Buscar empleo: 1000+ ofertas de trabajo de chart support en New York, New York (septiembre 2025)

MetroPlusHealth

Medicare Team Lead RN

hace 11 días

New York

Job DescriptionEmpower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers. Position Overview The Medicare Care Manager Team Lead manages day to day activities of the Care Management (CM) team (RN/ SW Care Managers and Care Management Associates) to ensure quality outcomes such as reduction in emergency room visits and hospital admissions, improved member satisfaction, closing and reducing gaps in care, and cost effectiveness. This is accomplished through hands-on, participatory management where all aspects of day-to-day care management operations are supervised, and feedback is shared with the leadership team for the purpose of meeting program goals and the implementation of continuous quality improvement strategies. The Medicare Care Manager Team Lead provides training, ongoing support, and mentorship to the CM team. The Medicare Care Manager Team Lead facilitates the successful execution of the Integrated Care Management program by providing day to day supervision and applying problem solving skills to ensure the delivery of member-centered care management, improved access to community resources and improvement of overall health status of members. Work Shifts 9:00 A.M – 5:00 P.M Duties & Responsibilities • Provide clinical guidance and supervision to assigned care managers and clinical support staff to promote efficient and effective delivery of care management services., • Supervise day to day activities to make certain that care management services are provided in accordance with clinical guidelines, established processes and MetroPlus organizational standards., • Ensure Medicare Model of Care (MOC) requirements are met and in compliance., • Mentor and evaluate staff, problem solve and implement strategies to facilitate the overall goal of the program., • Supervise the entire care management workflow including case selection, interventions and goal setting, follow-up/follow-through activities, documentation, and escalations., • Ensure care management activities are conducted in a safe, efficient, and effective manner to promote continuity and quality of care., • Review, develop and modify day to day workflows to ensure timely completion of regulatory requirements and attainment of productivity and quality benchmarks., • Perform ongoing quality review of cases and monthly chart review audits to ensure accuracy and compliance., • Evaluate and document staff performance; coach staff to improve both quality and quantity of skills attaining optimal performance., • Utilize data to track, trend and report productivity and outcome measures; work with the management team to implement necessary improvement strategies., • Coordinate and manage the care management integrated care rounds, this includes scheduling meetings, preparing agenda, documentation of minutes and ensuring completion of follow up activities identified by the members of the team., • Collaborate with other departments (i.e. Utilization management, Quality, Behavioral Health) to achieve optimal outcomes for members., • Use expert verbal and non-verbal communications skills to motivate and engage members and their caregivers., • Resolve issues and mitigate conflict encountered during daily operations; appropriately escalate issues to the Director of Integrated Care Management or Designee., • Identify and report potential risk, operational opportunities, and barriers, proactively share with the leadership team., • Conduct weekly and monthly audits for the purpose of departmental/organizational reporting and providing formal feedback to care management staff., • Create and submit operational weekly/monthly/quarterly reports., • Work with the leadership team to develop and implement ongoing training and development efforts., • Actively participate in staff training and meetings., • Encourage regular communication and inform staff of relevant departmental and organizational updates., • Employ critical thinking and judgment when dealing with unplanned issues., • Develop and maintain collaborative relationships with clinical providers, facility staff and community resources., • Comply with orientation requirements, annual and other mandatory trainings, organizational and departmental policies, and procedures., • Maintain professional competencies as a Medicare Care Manager Team Lead., • Perform other duties as assigned by Director.Minimum Qualifications, • Bachelor’s degree in Nursing or Master’s degree in Social Worker required., • Registered Nurse with a current New York State License or Licensed Social Worker, • An equivalent combination of training, educational background and experience in related fields and educational disciplines. A minimum of 5 years of Case Management experience in a health care and/or Managed Care setting required., • Minimum of 2 years managerial/leadership experience in a Managed Care and/or health care setting required., • Proficiency with computers navigating in multiple systems and web-based applications., • Confident, autonomous, solution driven, detail oriented, high standards of excellence, nonjudgmental, diplomatic, resourceful, intuitive, dedicated, resilient and proactive., • Strong verbal and written communication skills including motivational coaching, influencing and negotiation abilities., • Excellent time management and organizational skills, • Strong problem-solving skills., • Ability to prioritize and manage changing priorities under pressure., • Proficient in Microsoft Office applications including Word, Excel, and PowerPoint and Outlook., • Ability to proficiently read and interpret medical records, claims data, pharmacy and lab reports, and prescriptions required., • Ability to work closely with member and caregiver., • Ability to collaborate with all levels of Health Care Providers, members and families., • Integrity and Trust, • Customer Focus, • Functional/Technical skills, • Proficiency with computers navigating in multiple systems and web- based applications., • Confident, autonomous, solution driven, detail oriented, high standards of excellence, nonjudgmental, diplomatic, resourceful, intuitive, dedicated, resilient and proactive., • Strong verbal and written communication skills including motivational coaching, influencing and negotiation abilities., • Time management and organizational skills, • Strong problem-solving skills, • Ability to prioritize and manage changing priorities under pressure., • Must know how to use Microsoft Office applications including Word, Excel, and PowerPoint and Outlook., • Ability to form effective working relationships with a wide range of individuals #LI-Hybrid #MHP50 Benefits NYC Health and Hospitals offers a competitive benefits package that includes: • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week, • Retirement Savings and Pension Plans, • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts, • Loan Forgiveness Programs for eligible employees, • College tuition discounts and professional development opportunities, • College Savings Program, • Union Benefits for eligible titles, • Multiple employee discounts programs, • Commuter Benefits Programs

