RN Field Coordinator

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

50% - 70% Travel Position

Travel will be in Queens, New York Area

3 Months contract with a high possibility of going PERM

Job Description:

· Evaluates members for case management services and determines appropriate level of care coordination/ management services for member

· Completes a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the members need for alternative services

· Acts as a primary case manager for members identified as Complex as defined by Case Management Program Description

· Develops and monitors members plan of care to include progress toward meeting established goals and self-management activities

· Interacts continuously with member family physician(s) and other providers utilizing clinical knowledge and expertise to determine medical history and current status.

· Assess the options for care including use of benefits and community resources to update the care plan

· Supervises and/or acts as a resource for non-clinical staff (i.e. Service Coordinators and Field Social Workers

· Act as liaison and member advocate between the member/family physician and facilities/agencies

· Maintains accurate records of case management activities in the Enterprise Medical Management Automation (EMMA) System using clinical guidelines

· Coordinates community resources with emphasis on medical behavioral and social services.

· Applies case management standards maintains HIPAA standards and confidentiality of protected health information and reports critical incidents and information regarding quality of care issues

· Ensures compliance with all state and federal regulations as well as Corporate guidelines in day-to-day activities

· Meets with clients in their homes work-sites physician?s or hospital to provide management of services

· Adapts to changes in policies procedures new techniques and additional responsibilities

· Participates with other Case Managers and Medical Directors in regular or special meetings such as Clinical rounds

· Travel to inpatient bedside member?s home provider?s office hospitals etc required with dependable car. May spend up to 70% of time traveling with exposure to inclement weather and normal road hazards.

· RN license Required

· Clear and active Drivers License / Own Vehicle

· 2+ years of experience in clinical acute care Required

· 1+ year of experience in current case management

· Other Managed care experience Preferred

· Prior utilization management experience preferred in some geographic regions

· Experience in care of the elderly is required in some geographic regions

· Experience in home health physicians office or public health

All your information will be kept confidential according to EEO guidelines.