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Onsite Telephonic Case Manager in New York, NY at Pride Health

Date Posted: 4/10/2019

Job Snapshot

  • Employee Type:
  • Location:
    New York, NY
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Leading home care agency seeks an Onsite Telephonic Nurse Case Manager to perform effective telephonic outreach to complete necessary health and social assessments.


  • Conduct patient onboarding, including performing health risk assessments in accordance with (health plan) model of care requirements.
  • Creates and develops patient care plans that addresses all problems, goals and interventions identified using appropriate mediums (e.g. historical claims data, outreach logs, completed assessments, etc.).
  • Identify high risk patients (based on risk stratification criteria) who require a high frequency of care coordination and contact.
  • Completes transition of care process in accordance with health plan guidelines; includes outreach during hospitalization and conducting assessments upon discharge to ensure successful transition to another setting.
  • Identify the appropriate utilization of resources across the continuum of care.


  • Licensed Registered Nurse
  • Minimum of 2 years of home care or case management experience
  • Knowledge of Medicare and Medicaid care management guidelines