Community Based Care Manager RN
$62.7k - $100.4kCareSource
- # Community Based Care Manager RNApplylocations: Georgia Mobiletime type: Full timeposted on: Posted Todayjob requisition id: R13013**Job Summary:**The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates care and service of the member through assessments, identification and planning, and assists the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs with the aim to improve the of lives our members.**Essential Functions:*** Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks* Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member* Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to hospital, provider office, community agency, member’s home, telephonic or electronic communication* Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT, based on member’s desires, needs and preferences* Identify and manage barriers to achievement of care plan goals* Identify and implement effective interventions based on clinical standards and best practices* Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management* Facilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomes* Educate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made* Employ ongoing assessment and documentation to evaluate the member’s response to and progress on the ICP* Evaluate member satisfaction through open communication and monitoring of concerns or issues* Monitors and promotes effective utilization of healthcare resources through clinical variance and benefits management* Verify eligibility, previous enrollment history, demographics and current health status of each member* Completes psychosocial and behavioral assessments by gathering information from the member, family, provider and other stakeholders* Oversee (point of contact) timely psychosocial and behavioral assessments and the care planning and execution of meeting member needs* Participate in meetings with providers to inform them of Care Management services and benefits available to members* Assists with ICDS model of care orientation and training of both facility and community providers* Identify and address gaps in care and access* Collaborate with facility-based healthcare professionals and providers to plan for post-discharge care needs or facilitate transition to an appropriate level of care in a timely and cost-effective manner* Coordinate with community-based organizations, state agencies and other service providers to ensure coordination and avoid duplication of services* Adjust the intensity of programmatic interventions provided to member based on established guidelines and in accordance with the member’s preferences, changes in special healthcare needs, and care plan progress* Appropriately terminate care coordination services based upon established case closure guidelines for members not enrolled in contractually required ongoing care coordination.* Provide clinical oversight and direction to unlicensed team members as appropriate* Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation* Continuously assess for areas to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process* Regular travel to conduct member, provider and community-based visits as needed to ensure effective administration of the program* Adherence to NCQA and CMSA standards* Perform any other job duties as requested**Education and Experience:*** Nursing degree from an accredited nursing program or Bachelor’s is required* Licensure as a Registered Nurse is required* Advanced degree associated with clinical licensure is preferred* A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required* Three (3) years Medicaid and/or Medicare managed care experience is preferred**Competencies, Knowledge and Skills:*** Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence* Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel* Ability to communicate effectively with a diverse group of individuals* Ability to multi-task and work independently within a team environment* Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices* Adhere to code of ethics that aligns with professional practice* Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice* Strong advocate for members at all levels of care* Strong understanding and sensitivity of all cultures and demographic diversity* Ability to interpret and implement current research findings* Awareness of community & state support resources* Critical listening and thinking skills* Decision making and problem-solving skills* Strong organizational and time management skills**Licensure and Certification:*** Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Clinical Counselor is required. Licensure may be required in multiple states as applicable based on State requirement of the work assigned* Case Management Certification is highly preferred* Must have valid driver’s license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check and verified insurance. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated.* To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.* CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.**Working Conditions:*** This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.* Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need* May be required to travel greater than 50% of time to perform work duties.* Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer* Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members**Compensation Range:**$62,700.00 - $100,400.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.**Compensation Type (hourly/salary):**Salary**Organization Level Competencies*** Fostering a Collaborative Workplace Culture* Cultivate Partnerships* Develop Self and Others* Drive Execution* Influence Others* Pursue Personal Excellence* Understand the Business## **This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.**
