RN Care Manager: Complex Care & Home Visits

EmblemHealth; New York (NY); Hybrid; USD 68.000 - 119.000; Vollzeit

Zusammenfassung

EmblemHealth is seeking a registered nurse to provide care management as part of a multidisciplinary team in the New York area. Responsibilities include telephonic and in-person assessments, coordinating care, and implementing interventions to support high-risk members within the community.

The role requires an active NY RN license and 4–6+ years of clinical experience; CCM preferred. A hybrid work model includes remote days and in-person days at ACPNY locations.

Qualifikationen

• Active and unrestricted RN license required in NY state.
• CCM certification preferred.
• 4-6+ years of clinical experience (Required).
• Organization/prioritization ability; manage a caseload of highly complex members (Required).
• Experience in case management/care coordination, managed care, and/or utilization management (Preferred).
• Trained in Motivational Interviewing techniques (Preferred).
• Experience with electronic medical records (EMR) (Required).
• Computer proficiency: MS Office (Word, Excel, Powerpoint, Outlook) (Required).
• System user experience in a highly automated environment (Required).
• Bilingual ability (verbal, written) (Preferred).
• Strong cross-group collaboration, teamwork, problem solving, and decision-making skills (Required).
• Ability to work a flexible schedule (evenings, weekends and holidays) (Required).

Aufgaben

• Assess and evaluate needs of our most complex members with a multidisciplinary team.
• Identify goals, strategies and interventions based on concerns.
• Develop and evaluate medical management strategies for high-quality care.
• Include member and family as appropriate.
• Engage with PCP/designee and treatment team.
• Support adherence to the care plan and goals.
• Collaborate with stakeholders to ensure action plan clarity.
• Ensure care management processes meet regulations and standards.
• Enter and maintain EMR documentation.
• Participate in required training and committees.

Kenntnisse

RN license

CCM certification

Clinical experience

Bilingual ability

Motivational Interviewing

Tools

MS Office

Jobbeschreibung

EmblemHealth is seeking a registered nurse to provide care management as part of a multidisciplinary team in the New York area. Responsibilities include telephonic and in-person assessments, coordinating care, and implementing interventions to support high-risk members within the community.

The role requires an active NY RN license and 4–6+ years of clinical experience; CCM preferred. A hybrid work model includes remote days and in-person days at ACPNY locations.