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Care Manager - Dietitian (Remote)

Company

CenterLight Health System
Address , Queens, 11354, Ny
Employment type FULL_TIME
Salary
Expires 2023-07-17
Posted at 11 months ago
Job Description
JOB PURPOSE:
Responsible for overall care management and quality of care for participants. Uses specialized discipline-specific knowledge to review assessments of field staff and coordinate a holistic care plan that addresses all domains of care.
Provides care coordination in a manner that is sensitive to age, gender, sexual orientation, cultural, linguistic, racial, ethnic, religious backgrounds, and congenital or acquired disabilities.
JOB RESPONSIBILITIES:
  • Monitors care management activities, services, and members’ responses to interventions, to determine the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to meet needs and resolve goals
  • Maintains up-to-date knowledge about current health-related issues, procedures, evidence-based clinical practice guidelines, medications, and impacting health and practice standards.
  • Provides or arranges for ongoing Skilled services, service authorization, and periodic assessment reassessment and evaluation of services.
  • Collaborates with PCP and other Specialty physicians and specialty-based services and members of IDT regarding any changes in participant’s condition to secure, arrange and coordinate all resources for implementing optimal care.
  • The Care Manager (CM) communicates with the discipline-specific field staff regularly to coordinate a continuum of care consistent with the Member’s healthcare needs and goals. This care plan supports the Member in attaining and maintaining an optimal functional and health status.
  • Conduct coaching sessions with field staff as needed.
  • Conduct competencies, and training sessions with field staff as needed.
  • Documents services in accordance with CLHC standards and federal/state regulations
  • Implements specific care management activities and interventions that lead to accomplishing the participant’s goals.
  • The Care Manager will review all discipline-specific documentation for quality and addresses any deficiencies with the field staff following disciplinary steps established by the Discipline Policy.
  • Recommends and contributes to improvements in services, programs, policies, and procedures to ensure optimum care and services to members.
  • Follows the organization’s policies regarding disciplinary action. Engages Human Resources as needed for guidance on disciplinary actions and terminations.
  • Evaluates the effectiveness of the plan of care in reaching desired goals and outcomes, makes modifications or changes in the plan of care based on changes in the member’s health, as needed.
  • Monitor how field staff is documenting all interventions with the participants and address/document any issue observed with the employee.
  • Participates and represents his/her discipline in the care planning meetings or as necessary.
  • Fiscally responsible for providing services based on members’ needs.
  • In coordination with the IDT, arranges, coordinates, and authorizes the provisions of appropriate services to meet identified member-specific needs (such as assistance with the Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), housing, home-delivered meals, and transportation) and when approved by the IDT, may authorize a range and number of community-based services.
  • All other duties as assigned.
  • Provides care management services across sites and collaborates with appropriate team members, facility, discharge planner, and home care coordinator when members are transitioned between care settings.
  • Coordinates, facilitates, and arranges for long-term care services in nursing homes, rehab facilities, etc. as needed.
Weekly Hours: 37.5
Schedule: 8:30 AM - 5:00 PM
JOB QUALIFICATIONS:
Education: Baccalaureate degree in nutrition or related field. A Master's degree in Nutrition is preferred.
Experience: Minimum of 2 years of administrative experience in a management capacity in a certified home health agency (CHHA), long-term home health care (LHCSA), acute care, medical-surgical, and/or critical care, nursing home experience, diagnostic & treatment clinic preferred.
Customer Service experience required.
Managed long-term care insurance experience beneficial.
Minimum of 1-year experience working with the elderly
Supervisory experience preferred.
License Registration: Current active and unrestricted license and registration in New York State required in the specialty.
Language: Bilingual preferred.
Salary Range (Min-Max):
$75,000.00 - $90,000.00