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Children's Care Manager Registered Nurse
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![]() United States, New York, New York | |
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Children's Care Manager Registered Nurse
Job Ref: 124234 Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers. Position Overview Empower. Unite. Care. MetroPlusHealthis committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. The nurse Care Manager (CM) is responsible for reviewing, and approving Plans of Care, CANS-NY assessments, and UM review for HCBS services. The CM is also responsible for care management for medically fragile children and supporting the coordination of services related to inpatient, homecare, specialty medications, and DME according to UM requirements set forth by the "office of Health Insurance Programs Principles for Medically Fragile Children. The CM works with Health Home Coordinators, community providers, and LDSS/VCFA to ensure proper access, level of care, level of need and continuation of care for Medically Fragile and Care at Home children. Job Description
Minimum Qualifications
Licensure and/or Certification Required:
Professional Competencies:
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