RN Case Manager

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

📋 Description

• Oversee all dimensions of patients’ medical, behavioral, functional, and social care

• Act as a patient advocate throughout the entire continuum of care

• Perform initial intake calls and facilitate scheduled or urgent patient outreach

• Review and modify care plans, track progress, ensure needs are addressed, and recognize concerns

• Provide continuous care coordination for a designated group of complex patients

• Conduct needs assessments and collaborate with the patient’s care team to develop care plans

• Assist patients during transitions in care, including outreach and assessment following hospitalization

• Coordinate provider follow-ups and carry out medication reconciliation

• Recognize and implement interventions with multidisciplinary teams, external providers, and social service organizations

• Address care gaps and reduce risks of admissions, readmissions, emergency room visits, and institutional placements

• Support patients in safely remaining in their preferred and suitable home environments

• Identify and confirm the appropriate use of resources across the continuum of care

• Engage in interdisciplinary care team huddles and clinical meetings

• Participate in quality improvement and evaluation initiatives

• Comply with policies, procedures, standards of conduct, laws, and regulations

• Mentor both new hires and existing members of the case management team

• Execute additional responsibilities as assigned

⛳️ Requirements

• Active RN License in good standing in the state of practice or an unencumbered multistate license

• Bachelor's degree in nursing is required, or an associate degree in nursing along with another clinical or business bachelor’s degree

• A minimum of 4 years of experience in a clinical environment

• At least 2 years of case management experience in home health care, ambulatory care, community public health, and/or an insurance setting

• Certified Case Manager (CCM) certification or a commitment to achieve this when eligible

• Experience in geriatric care is highly preferred

• 2 years of experience in discharge planning, utilization management, case management, performance improvement, and/or managed care is preferred

• Familiarity with Medicare and Medicaid regulations and insurance benefits is preferred

• Strong understanding of clinical best practices related to case management, discharge planning, utilization management, performance improvement, and/or managed care

• Excellent clinical skills and the ability to implement evidence-based care

• Capability to manage patient complexity and address multiple clients with varying needs

• Proven ability to triage patient-reported symptoms and issues that necessitate escalation

• Excellent written and verbal communication skills

• Demonstrated capacity to handle multiple tasks simultaneously with minimal supervision and meet deadlines

• Ability to thrive in a fast-paced, dynamic environment and collaborate effectively within a team

• Proficient in computer skills including Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) and clinical systems/EMR competency

• Knowledge and proficiency in navigating internet-based tools and applications

• Competent in computer documentation

• Exhibits a high level of professionalism

🏝️ Benefits

• Annual continuing education allowance

• Medical, Dental, and Vision coverage

• 401k plan with employer matching

• Competitive salary along with a bonus program

• 15 days of paid time off (PTO)

• 8 paid holidays each year

• 3 floating holidays

• Comprehensive healthcare coverage

• Wide array of health, wellness, and financial benefits