RN - Care Management, Long Term Care Facility

SGA Talent•Glens Falls, NY

4d•Hybrid

About The Position

The primary function of the position is to support the operations of the Care Management and Service Coordination program. This includes completing required assessments using applicable forms, providing pre-enrollment education on behalf of third-party insurance programs, and assuming care management responsibilities as assigned. The role also involves secondary duties such as providing support for other facility programs, primarily home and community-based services, and participating in organization-wide quality improvement initiatives.

Requirements

Graduate of an accredited school of registered professional nursing.
Current license to practice nursing in New York State.
Eligibility criteria for NHTD/TBI and/or Care Management roles.
UAS and PRI/screen certified.
Minimum of 2 years’ experience as a Registered Nurse.
Strong written and verbal skills.
Personable, self-directed, able to work independently, highly motivated, goal-oriented.
Highly responsible, creative, and ability to act on independent judgment.
Demonstrated ability to achieve targets and work in a collaborative environment.
Valid NYS driver’s license.
Free of disqualifying offenses.
Reliable transportation capable of traveling in excess of two (2) hours at a time.

Nice To Haves

One or more years experience as RN in home care setting preferred.
Prior recent experience in care management or similar role.
Knowledge of existing services and referral processes for community-based services for individuals with disabilities or seniors.

Responsibilities

Conduct in-home assessments using required forms and procedures, including Universal Assessment and Patient Review Instrument, in a timely manner.
Provide required reports on assessments, productivity, and outcomes as requested.
Serve as designated Care Manager for assigned clients, adhering to all program requirements.
Maintain all required records, forms, and documents according to policy and regulatory standards.
Formulate individualized, realistic, and measurable short-term goals in care planning, involving the client and/or family.
Assess client needs, appropriateness of care being provided, and make changes as needed.
Observe and provide ongoing assessment of clients as needed.
Work collaboratively with other facility programs and staff to achieve appropriate utilization of services and maintain positive working relationships.
Represent the facility, as appropriate, in community-related events where name recognition and public exposure is desired.
Foster existing relationships and nurture new connections with community providers, health care providers, and insurers.
Assure timely submission of all required billing sheets, forms, and codes promptly to ensure proper and timely billing for services.
Actively participate in Quality Improvement Activities.
Perform related duties as required.
Provide support as necessary for other facility programs, primarily home and community-based services.
Participate in and support organization-wide quality improvement initiatives.
Perform all other duties as assigned and as necessary for the efficient and proper functioning of Care Management.