Care Manager - MLTC Program (Bronx and Brooklyn)
at RCM Health Care Services

Date Posted: 8/2/2020

Job Description

Care Manager 

Job Description

This is an IN HOUSE position and based in  the Bronx.

Contact and complete at least a monthly care management note summarizing care given for the month. Monitor any hospitalizations or ER visits since last contact call/note Update and changes in medications or treatments as necessary 
Follow up with member the use of preventive services covered by the plan
Follow up on DME requests and order delivery status

Review 6 month SAAM reassessments & identify any changes in status and SAAM score

Coordinate Medicare benefits for dual eligible population

Assist with MD appointments and follow up procedures needed

Coordinating hospital and SNF admissions/discharges with facility

Coordinate with CHHA weekly with members utilizing Medicare max

Reviews and completes grievances and complaints that come in through member services

Sends out Notice of Action letters within the appropriate timeframes

Completes disenrollment forms processes and follows up with HRA status.

Other duties as assigned.

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Job Snapshot

About Us

RCM Health Care Services offers career defining opportunities to candidates from the leading employers in health care. Whether you’re looking for a new job or seeking to hire the best medical talent, RCM Health Care Services has the solution for you. Since 1975, we’ve established ourselves as a leader in the recruitment industry by connecting thousands of healthcare professionals with placements that support their needs. If you’re looking to make the next move in your career, let RCM be your guide, we’re with you every step of the way!

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