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Registered Nurse, Care Manager Team Lead
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- Completes UAS-NY validation visits with care managers per DOH regulations as needed.
- Oversees pre-enrollment applicants who are potential transfers back to community settings that have been assessed for MLTC needs and are awaiting finalized discharge plans and determination of care plan from long-term placement.
- Maintains a working knowledge of, and adheres to applicable federal/state regulations including, but not limited to patient confidentiality, the release of information, and HIPAA. Interacts in a manner, that is professional, respectful, positive, helpful, and promotes trust and commitment to co-workers, and maintains appropriate professional boundaries.
- Participates in the quality improvement and utilization review activities of the organization.
- An understanding of Medicare/Medicaid regulations and entitlements Knowledge of chronic disease management Demonstrated ability to work with a multi-discipline team.
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