Sunrise Senior Living

HHA

hace 12 días

Lynbrook

When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships with residents, their families, and team members alike, you will also gain joy in serving others and deep fulfillment in your work. Explore how you can follow your passions and shed light on meaningful ways to serve, grow, and shine together. Sunrise Senior Living was again certified as a Great Place to Work® by Activated Insights. This is the 8th time Sunrise has received this top culture and workplace designation, highlighting the special place Sunrise is to be a part of. COMMUNITY NAME Sunrise of North Lynbrook Job ID 2025-231610 JOB OVERVIEW The Care Manager/"Designated Care Manager" is responsible for providing the highest degree of quality care and services to a consistent group of residents and their families in our assisted living/long term care and reminiscence neighborhoods. The Care Manager provides hands on care and physical and emotional support as outlined in each resident's Individualized Service Plan (ISP) while maintaining a safe and comfortable home like environment. The Care Manager/"Designated Care Manager" is responsible for demonstrating the Mission for Sunrise Senior Living, "to champion quality of life for all seniors" in accordance with federal, state/provincial, and local laws and regulations and Sunrise Senior Living standards, policies, and procedures to promote the highest degree of quality care and services to our residents. RESPONSIBILITIES & QUALIFICATIONS Essential Duties As a part of the Sunrise team, supporting our Mission, Principles of Service and Core Values is a fundamental part of this job. Our foundational belief is the sacred value of human life. The unique responsibilities for this role include but are not limited to the essential functions listed as follows: Resident Care • Review, read, notate, and initial Daily Log to document and learn about pertinent information about residents., • Participate in the development of the ISPs and monthly updates., • Review designated assignments., • Responsible for a designated group of residents during the shift, knows where residents are, and physically checks on them throughout the shift., • Observe, report, and document symptoms and conditions of residents for changes in condition such as skin, behavior, alertness, weight, diet, and participation in activities., • Attend daily Cross Over meetings by the lead care manager., • Notify supervisor and resident care director if a resident has increased care needs., • Inform supervisor of any resident changes in condition., • Respond to security system and resident call bells promptly and immediately. Take appropriate action including resetting call bells., • Greet guests, family members, residents, and team members., • Answer, direct and/or respond to phone calls in a timely, courteous, and professional manner., • Assist with continence management and dispose of all continence products properly to ensure sanitation of resident suite and community restrooms using standard care procedures., • Communicate with families and is a resource as needed., • Help residents maintain independence and physical safety and promote dignity of each resident adhering to the standards of Resident Rights and Sunrise Principles of Service., • Participate/lead and assist residents with activities of daily living (ADLs) and Invite, Encourage, and Assist (IEA) residents to participate in activities as indicated on the ISP., • Engage residents in life skills and other life enrichment activities throughout the day in reminiscence., • Strive to understand and respond to each resident with empathy, always remaining mindful of the resident's unique communication patterns or history and basic human needs., • Maintain an atmosphere of warmth, personal interest, and positive emphasis as well as a calm environment., • Ensure the established safety regulations are always followed., • Practice routinely good Standard Care Precautions of cleanliness, hygiene, and health., • Host and engage in activities with the residents daily.Risk Management and General Safety, • Partner with community team to ensure community is in compliance with national/provincial regulations pertaining to occupational health and safety requirements, promoting Risk Management programs and policies, and adhering to safety rules and regulations., • Practice safety procedures at all times including Personal Protective Equipment (PPE), fire extinguishers, Safety Data Sheets (SDS), and Lockout Tagout procedures., • Report all accidents/incidents immediately., • Reports all unsafe and hazardous conditions/equipment immediately., • Ensure any cords, carts, equipment, and other hazards are always kept out of the way, not blocking exits, and in compliance with fire codes., • Understand and practice the proper method of attending to and disposing of, and the possibility of exposure to, blood borne pathogens, bodily fluids, infectious waste, sharp sticks, and hazardous materials., • Report occupational exposures to blood, body fluids, infectious materials, sharp sticks, and hazardous chemicals immediately., • Ensure oxygen tanks are stored safely, exchanged when empty and monitored to make sure liters of oxygen are at prescribed levels.Housekeeping and Laundry Services, • Maintain and clean resident's room as assigned including making beds, emptying trash, putting clothes away appropriately, spot