Registered Nurse, Care Manager

Nascentia Health; Latham (NY); On-site; USD 72,000 - 84,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to join their team in providing exceptional care management services. In this role, you'll be responsible for creating personalized service plans, coordinating care, and advocating for health plan members. The position offers a competitive salary, a substantial sign-on bonus, and a comprehensive benefits package, including tuition reimbursement and paid time off. If you are a compassionate professional with a commitment to holistic, patient-centered care, this opportunity is perfect for you.

Benefits

401k with Employer Match

Tuition Reimbursement for BSN

Paid Time Off

Employee Recognition

Partially Funded HSA

Sick Leave

Disability Benefits

No Rotating Shifts

Holidays Off

Weekends Off

Qualifications

• Licensed Registered Nurse in New York State with at least one year of nursing experience.
• Experience in managed care or long-term care is preferred.

Responsibilities

• Provide care management through assessment, planning, and advocacy for health plan members.
• Coordinate services and document care in compliance with health plan standards.

Skills

Communication Skills

Cultural Competence

Independent Work

Microsoft Office

Bilingual Skills

Education

Associate Degree in Nursing

Bachelor of Science in Nursing (BSN)

Tools

Organizational Software Systems

Laptop Computer

Job description

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*** THIS POSITION MAY BE ELIGIBLE FOR UP TO A $15,000 SIGN-ON BONUS (restrictions may apply) ***

The Care Manager is responsible for providing care management to a group of health plan members, creating the Person-Centered Service Plan (PCSP), coordinating services, and documenting care in accordance with health plan standards under the guidance of the Care Management Supervisor.

Performance Responsibilities and Standards:

1. Provide care management for members through assessment, planning, facilitation, and advocacy to meet their needs.
2. Implement a quality, cost-effective plan of care utilizing all available resources, collaborating with members, families, healthcare teams, and community programs based on the UAS-NY assessment.
3. Oversee caseloads of managed care members.
4. Perform all activities in compliance with regulatory requirements, ensuring documentation is clear, concise, and timely. Coordinate support staff including LPNs, Community Health Workers, and Care Coordinators, providing guidance and education for efficient team management.
5. Participate in departmental meetings, staff training, and adhere to all policies and regulations regarding confidentiality and privacy, including HIPAA.
6. Communicate effectively with members, families, healthcare staff, and providers. Act as a liaison and advocate for members.
7. Demonstrate cultural competence by respecting members' cultural health beliefs, language needs, and support systems.
8. Perform other duties as assigned.

Requirements:

1. Licensed and registered as a Registered Professional Nurse in New York State. BSN preferred; associate degree required. Minimum one year of nursing experience.
2. Experience in long-term or managed care is a plus.
3. Knowledge of homecare, Medicare, and Medicaid is advantageous.
4. Care Management Certification is a plus.
5. Bilingual skills are a plus.
6. Ability to work independently, prioritize tasks, and be computer literate, with knowledge of Microsoft Office.
7. Strong communication skills, both in person and virtually.
8. Valid NYS driver’s license and ability to drive in all weather conditions.
9. Ability to learn and use organizational software systems routinely.

Physical Requirements:

• Work from home with visits to members’ homes; in-office attendance may be required.
• Postures include standing, sitting, bending, walking, and driving.
• Use of a laptop computer frequently.
• Sensory requirements include speech, vision, smell, and hearing.
• Lifting up to 20 pounds frequently and up to 50 pounds occasionally.
• Potential exposure to blood, body fluids, or tissues.

Salary and Benefits:

• Salary range: $72,415.71 - $83,922.76 annually.
• $15,000 sign-on bonus (restrictions may apply).
• 401k with employer match, tuition reimbursement for BSN after 6 months, no rotating shifts, holidays, or weekends, partially funded HSA, employee recognition, paid time off, holidays, sick leave, disability, EAP, and more.

About Nascentia Health:

We are leaders in home, post-acute, and long-term community health, focusing on holistic, patient-centered care in the comfort of patients' homes. Our mission is to be the premier home and community-based care system in our region.

Nascentia Health is an Equal Opportunity Employer (EOE). Employment contingent upon negative drug screening results.