- Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
- Perform the NYS UAS Assessment in the member's home at least twice per year and as needed
- Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
- Manage the care plan throughout the continuum of care as a single point of contact
- Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
- Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
- Current, unrestricted RN license for the state of New York
- 2+ years of relevant clinical work experience
- 1+ years of experience of community case management experience coordinating care for individuals with complex needs
- Experience in long-term care, home health, hospice, public health or assisted living
- Proficiency with MS Word, Excel and Outlook
- New York state issued ID or ability to obtain one prior to hire
- Reside in New York state
- Ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices
- Behavioral health or clinical degree
- Experience with electronic charting
- Experience with arranging community resources
- Field based work experience
- Background in managing populations with complex medical or behavioral needs
- Proficient in use of UASNY
Professional Field
Other Behavioral, Mental, or Healthcare FieldPatient Focus
Diagnoses
Avoidant Personality Disorder
Gender Dysphoria
Issues
Aging
Therapeutic Approach
Methodologies
ECT
Modalities
Individuals
Practice Specifics
Populations
Victims of Crime/Abuse (VOC/VOA)
Racial Justice Allied
Settings
Faith-based organizations
In-patient Non-Psychiatric
In-patient Psychiatric
Milieu
Nursing Home
Research Facilities/Labs/Clinical Trials
Schools
Telehealth/Telemedicine
Home Health/In-home
Military




