High Risk OB Nurse Care Manager – RN / BSN – Hybrid Role NYC in New York City, NY

High Risk OB Nurse Care Manager - RN / BSN - Hybrid Role NYC - RCM Health Care Services - New York City, NY - work from home job Company: RCM Health Care Services Job description: High Risk OB Nurse Care Manager - RN / BSN - Telehealth role (Hybrid with two days day a week in NYC office and 3 days a week Remote) Case Management Training Provided for a BSN with Strong OB Clinical Experience! OB Nurses Please Apply! For more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. They provide the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products. High Risk OB Nurse Care Manager - RN / BSN Monday through Friday, Business Hours Full-time, Permanent Roles Salary up to $96,500 with excellent UNION benefits (including Pension Plan) Position Overview

• Optimize members' health care and delivery of care experience with expected cost savings due to improved quality of care.
• Engage and understand the member's needs, environment, providers, support system and optimization of services available to them.
• Assess and evaluate member's needs, be a creative, efficient, and resourceful problem solver.
• Develop and implement in collaboration with the members' care team, a plan of care with individualized goals and interventions to improve clinical outcomes.

Job Description

• Address member's problems and needs: clinical, psychosocial, financial, environmental
• Provide services to members of varying age, risk level, clinical scenario, culture, financial means, social support, and motivation
• Engage members in a collaborative relationship, empowering them to self-manage their physical, psychosocial, and environmental health to improve and maintain lifelong well being
• Prepare member-oriented plan of care with member, caregivers, and health care providers, integrating concepts of cultural sensitivity and privacy practices
• Participate in interdisciplinary rounds
• Ensure plans of care have individualized goals and interventions
• Communicate plan of care to Primary Care Physician and provide resources links to members
• Address gaps in care with the member and provider and social determinants of health issues
• Provide care management support during Transitions of Care
• Ensure member/caregiver understanding as it relates to language barriers, stress reaction or cognitive limitations/barriers
• Train member on relevant chronic diseases, preventive care, medication management (medication reconciliation and adherence), home safety, etc.
• Provide Complex care management including but not limited to; ensuring access to care, reducing unnecessary hospitalizations, and appropriately referring to community supports
• Advocate for members by assisting them to address challenges and make informed choices regarding clinical status and treatment options
• Maintain accurate, comprehensive, and current clinical and non-clinical documentation in DCMS, the Care Management System
• Comply with all orientation requirements, annual and other mandatory trainings, organizational and departmental policies and procedures, and actively participate in evaluation process

Minimum Qualifications

• Bachelor's Degree in Nursing / BSN required
• 2-year minimum obstetric experience required
• Minimum 2 years' prior experience in a health care setting, Care Management, or Managed Care setting strongly preferred
• Ability to proficiently read and interpret medical records, claims data, pharmacy, lab reports and prescriptions required
• Ability to work closely with member and caregiver.
• Registered Nurse with current NYS license

Monday through Friday, Business Hours Full-time, Permanent Roles Salary up to $96,500 with excellent UNION benefits (including Pension Plan) Case Management Training Provided for a BSN with Strong OB Clinical Experience! OB Nurses Please Apply! #ZR High Risk OB Nurse Care Manager - RN / BSN - Hybrid Role NYC - RCM Health Care Services - New York City, NY - work from home job Expected salary: $96500 per year Location: New York City, NY High Risk OB Nurse Care Manager - RN / BSN - Hybrid Role NYC - RCM Health Care Services - New York City, NY - work from home job Job date: Sat, 26 Aug 2023 04:40:43 GMT Apply for the job now! High Risk OB Nurse Care Manager - RN / BSN - Hybrid Role NYC - RCM Health Care Services - New York City, NY - work from home job Apply tot his job Apply To this Job