Full Time RN Telephonic Case Manager – Bilingual Spanish

Full Time RN Telephonic Case Manager – Bilingual Spanish Please apply by sending resume to BLeader@greenkeyLLC.com

Large MLTC Organization in New York looking for a Nurse Case manager to join their team

Responsibilities will include:

• Advocate, inform, and educate beneficiaries on services, self-management techniques, and health benefits

• Conduct assessments to identify barriers and opportunities for intervention

• Develop care plans that align with the physician’s treatment plans and recommends interventions that align with proposed goal

• Generate referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement

• Evaluate service authorizations to ensure alignment and execution of the member’s care and physician treatment plan

• Contribute to corporate goals through ongoing execution of member care plans and member goal achievement

• Document all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follow up as needed; and update care plans based on member needs, as appropriate

Qualifications

Certified NYS RN license required

Fluency in Spanish required