sweeping, and mopping as needed., • Wash resident's laundry as noted in the ISP and as needed., • Wash and fold dining room linens and napkins., • Complete assigned housekeeping tasks., • Maintain common areas in a clean and tidy manner at all times.Dining Service, • Serve meals in the dining room and work in the dining room as assigned., • Promote and ensure a pleasant dining experience during all meals., • Assist with dining room set up and clean up as assigned., • Participate in pre-meal meetings., • Follow residents' diets as indicated on ISP and Confidential Diet Board/Chart., • Observe, note, and document in daily log any resident changes in dining habits., • Respond to the dining needs of the residents and guests while maintaining Sunrise hospitality and service standards., • Provide room service delivery as needed., • Practice safe food handling in compliance with universal care precautions at all times.Specific Responsibilities for the Reminiscence Neighborhood Care Manager, • IEA residents in life skills and other life enriching activities as indicated on ISP and demographic profile., • IEA residents to attend the afternoon social., • Incorporate the concept of 'Creating Pleasant Days' into the resident's daily routine., • Integrate the individual resident's life skills into their daily routine., • Blend a variety of multi-sensory experiences into the resident's day., • Participate in monthly letters home and letter writing with the residents and their families.Training and Contributing to Team Success, • Participate as a member of a team and commits to working toward team goals., • Demonstrate in daily interactions with others, our Team Member Credo., • Commit to serving our residents and guests through our Principles of Service., • Contribute to the overall engagement programs and processes (customer and team member engagement) including participating in the team member engagement survey and engagement improvement planning workshops., • Attend regular meetings; Town Hall, Department Team, Cross Over, and others as directed by the Supervisor/Department Coordinator., • Attend regular training by Assisted Living Coordinator (ALC), Resident Care Coordinator (RCC) or Reminiscence Coordinator (RC) using mini modules., • Comply with all infection control techniques, placement of bio-hazard containers, and removal techniques as listed in policies and procedures., • Maintains compliance in assigned required training and all training required by state/province or other regulating authorities as applicable to this role to ensure that Sunrise standards are always met., • Perform other duties as assigned. Core Competencies • Ability to react and remain calm in difficult situations, • Ability to handle multiple priorities, • Possess written and verbal skills for effective communication and a level of understanding, • Competent in organizational and time management skills, • Demonstrates good judgment, problem solving and decision-making skills Experience and Qualifications • High School diploma/GED accepted and may be required per state/provincial regulations., • CPR Certificate and First Aid as required by state/provincial regulations, • Must be at least 18 years of age, • Previous experience working with seniors preferred, • Desire to serve and care for seniors, • Ability to make choices and decisions and act in the resident's best interest, • As applicable, all Sunrise team members who drive a Sunrise vehicle must sign the Driver job description and understand the key essential duties for safety and regulatory compliance ABOUT SUNRISE Ready to take the next step and make a bigger impact than you ever imagined? As part of our team, you will help brighten the future for everyone at Sunrise and beyond. That is why we make it a priority to celebrate the unique ways you bring moments of togetherness and joy to everyone you serve. And when combined with the support, benefits, and growth opportunities we offer, the result is a career that PositivelyShines with everything you need to reach your goals - at work and in your life. We also offer benefits and other compensation that include: • Medical, Dental, Vision, Life, and Disability Plans, • Retirement Savings Plans, • Employee Assistant Program / Discount Program, • Paid time off (PTO), sick time, and holiday pay, • myFlexPay offered to get paid within hours of a shift, • Tuition Reimbursement, • In addition to base compensation, Sunrise may offer discretionary and/or non-discretionary bonuses. The eligibility to receive such a bonus will depend on the employee's position, plan/program offered by Sunrise at the time, and required performance pursuant to the plan/program. PRE-EMPLOYMENT REQUIREMENTS Sunrise considers the health and safety of its residents, family members, and team members to be one of its highest priorities. Employment with Sunrise is conditioned on completing and passing a drug test (which does not include marijuana), participating in testing requirements (e.g. Tuberculosis Test, Physical Evaluation). Covid-19 and Influenza vaccination is only required to the extent mandated by applicable federal, state, and local laws and authorities. COMPENSATION DISCLAIMER Selected candidates will be offered competitive compensation based on geographic location of community/office, skills, experience, qualifications, and certifications/licenses (where applicable).

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