Registered Nurse, Care Manager

This is a fully remote position, open to applicants in New York.

📋 Description

• Deliver care management services to a designated group of health plan members.

• Develop Person-Centered Service Plans (PCSPs).

• Coordinate services and document care in accordance with health plan guidelines.

• Evaluate, plan, facilitate, and advocate for member support and services through a collaborative, interdisciplinary approach.

• Implement effective and quality care plans utilizing available resources and UAS-NY assessments.

• Manage a caseload of members enrolled in managed care.

• Accurately complete all required regulatory documentation in a clear and timely manner.

• Collaborate with health plan support staff, including LPNs, Community Health Workers, and Care Coordination personnel.

• Provide guidance and training to support staff using a collaborative team approach.

• Engage in departmental, staff, and training meetings.

• Comply with state and federal privacy laws, including HIPAA regulations.

• Communicate and work together with members, families, health plan staff, providers, and community programs.

• Serve as a liaison and advocate for members.

• Exhibit cultural competence and address members’ cultural health beliefs, language requirements, and support systems.

• Perform additional duties as required.

⛳️ Requirements

• Current and valid license as a Registered Professional Nurse in New York State.

• Associate degree is mandatory.

• Bachelor of Science in Nursing (BSN) is preferred.

• At least one year of nursing experience is required.

• Experience in long-term care and/or managed care is advantageous.

• Familiarity with homecare, Medicare, and Medicaid is a plus.

• Care Management Certification is preferred.

• Bilingual abilities are a plus.

• Capability to work independently and effectively prioritize workload.

• Proficient in basic computer skills and Microsoft Office applications.

• Excellent communication skills, both in-person, virtually, and via phone.

• Valid NYS driver’s license with the ability to drive in all weather conditions.

• Willingness to learn and consistently use the organization’s software systems.

• Capacity to lift up to 20 pounds frequently and up to 50 pounds occasionally.

• Bloodborne Pathogens Exposure Category I designation.

🏝️ Benefits

• Up to a $15,000 sign-on bonus.

• Eligible site for the Nurse Corps Loan Repayment Program.

• Retention bonuses available.

• 401k plan with a generous employer match.

• Comprehensive medical, dental, and vision plans.

• Tuition reimbursement for BSN after 6 months of employment.

• Exceptional work/life balance with no rotating shifts, holidays, or weekends.

• Partially funded Health Savings Account (HSA).

• Employee recognition platform.

• Paid Time Off, holidays, and extended sick leave.

• Short and long-term disability coverage.

• Employee Assistance Program (EAP).

• Remote-first work environment.

• Flexible work-life balance.

• Occasional in-person training or team events a few times a year.