You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.
Client is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Candidates must reside in Brooklyn and have UAS assessment experience.
This is a field-based position visiting members in their homes to do face to face assessments.
Hours are M-F 8am to 5pm. Mileage reimbursement and all equipment provided for field and home office.
Responsible for members gaining access to needed services through coordination and integration of medical and long-term care services for the purpose of orientation, care plan development, assessment, and care coordination.
Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development
Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact
Authorize and coordinate referral for services
Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care
Assist in coordinating the development of informal or voluntary services to integrate into the member care plan
Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services
Assist member with filing and resolving complaints and appeals
Direct care to participating network providers
Participate in care management committees and work on special projects related to care management as needed