Share this Job

Enrollment Specialist/ RN Care Manager - SNH Clinical Services - Full Time (1.00) - 8a - 4p

Department:  SNH CLINICAL SERVICES
Work Schedule:  8am - 4pm
Status:  A1 - Full-Time
FTE:  1

The Registered Nurse Enrollment Specialist/Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to the clinical services department and completes enrollment processes based on Department of Health guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).

    • Licensed and currently registered to practice as a Registered Professional Nurse or BSN in New York State, with minimum of 3 years in community based care or health care area that cares for the community population.
    • Valid New York State driver’s license.
    • Current Basic Life Support (BLS) Certification.
    • Computer literacy, including but not limited to data entry, retrieval, and report generation.
    • Ability to work with patients/families of all ages and in a variety of settings, including inpatient facility and patients’ homes presenting diverse physical conditions and social/cultural environments.
    • Ability to drive to and from a variety of settings in varying weather conditions.
    • Physical exam signed by a physician showing you are in good health and have the immunizations required by the New York State Department of Health.
    • Ability to perform physical tasks which include sitting, standing, walking, pushing, pulling, climbing stairs, bending, and may include lifting a minimum of 40 pounds.

 


Nearest Major Market: Utica