staff - Registered Nurse (RN) - Case Management - $93K-117K per year
Company: VNS Health
Location: Hoboken
Posted on: October 10, 2024
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Job Description:
VNS Health is seeking a Registered Nurse (RN) Case Management
for a nursing job in Hoboken, New Jersey. Job Description &
Requirements Specialty: Case Management Discipline: RN Start Date:
ASAP Duration: Ongoing Employment Type: Staff Provides telephonic
clinical care management services using evidence-based practices to
ensure effective utilization of benefits, services, and care is
provided to the patients allowing them to remain safely in their
home/community. What We Provide Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off
and 9 company holidays Health insurance plan for you and your loved
ones, Medical, Dental, Vision, Life and Disability Employer-matched
retirement saving funds Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and
dependent care Generous tuition reimbursement for qualifying
degrees Opportunities for professional growth and career
advancement Internal mobility, generous tuition reimbursement, CEU
credits, and advancement opportunities What You Will Do Coordinates
and/or oversees the coordination of benefits and services for all
members on his/her caseload. Completes care management and disease
specific assessments. Makes timely telephonic care management calls
based on risk level. Resolves and coordinates complex issues and
member complaints impacting the delivery of services. Provides
health education to member/caregiver. Assess SDoH and provide care
coordination to reduce/remove barriers of care to include ability
to allow for changing levels of care based on assessments, trigger
events and program data/reports. Identifies member safety issues
and intervenes as necessary or refers to appropriate resources,
such as community linkages, dietary, therapy (PT/OT/ST), HHA
services, behavioral health, and DME. Coordinates the delivery of
high quality, cost-effective care based on a customized population
model of care supported by evidence based clinical practice
guidelines. Advocates for the member/caregiver to obtain the health
care and other services needed to optimize their quality of life.
Utilizes the Care Management process to set priorities, plan,
organize and implement interventions that are goal directed towards
self-care outcomes and the transition to independent status.
Promotes adherence to the physician treatment plan by providing
education, coaching and support. Educates, coordinates, and
provides resources to reduce inappropriate utilization of emergency
room (ER) and hospital service. Increases utilization of primary
care, specialty care, preventive health and guideline-based
treatments including proper pharmacotherapy within network, as
appropriate. Participates in interdisciplinary team (IDT) meetings
and provide input on customer service-related activities. Protects
the confidentiality of member information and adheres to company
policies regarding confidentiality. Ensures compliance with
payors--- policies and procedures as well as all Federal and State
regulations. Interprets and implements VNS Health policies, state
and federal regulations. Participates in special projects and
performs other duties as assigned. Licenses and Certifications:
License and current registration to practice as a Registered
Professional Nurse in NYS required or New York State License and
current registration in Physical Therapy required or New York State
License and current registration in Occupational Therapy required
Certified Case Manager - Commission for Case Manager Certification
within 1 year of employment required Education: Associate's Degree
in nursing required or Bachelor's Degree in Physical Therapy from a
program approved by the New York State Department of Education
required Bachelor's Degree in nursing preferred Work Experience:
Minimum two years of experience in health related field required
Care management and/or managed care experience preferred
Proficiency in Microsoft Office applications required Demonstrated
analytical skills required VNS Health Job ID R011382. Posted job
title: Social Work Social Worker Aim Program About VNS Health VNS
Health is one of the nation---s largest nonprofit home and
community-based health care organizations. Innovating in health
care for more than 125 years, our commitment to health and
well-being is what drives us---we help people live, age and heal
where they feel most comfortable, in their own homes, connected to
their family and community. On any given day, more than 10,000 VNS
Health team members deliver compassionate care, unparalleled
expertise and 24/7 solutions and resources to the more than 43,000
---neighbors--- who look to us for care. Powered and informed by
data analytics that are unmatched in the home and community-health
industry, VNS Health offers a full range of health care services,
solutions and health plans designed to simplify the health care
experience and meet the diverse and complex needs of those we serve
in New York and beyond. Benefits Guaranteed Hours 401k retirement
plan Employee assistance programs Dental benefits Vision benefits
License and certification reimbursement Life insurance Discount
program Holiday Pay Continuing Education Wellness and fitness
programs Mileage reimbursement Medical benefits Benefits start day
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Keywords: VNS Health, Milford , staff - Registered Nurse (RN) - Case Management - $93K-117K per year, Executive , Hoboken, Connecticut
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