In-Home RN Care Manager & Care Coordinator

CareSource; New York (NY); On-site; USD 100,000 - 135,000; Full time

Job summary

CareSource is seeking a Nurse Care Manager to provide comprehensive care coordination, including in-home assessment, planning, advocacy and authorization of covered plan services to meet members’ health needs and promote quality outcomes.

The role emphasizes interdisciplinary collaboration, patient-centered service planning, and travel to member homes and facilities as part of a mobile care management approach.

Qualifications

• Associates degree in Nursing from an accredited nursing program required.
• Bachelor's degree in Nursing preferred.
• Two years of experience as a registered nurse required.
• Clinical geriatrics or managed long-term care experience preferred.
• Experience with multiple languages may be required based on operational needs.

Responsibilities

• Coordinates care across the health care continuum with in-home assessments.
• Authorizes covered services and coordinates care with payers.
• Collaborates with member/family and interdisciplinary team.
• Conducts home visits to assess living situations and needs.
• Develops and implements Patient Centered Service Plans.
• Ensures timely responses and documentation per policy.
• Maintains plans of care with network providers and appropriate service levels.
• Performs other job-related duties as requested.

Skills

Care coordination

Communication

Multitasking

CMSA standards

Cultural sensitivity

Organizational skills

Bilingual preferred

Education

Associates degree in Nursing

Bachelor's degree in Nursing preferred

Two years RN experience

Tools

Microsoft Office

Outlook

Word

Excel

Job description

CareSource is seeking a Nurse Care Manager to provide comprehensive care coordination, including in-home assessment, planning, advocacy and authorization of covered plan services to meet members’ health needs and promote quality outcomes.

The role emphasizes interdisciplinary collaboration, patient-centered service planning, and travel to member homes and facilities as part of a mobile care management approach.