- J-18808-Ljbffr CareSource
Vacancy posted 6 days ago
Similar jobs that could be interesting for youBased on the Community Based Care Manager RN in New York, NY vacancy
$62.7k - $100.4k
CareSource in Georgia seeks a qualified Community Based Care Manager RN to join their inter-disciplinary care team. The role involves improving member quality of life through care coordination and culturally competent service delivery. Ideal candidates hold a nursing degree...Community$65 - $70 per hour
...Job Description Job Description RN Clinical Manager – Care Delivery Rockaway Parkway / Canarsie... ...Schedule ~$65.00–$70.00 per hour , based on experience ~ Full-time – 37.5 hours... ..., nursing homes, home care, and community settings Oversee incident follow-up...CommunityHourly payPermanent employmentFull timeTemporary workImmediate startMonday to FridayNight shiftWeekend workWeekday workHumanEdge Allied Health
New York, NYa month ago- ...RN Care Manager Shift - 9 AM - 5 PM (Hybrid) Location: New York, NY 10004 Duration: 10/12/... ...committed to empowering New Yorkers by uniting communities through care. We believe that health... ...requests for additional services based on assessments and using evidence-based...CommunityImmediate startShift work
Careers Integrated Resources Inc
New York, NY8 hours ago $41.2 - $62.17 per hour
Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical... ...patients, families/caregivers, healthcare providers, payers, community-based providers, and other stakeholders to ensure efficient,...CommunityHourly payRemote work- ...Registered Nurse Care Manager We are seeking an experienced Registered Nurse Care Manager... ...programs. This role is ideal for an RN with strong experience in care management... ...utilization review, discharge planning, and community-based healthcare. Key Responsibilities...Community
$134.9k - $168k
Care Manager - RN - Medicine Units Across NewYork-Presbyterian/Weill Cornell Medical Center, Care... ...Workplaces for Culture, Belonging & Community - Newsweek 2026 Best Places to Work in... ...compensation packages start with competitive base pay and include recognition for your...CommunityShift work- ...specialty provider and staff, and community resources in a team We are... ...a bilingual and remote care manager to join our rapidly growing team... ...Must be mininally licensed RN COLORADO Must have good... ...with internet COMPENSATION: Based on a base plus incentive...CommunityWork at officeRemote work
Pharmko
New York, NYa month ago $100k - $110k
Hybrid then Remote - RN Care Manager - Bilingual - MLTC Be among the first 25 applicants two weeks... ...Talk with your recruiter for details. Base Salary Range $100,000.00 to $110,000.00... ...ensure members receive safe, effective community care. Reports to the Supervisor of Care...CommunityRemote jobFull timeSecond jobWork at officeImmediate startRelocation package$26.41 - $61.79 per hour
...DESCRIPTION Provides support for care management/care coordination long-term... ...supports (LTSS) and home and community resources to enhance... ...local travel may be required (based upon state/contractual requirements... ...experience. Registered Nurse (RN). License must be active and...CommunityHourly payWork experience placementWork at officeLocal area- ...Overview The primary goal of the Care Manager is to optimize members’... ...and appropriately referring to community supports Advocate for members... ...Professional Nurse (RN) issued by the New York State... ...in multiple systems and web- based applications Confident, autonomous...CommunityWork at office
- ...nursing facilities, and other community based settings in order to complete... ..., implement and evaluate care for eligible members with chronic... ...as Disease/Chronic Condition Management, Behavioral Health, and... ...Wellness (Registered Nurse) RN Care Manager - Utilization Management...CommunityDaily paidFull timeRemote workRelocation packageFlexible hoursDay shift
$75.3k - $135.4k
...Assesses, plans, and implements complex care management activities based on member activities to enable... ...Key Details: This position requires NY RN State Licensure. Hours are Monday - Friday... ...providers, specialist, and/or community resources needed to address member's...CommunityFull timePart timeWork at officeRemote workMonday to FridayFlexible hours$56.2k - $101k
...transforming the health of our communities, one person at a time. As a... ...position with up to 50% field-based travel for in-home member... ...New Jersey Registered Nurse (RN) license required. Preferred... ...assesses, and facilitates complex care management activities for primarily...CommunityFull timePart timeWork at officeLocal areaRemote workMonday to FridayFlexible hours- A RN Medical Care Manager contributes to AHF by blending the Mission and Core Values with care coordination... ...to a comprehensive set of services based on their needs and preferences across... ...'s PIC plan benefits, and community resources to facilitate access to care...Community
$100k - $135k
...Job Summary The Nurse Care Manager is responsible for providing care coordination including... ...members for ongoing eligibility for services based on the specific plan’s eligibility... ...current research findings Awareness of community & state support resources Critical listening...CommunityWork at officeLocal areaHome officeFlexible hoursWeekend workAfternoon shiftCareSource
New York, NY1 day ago$114k - $143k
