CLINICAL MANAGER – INTEGRATED CARE – ALF

TeamCare Medical; New York (NY); On-site; USD 135,000 - 140,000; Full time

Benefits offered by this job

PTO 28 days annually

9 paid holidays

Tuition reimbursement up to $5,250

403(b) retirement plan with employer?"

Medical, dental, and vision coverage

Health Savings Account (HSA) andHealth

Health Reimbursement Account (HRA)

FSA

Transit and commuter benefits

Gym reimbursement

Employee Assistance Program (EAP)

Relias learning platform

Job summary

Matter of Care Home Health Services in New York is seeking an experienced Clinical Manager – Integrated Care – ALF to coordinate participant-centered care for older adults in assisted living settings.

The role requires an active NY RN license, BSN preferred, 3+ years of clinical nursing, 1–2 years in home care, and strong assessment, care coordination, and communication skills. Occasional travel and EHR experience are expected.

Qualifications

• Active, unrestricted New York State RN license.
• Graduate of an accredited nursing program (BSN preferred).
• Minimum 3 years of clinical nursing experience.
• 1–2 years in home care, community health, or similar setting.

Responsibilities

• Conduct comprehensive nursing assessments, including UAS-NY assessments as assigned, and ongoing reassessments for participants residing in assisted living facilities.
• Develop, implement, and monitor individualized care plans in collaboration with participants, families, assisted living staff, and the Interdisciplinary Team (IDT).
• Monitor chronic and complex health conditions, identify changes in participant status, and coordinate timely interventions and provider notifications.
• Perform skilled nursing visits, treatments, medication administration, and other clinical services as ordered and within the RN scope of practice.
• Serve as the primary nursing liaison between Matter of Care and the assisted living facility, coordinating care with providers, specialists, pharmacy services, and other members of the care team.
• Support safe transitions of care following emergency department visits, hospitalizations, and discharges, including medication reconciliation and follow-up on clinical orders, testing, and consultations.
• Monitor medication effectiveness, adherence, side effects, interactions, and administration practices, collaborating with providers and pharmacy services to address concerns.
• Assess, treat, and monitor wounds and skin conditions in collaboration with providers and wound care specialists.
• Maintain timely and accurate clinical documentation and support compliance with CMS, New York State Department of Health, PACE, quality, safety, infection prevention, and incident-reporting requirements.
• Educate participants, families, and caregivers; promote participant independence; and respond to urgent clinical changes by helping coordinate emergency services or a higher level of care when needed.

Skills

Assessment

Critical thinking

Communication

Care coordination

Education

BSN preferred

Tools

EHR systems

Job description

Salary Range: $135,000.00 - $140,000.00 Monday - Friday 8:30AM -5:30PM

Make a Difference in the Lives of Older Adults At Matter of Care, we believe every older adult deserves the opportunity to age with dignity, independence, and the support they need to thrive in their community.

We are seeking an experienced and compassionate Clinical Manager – Integrated Care – ALF to help coordinate high-quality, participant-centered care for older adults residing in assisted living settings.

What You'll Do

• Conduct comprehensive nursing assessments, including UAS-NY assessments as assigned, and ongoing reassessments for participants residing in assisted living facilities.
• Develop, implement, and monitor individualized care plans in collaboration with participants, families, assisted living staff, and the Interdisciplinary Team (IDT).
• Monitor chronic and complex health conditions, identify changes in participant status, and coordinate timely interventions and provider notifications.
• Perform skilled nursing visits, treatments, medication administration, and other clinical services as ordered and within the RN scope of practice.
• Serve as the primary nursing liaison between Matter of Care and the assisted living facility, coordinating care with providers, specialists, pharmacy services, and other members of the care team.
• Support safe transitions of care following emergency department visits, hospitalizations, and discharges, including medication reconciliation and follow-up on clinical orders, testing, and consultations.
• Monitor medication effectiveness, adherence, side effects, interactions, and administration practices, collaborating with providers and pharmacy services to address concerns.
• Assess, treat, and monitor wounds and skin conditions in collaboration with providers and wound care specialists.
• Maintain timely and accurate clinical documentation and support compliance with CMS, New York State Department of Health, PACE, quality, safety, infection prevention, and incident-reporting requirements.
• Educate participants, families, and caregivers; promote participant independence; and respond to urgent clinical changes by helping coordinate emergency services or a higher level of care when needed.

What We're Looking For

• Required Active, unrestricted New York State RN license.
• Graduate of an accredited nursing program (BSN preferred).
• Minimum 3 years of clinical nursing experience.
• 1–2 years in home care, community health, or similar setting.
• Strong assessment, critical thinking, communication, and care coordination skills.
• Experience with EHR systems and ability to travel throughout assigned service areas.
• Preferred PACE, Care Transitions, Case Management, Long-Term Care, Geriatrics, and supervisory experience.

Why Matter of Care?

• Monday-Friday daytime leadership schedule
• 28 Paid Time Off (PTO) days annually
• 9 Paid Holidays
• Tuition reimbursement up to $5,250 annually
• 403(b) retirement plan with employer contributions
• Medical, dental, and vision coverage
• Health Savings Account (HSA) and Health Reimbursement Account (HRA) options
• Flexible Spending Accounts (FSA)
• Transit and commuter benefits
• Gym reimbursement up to $400 annually
• Employee Assistance Program (EAP)
• Relias learning platform and professional development opportunities

About Matter of Care Home Health Services

Matter of Care Home Health Services is a member of the CenterLight Health System family and is dedicated to helping older adults receive high-quality, coordinated healthcare services while maintaining their independence and dignity. Through a participant-centered approach and strong community partnerships, we work every day to improve health outcomes and quality of life for the individuals and families we serve.

Disclaimer:

Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

We are an affirmative action and equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information.

We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Salary Range (Min-Max): $135,000.00 - $140,000.00

Every application is reviewed by our recruitment team. We do not use AI to make hiring decisions or automatically reject applicants.

Matter of Care Home Health Services is a New York State Department of Health licensed home care agency and supplemental staffing service that offers in-home care for the elderly, sick or homebound in the in the Bronx, Brooklyn, Queens, Manhattan, Nassau, and Westchester County.