CLINICAL MANAGER – INTEGRATED CARE – ALF

Matter of Care Home Health Services; New York (NY); Sur place; USD 135 000 - 140 000; Plein temps

Avantages offerts par ce poste

PTO 28 days

9 paid holidays

Tuition reimbursement

403(b) plan with employer contrib

Health, dental, vision insurance

HSA/HRA options

FSA

Transit benefits

Gym reimbursement

EAP

Relias learning & development

Résumé du poste

Matter of Care is seeking an experienced RN to deliver skilled nursing services to older adults in our NY-based home health and assisted living programs.

You will conduct comprehensive assessments, develop and monitor care plans with the IDT, and coordinate with facilities, providers, and pharmacies to ensure safe, compliant care and timely interventions. Strong documentation and travel within service areas are required.

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.
• 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.

Responsabilités

• 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.

Connaissances

RN license NY

Formation

BSN preferred

Outils

EHR systems

Description du poste

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.

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

• 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 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. All employment decisions are based on job-related qualifications and applicable employment laws.