RN Clinical Care Manager/Case Manager - New York Position Summary: The RN Clinical Care Manager/Case... ...outcomes for Healthmap Solutions members based on provider specific data Incorporate... ...as Healthmap member advocate, utilize community resources and programs, and serve as...CommunityTemporary workWork at officeLocal area- ...Job Description Job Description Care Delivery Manager (RN) – MLTC Location: Bronx, NY Schedule... ...the Bronx. This is an onsite, site-based leadership role (not a field/home... ...RN with a strong background in MLTC, community health, or home care , along with proven...CommunityPermanent employmentFull timeTemporary workRemote workMonday to Friday
HumanEdge
New York, NYa month ago $100k - $135k
...Job Description Job Description Position: RN Case Manager Employment Type: Full-Time Work Structure: Hybrid –... ...Registered Nurse looking to make a meaningful impact through care coordination and community-based nursing? We’re partnering with a mission-driven...CommunityFull timeWork at officeLocal areaImmediate startRemote workPride Health
New York, NY24 days ago$57 - $61 per hour
...seeking an experienced Registered Nurse (Clinical Care Manager) to lead care coordination and clinical quality in a community-based setting. The ideal candidate should have over... ...of clinical management experience, a valid RN license in New York, and strong EMR and UAS assessment...CommunityHourly payMonday to Friday- ...RN Case Manager Responsible for the assessment, reassessment, care planning and coordination of care and services. Includes ongoing monitoring... ...the goal is to keep member in the community by coordinating and managing the community based resources that have been provided....Community
Integrated Resources
New York, NY4 days ago $100k - $115k
...Overview RN Case Manager – Hospice (15k Sign On Bonus). This Jobot Job is hosted by Parker... ...Bit About Us We are a mission-driven, community-based healthcare organization serving patients... ...With a focus on compassionate, holistic care, we offer a collaborative environment...CommunityLocal areaRelocation packageFlexible hoursJobot
New York, NY4 days ago- ...review experience preferred. RN experience is preferred.License... ...Source VerificationMust-Have: Community Nursing, Quality ImprovementDescription... ...units (CEUs)24/7 dedicated Care Line and clinical liaison... ..., and usage limits may vary based on employment status, length of...CommunityTemporary workLocumLocal areaShift work
Cynet Health
New York, NY4 days ago - ...Resources is seeking experienced remote Care Managers for the New York metro area. This role supports... ...team. The ideal candidate is an RN licensed in NY with prior managed care or... ...and connecting members with benefits and community resources to improve #J-18808-Ljbffr...CommunityRemote job
$95.06k
...population we serve, and our communities, achieve optimum health and enjoy... .... What you'll do The Case Manager RN supports the physician and... ...team in facilitating patient care, with the underlying objective... ...stays, and documents findings based on Department standards. Identifies...CommunityWork at officeBassett Healthcare
New York, NY1 day ago$112.35k
Care Manager RN Job Ref: TE0215 Category: Utilization Review and Case Management Department: CASE MANAGEMENT Location: 50 Water Street... ...determinants of health issues Link members to appropriate community and organizational resources. Provide care management...CommunityFull timeMetroPlus Health Plan
New York, NY24 days ago$73.22k - $104.33k
...Requisition 1 Job Details BSN RN BLS certification,... ...trauma-informed medical case management to individuals across the HIV care continuum, ensuring... ...rate will be determined based on candidate experience,... ...for patients; making our communities healthier and stronger; preparing...CommunityDaily paidFull timeTemporary workPart timeFlexible hoursShift work- ...Description Assessments/Reassessments Develop a plan of care with members, providers, and community based organizations to ensure the appropriate levels of... ...population in the NYC area 3 years of experience as a case manager NY State Nurse License ( Clear/Active) Must have...CommunityPrivate practice
$325k
...collaborative and supportive environment• No call and 6 weeks PTO• $325K base salary plus bonuses, $25K signing bonus, $180K student loan... ...one million people - while maintaining a welcoming, close-knit community feel.• Exceptional quality of life - affordable cost of living,...CommunityRelocation packageFlexible hoursShift work$79.37k - $122.97k
Description: Could you be our next Care Coordinator RN at Bryn Mawr Hospital? Why... ...with physicians, peers, community colleagues, and others to... ...prevention, and disease management activities. Develop and Grow... ...for up to $6,000 per year based upon your Full or Part Time...CommunityFull timePart timeMonday to FridayShift workWeekend workDay shift- ...Job Overview Seeking a Licensed Practical Nurse (LPN) to support children and families in a community-based Preventive Services Program. This role focuses on health care coordination, family education, home visits, and connecting families with medical and community...CommunityWork at officeLocal areaRemote work
TemPositions
New York, NY3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Community Based Care Manager RN. Be the first to apply!
Related searches
- community association manager New York, NY
- content and community manager New York, NY
- community manager New York, NY
- senior community manager New York, NY
- community manager remote New York, NY
- community outreach coordinator New York, NY
- community outreach manager New York, NY
- assistant community manager New York, NY
- community impact coordinator New York, NY
- community marketing manager New York, NY