Registered Nurse, Care Manager

Nascentia Health; New York (NY); Hybrid; USD 72,000 - 84,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to provide comprehensive care management for health plan members. This role involves creating personalized service plans, coordinating services, and ensuring compliance with health standards. The ideal candidate will possess a Registered Nurse license in New York and demonstrate strong communication and organizational skills. You will work in a dynamic environment, balancing home visits with remote work, while contributing to a holistic approach to patient-centered care. Join a team committed to improving health outcomes and making a meaningful impact in the community.

Benefits

401k with employer match

Tuition reimbursement

Work/life balance

Health Savings Account (HSA)

Recognition programs

Paid Time Off (PTO)

Holidays

Sick leave

Disability benefits

Employee Assistance Program (EAP)

Qualifications

• Minimum of one year nursing experience required.
• Experience in long-term or managed care is a plus.

Responsibilities

• Provides care management through assessment, planning, and advocacy.
• Implements cost-effective care plans collaborating with healthcare teams.

Skills

Registered Nurse license in New York State

Communication skills

Ability to work independently

Bilingual skills

Proficient with computers and Microsoft Office

Education

Associate degree in Nursing

Bachelor of Science in Nursing (BSN)

Tools

Organizational software systems

Microsoft Office

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 and under the guidance of the Care Management Supervisor.

Performance Responsibilities and Standards:

1. Provide care management for members through an interdisciplinary approach, including assessment, planning, facilitation, and advocacy to meet members' needs.
2. Implement an appropriate, quality, and cost-effective plan of care utilizing all available resources, collaborating with members, families, healthcare teams, providers, and community programs based on the UAS-NY assessment.
3. Oversee caseload of managed care members.
4. Perform all care management activities in compliance with regulatory requirements; complete clear, concise, and timely documentation; coordinate support staff including LPNs, Community Health Workers, and Care Coordinators; provide guidance and education for team-based patient management.
5. Participate in departmental meetings and attend all scheduled staff training and meetings.
6. Adhere to all privacy regulations, including HIPAA, and organizational policies regarding confidentiality, privacy, and security.
7. Communicate effectively with members, families, health plan staff, and providers.
8. Act as a liaison and advocate for members.
9. Demonstrate cultural competence by respecting members' cultural health beliefs, language needs, and support systems.
10. Other duties as assigned.

Requirements:

1. Nursing: Current NYS RN license and registration; BSN preferred, associate degree required; minimum one year of nursing experience.
2. Experience in long-term care and/or managed care is a plus.
3. Knowledge of homecare, Medicare, and Medicaid is a plus.
4. Care Management Certification is a plus.
5. Bilingual skills are a plus.
6. Ability to work independently, prioritize workload.
7. Proficiency in basic computer skills and Microsoft Office.
8. Strong communication skills, both in person, virtually, and via phone.
9. Valid NYS driver’s license and ability to drive in all weather conditions.
10. Ability to learn and utilize organizational software systems routinely.

Physical Requirements:

• Work from home with visits to members’ homes; attendance at in-office meetings may be required.
• Postures include standing, sitting, bending, walking, and driving.
• Frequent use of a laptop for entering orders and information.
• Sensory requirements include speech, vision, smell, and hearing.
• Lifting up to 20 pounds frequently and up to 50 pounds occasionally.
• Bloodborne Pathogens Exposure Category I: tasks involve potential exposure to blood, body fluids, or tissues.

Compensation and Benefits:

• Salary: $72,415.71 - $83,922.76 annually, with a potential sign-on bonus of up to $15,000 (restrictions may apply).
• 401(k) with employer match.
• Tuition reimbursement for BSN after 6 months.
• Work/life balance with no rotating shifts, holidays, or weekends.
• Partially funded HSA.
• Employee recognition platform.
• Paid time off, holidays, extended sick leave.
• Short/long-term disability, Employee Assistance Program (EAP).
• And more benefits.

About Nascentia Health:

Nascentia Health leads in home care, post-acute, and community health. We focus on holistic, patient-centered care in the home, leveraging technology to improve outcomes and reduce unnecessary healthcare facility visits.

Our employees are our greatest asset, dedicated to our mission of being the premier home and community-based care system. We strive to create a positive, proud, and engaging work environment.

Equal Opportunity Employer: Nascentia Health is committed to diversity and inclusion. Employment is contingent upon a negative pre-hire drug screen.