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)

• Organize services and document care in alignment with health plan standards

• Conduct assessment, planning, facilitation, and advocacy utilizing an interdisciplinary approach

• Execute quality and cost-effective care plans by leveraging available resources and UAS-NY assessments

• Manage a caseload of members within managed care

• Accurately and promptly complete all necessary regulatory documentation

• Coordinate with health plan support staff, including LPNs, Community Health Workers, and Care Coordination

• Provide direction and education to support staff through a collaborative team approach

• Engage in departmental, staff, and training meetings

• Communicate and work in partnership with members, families, health plan personnel, providers, and community programs

• Serve as a liaison and advocate for members

• Show cultural competence and respond to members’ cultural health beliefs, language requirements, and support systems

• Undertake additional responsibilities as assigned

⛳️ Requirements

• Must hold a valid and current registration as a Registered Professional Nurse in New York State

• An Associate degree is required

• At least one year of nursing experience is necessary

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

• Familiarity with homecare, Medicare, and Medicaid is beneficial

• Care Management Certification is preferred

• Bilingual abilities are an asset

• Capability to work independently and manage workload effectively

• Proficient in basic computer skills and Microsoft Office applications

• Excellent communication skills for interpersonal, virtual, and telephonic interactions

• Must possess a valid NYS driver’s license and the ability to drive in various weather conditions

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

• Ability to comply with HIPAA, state, and federal privacy regulations

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

• Bloodborne Pathogens Exposure Category I

🏝️ Benefits

• Sign-on bonus of up to $15,000

• Eligible for the Nurse Corps Loan Repayment Program

• Retention bonuses available

• 401k plan with a generous employer match

• Comprehensive Medical, Dental, and Vision insurance options

• Tuition reimbursement for BSN after six months of employment

• Exceptional work/life balance - no rotating shifts, holidays, or weekends required

• Partially funded Health Savings Account (HSA)

• Employee Recognition Platform

• Paid Time Off, Holidays, and Extended Sick Leave

• Short-term and Long-term Disability coverage

• Employee Assistance Program (EAP)

• Remote-first work environment that promotes work-life balance and flexibility

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