Overview

The Regional Registered Nurse ("RRN") is a critical player in coordination of health care services for Care Design NY (CDNY) Care Coordination Organization/Health Home (CCO/HH) members.

This team-based approach to care and provide health services to individuals with intellectual/ developmental disabilities (I/DD), through active partnerships with individuals, their caregivers/families, community resources, and their physicians. Facilitates a strong, stable person-centered approach to holistic service planning within and across settings to achieve coordinated, high-quality care.

The RRN is a critical part of the team supporting the members and families we support with access to, and ongoing support related to all health care supports and services. The RRN is a source of expertise related to all health care support and services and works collaboratively with all team members to ensure a holistic approach to care. Including CMS Medicare-Medicaid Plan, NYSDOH CCO, OPWDD Reporting Requirements, and other measures to assess CDNY performance and to improve the quality outcomes for the people supported by CDNY.

 

Responsibilities

• Facilitate access to primary care, specialty care, and other healthcare resources and services.
• Provide health education and support to members, families, caregivers, and staff.
• Serve as a clinical resource to care managers and interdisciplinary teams for complex healthcare needs.
• Participate in case reviews, Clinical Rounds, and care coordination activities to improve member outcomes.
• Support care transitions, including emergency room visits, hospitalizations, discharge planning, and follow-up care.
• Collaborate with providers and care teams to address unmet healthcare needs and improve quality of care.
• Ensure compliance with applicable CMS, NYS DOH Health Home, and OPWDD requirements.

Qualifications

• A Registered Nurse licensed to practice in New York state required
• BSN is preferred
• 2+ years of experience in health services preferred
• 2+ years of experience collaborating with people with IDD preferred
• 3+ years of work experience in a managed care plan or health home is preferred
• Experience working collaboratively with various departments in fast-paced environment
• Excellent organizational, interpersonal, and verbal and written communication skills required; ability to attend to detail, organize tasks/priorities and complete with accuracy
• Exemplary written and oral communication skills
• Proficiency in navigating through electronic record software programs

Salary starting at85,000 Salary up to100,000