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 (PCSP).

• Coordinate services and maintain documentation in accordance with health plan standards.

• Provide care management through assessment, planning, facilitation, and advocacy.

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

• Manage a caseload of members enrolled in managed care.

• Complete regulatory documentation accurately, concisely, and punctually.

• Coordinate support staff within the health plan, including LPNs, Community Health Workers, and Care Coordination teams.

• Offer guidance and education through a collaborative team approach.

• Participate in departmental meetings, staff gatherings, and training sessions.

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

• Communicate and collaborate effectively with members, families, health plan personnel, and providers.

• Serve as a liaison and advocate for members.

• Exhibit cultural competence concerning members' cultural health beliefs, language needs, and support systems.

• Execute additional duties as assigned.

⛳️ Requirements

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

• An Associate degree is required.

• A minimum of 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 a plus.

• Care Management Certification is beneficial.

• Bilingual skills are an asset.

• Ability to work independently and manage workload effectively.

• Proficient in basic computer skills and knowledgeable in Microsoft Office programs.

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

• Valid NYS driver's license with the capability to drive in various weather conditions.

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

• Capability to meet physical demands, including lifting up to 20 pounds frequently and up to 50 pounds occasionally.

• Tasks may involve exposure or potential exposure to blood, body fluids, or tissues.

• Employment is contingent upon receiving negative results from a pre-hire drug screen.

🏝️ 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.

• Medical, dental, and vision insurance plans.

• Tuition reimbursement for BSN after six 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 insurance.

• Employee Assistance Program (EAP).

• Remote-first work environment promoting work-life balance and flexibility.

• No rotating shifts, holidays, or weekends.

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