Hours: M-F 9:00am-5:00pm

Hourly Rate/Salary: 115k-118k

Job Summary:

A mission driven health services network in New York City, known for being a very rewarding place to work, is currently seeking an experienced, licensed Registered Nurse (RN) to join their team in Brooklyn as a MLTC Nurse Manager.

Responsible for supporting the nursing standards of excellence with advanced professional education to deliver high-quality care. Serve the organization as a member of the management team, working alongside all departments and employees to support and oversee the day-to-day operations. Provide guidance, and deliver best practices in achieving the organization's objectives, goals, and mission. Cultivate an environment dedicated to improving experience, enhancing satisfaction and retention. Provides care coordination in a manner that is sensitive to age, gender, sexual orientation, cultural, linguistic, racial, ethnic, religious backgrounds, and congenital or acquired disabilities.

Responsibilities:

Review and ensure effective development and execution of personalized care plans that result in improved satisfaction & outcomes for all participants.
Facilitate and complete the process of meetings. This includes completing the attestations as needed.
Serve as a manager on call during non-operational hours of the physical sites and was responsible for follow-ups, including follow-up documentation and initiating grievances on participant’s/caregivers’ behalf in a timely manner.
Responsible for running necessary Clinical Delivery reports.
Participates and represents the team in meetings, when required.
Balance and allocate staffing and related resources throughout the site and ensure adequate team assignments and coverage as a seamless operation.
Responsible for ongoing communication with the team and necessary parties involved to coordinate care consistent with the participant’s health care needs and goals to support in attaining and maintaining optimal health status.
Collaborate with clinicians to review UAS and the UAS analyzer system to ensure the accuracy of their assessments.
Ensure all incidents are investigated and addressed accordingly. Ensure Level 2 investigation and documentation are completed in a timely manner according to the organization's regulations.
Ensure documentation for participants is complete, and accurate, including and not limited to enrollment, disenrollment, electronic/paper medical record, and any other clinical notes.
Review participant’s charts for quality and address any deficiencies.
In collaboration with the team, provide care management services across sites and communicate with appropriate team members, facility, discharge planner, and home care coordinator when members are transitioned between care settings.
Coordinates, facilitates, and arranges for long-term care services in nursing homes, rehab facilities, etc., as needed
Monitor care management activities, services, and members’ responses to interventions to determine the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to meet needs and goals.
Ensure documentations are in accordance with the organizations standards and federal/state regulations

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