Range $30 -$44 Per Hour