Registered Nurse, Care Manager

5 days ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

About

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

Position Overview

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

• Provides care management for members through an interdisciplinary approach involving assessment, planning, facilitation, and advocacy to support member needs.
• Implements a quality, cost-effective plan of care utilizing all available resources, in collaboration with the member, family, healthcare team, providers, and community programs based on the UAS-NY assessment.
• Oversees caseload of managed care members.
• Performs all activities in compliance with regulatory requirements; completes clear, concise, timely documentation. Coordinates support staff including LPNs, Community Health Workers, and Care Coordinators, providing guidance and education for efficient patient management.
• Participates in departmental and staff meetings, and training as required.
• Adheres to privacy regulations including HIPAA and organizational policies regarding confidentiality and security.
• Communicates effectively with members, families, staff, and providers; acts as a liaison and advocate.
• Demonstrates cultural competence respecting members' beliefs, language, and support systems.
• Performs other duties as assigned.

Requirements

• Registered Nurse license and current registration in New York State; BSN preferred, associate degree required.
• Minimum one year of nursing experience.
• Experience in long-term or managed care is a plus.
• Knowledge of home care, Medicare, Medicaid is a plus.
• Care Management Certification is a plus.
• Bilingual skills are a plus.
• Ability to work independently, prioritize, and utilize computer and Microsoft Office skills.
• Strong communication skills, both in person and virtually.
• Valid NYS driver’s license and ability to travel in all weather conditions.

Physical Requirements

The role is remote with required home visits. In-office attendance may be needed. Standard postures include standing, sitting, bending, walking, and driving. Frequently uses a laptop. Sensory requirements include speech, vision, smell, hearing. Lifting up to 20 pounds frequently, up to 50 pounds occasionally. Exposure to bloodborne pathogens.

Compensation & Benefits

Salary: $72,415.71 - $83,922.76 annually with a $15,000 sign-on bonus (restrictions may apply). Includes retention bonuses, 401k with match, health plans, tuition reimbursement, work/life balance, HSA, recognition programs, PTO, holidays, sick leave, disability, EAP, and more.

About Nascentia Health

Leading in home and community health, focusing on holistic, patient-centered care in home settings to improve outcomes and reduce unnecessary facility visits. Committed to employee growth and a supportive work environment.

Nascentia Health is an EOE. Employment contingent on negative drug screen. Located in Syracuse, NY.

#J-18808-Ljbffr