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Registered Nurse - Nephrology

Job Description

Provides in person and or telephonic Care Management Services to identified high risk members within the community including but not limited to Physician Practices, Neighborhood Care Centers, and members’ homes. Coordinates and provides care that is safe, timely, effective, efficient and member centered to support EH population health complex care management initiatives. Engages with the most complex members of the health plan with the goal of improving health care outcomes and appropriate and timely utilization of services across the continuum of care. Coordinates care as needed with our embedded and field-based care managers.

Responsibilities:

  • Assesses and evaluates member’s needs of our most complex members, coordinating care utilizing the most appropriate resources to support member needs. Includes member and family as appropriate. Engages actively with the member PCP /designee.
  • Engages with the member in support of their treatment team to identify and establish attainable goals that positively impact clinical, financial, and quality of life outcomes for member.
  • Assesses the needs of members and aligns them with the appropriate member of the care team (wellness team, registered dietitian, social worker).
  • Monitors care team performance to insure members are engaged in a timely fashion and that performance metrics (Admits/K, ER utilization etc) meet or exceed established thresholds.
  • Provides ongoing monitoring, evaluation, support and guidance to the coordination of the member's health care.
  • Implements and coordinates plan of care and facilitates members goals.
  • Serves as an informal leader of the team with the goal of maintain team performance and high morale. 

Job Requirements

Qualifications:

  • RN required, current New York State RN license required
  • CCM certification preferred
  • Bachelor’s degree preferred
  • 3 to 5 years of clinical experience required
  • Prior health plan experience highly desirable preferred
  • Excellent verbal and written communication skills required
  • Computer proficiency required
  • Able to effectively manage a team of highly complex members required
  • Supports an integrated care model tapping into appropriate resources both internally and external to the organization required

Job Snapshot

Location US-NY-New York
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Health Care
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Company Overview

EmblemHealth

EmblemHealth is a local, neighborhood health plan that has served the New York City area and surrounding communities for more than 75 years. That’s the kind of experience that makes us unique. We’re proud to be one of the nation’s largest not-for-profit health plans, serving 3.1 million people who live and work across the New York tri-state area. Learn More

Contact Information

US-NY-New York
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Snapshot
EmblemHealth
Company:
US-NY-New York
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care
Store Type:

Job Description

Provides in person and or telephonic Care Management Services to identified high risk members within the community including but not limited to Physician Practices, Neighborhood Care Centers, and members’ homes. Coordinates and provides care that is safe, timely, effective, efficient and member centered to support EH population health complex care management initiatives. Engages with the most complex members of the health plan with the goal of improving health care outcomes and appropriate and timely utilization of services across the continuum of care. Coordinates care as needed with our embedded and field-based care managers.

Responsibilities:

  • Assesses and evaluates member’s needs of our most complex members, coordinating care utilizing the most appropriate resources to support member needs. Includes member and family as appropriate. Engages actively with the member PCP /designee.
  • Engages with the member in support of their treatment team to identify and establish attainable goals that positively impact clinical, financial, and quality of life outcomes for member.
  • Assesses the needs of members and aligns them with the appropriate member of the care team (wellness team, registered dietitian, social worker).
  • Monitors care team performance to insure members are engaged in a timely fashion and that performance metrics (Admits/K, ER utilization etc) meet or exceed established thresholds.
  • Provides ongoing monitoring, evaluation, support and guidance to the coordination of the member's health care.
  • Implements and coordinates plan of care and facilitates members goals.
  • Serves as an informal leader of the team with the goal of maintain team performance and high morale. 

Job Requirements

Qualifications:

  • RN required, current New York State RN license required
  • CCM certification preferred
  • Bachelor’s degree preferred
  • 3 to 5 years of clinical experience required
  • Prior health plan experience highly desirable preferred
  • Excellent verbal and written communication skills required
  • Computer proficiency required
  • Able to effectively manage a team of highly complex members required
  • Supports an integrated care model tapping into appropriate resources both internally and external to the organization required

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Registered Nurse - Nephrology Apply now