Job Information
Nascentia Health Care Manager-MLTC (RN) Syracuse, New York
Nascentia Health-Care Manager-MLTC (RN)
$72,415.71-$83,922.76
Responsible for providing care management to a group of health plan members, creating the
Person-Centered Service Plan (PCSP), coordination of services and documentation of care in
accordance with health plan standards and under the guidance of the Care Management
Supervisor.
Performance Responsibilities and Standards:
- Provides care management for members through interdisciplinary approach through
assessment, planning, facilitation, and advocacy for support and services to meet a
member's needs.
- Implements an appropriate, quality, and cost-effective plan of care that utilizes all
resources available to meet the members needs in collaboration with the member,
family, health care team, medical providers, and other community-based programs based
on the UAS-NY assessment.
Oversees caseload of managed care members.
Performs all care management activities in compliance with all regulatory agency
requirements; completes required documentation, that is clear and concise and is done in
a timely manner (organizational standards).
- Responsible for coordination of health plan support staff, including LPN, Community
Health Workers, and Care Coordination; provide guidance and education to efficiently
manage patients using a team approach.
- Participate in departmental meetings and attend all scheduled staff meetings and training
as applicable and required.
- Adhere to all state and federal privacy regulations, including HIPAA and Nascentia
Health Options policies and agreements regarding confidentiality, privacy, and security.
- Communicate and collaborate effectively with potential members, their families, health
plan staff and providers.
Acts as a liaison and member advocate.
Demonstrates cultural competence by respecting and being responsible for the member's
cultural health beliefs, language needs, and support system.
Other duties as assigned.
Nursing: License and current registration as a Registered Professional Nurse in New York State. Education: BSN preferred; associate degree required. One year of Nursing Experience is preferred or bachelors degree in social work, MSW preferred. Current license and registration in NYS or their Health Professional Degree. 2. Long-term care and/or managed care experience a plus 3. Knowledge of homecare, Medicare, and Medicaid a plus. 4. Care Management Certification a plus. 5. Bilingual skills a plus 6. Ability to work independently and prioritize workload. 7. Computer literate and working knowledge of basic computer skills and Microsoft Office programs. 8. Strong communication skills, both person-to-person, virtually and by phone. 9. Valid NYS drivers license and ability to drive in all types of weather. 10. Ability to learn and routinely utilize the organizations software systems to perform required job duties. Physical Requirements: 1. The role is to work from home with the requirement to visit health plan members in their homes. Attendance of in-office work and meetings may be required. 2. Standard postures include Standing, sitting, bending, walking, and driving (frequently entering and exiting vehicles throughout the day). 3. Frequently uses a laptop computer to enter orders and obtain product information. 4. Sensory requirements include speech, vision, smell, and hearing. 5. Lifting requirements of up to 20 pounds frequently and up to 50 pounds occasionally 6. Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.
Any candidate interested in a role should apply directly at nascentiahealth.org/careers to complete an application and upload their resume for consideration.