Care Manager - RN
Atria Consulting
Job Description
Job Description
Work Schedule: Contract, Full time
Hours Per Week:35 hours
Days: Monday, Tuesday, Wednesday, Thursday, Friday
Shift time:9am - 5pm
Work location: Hybrid, zip code 10004
We are seeking an experienced Registered Nurse Care Manager to support care coordination for members enrolled in managed long-term care programs. This role is ideal for an RN with strong experience in care management, utilization review, discharge planning, and community-based healthcare.
Key Responsibilities
- Review member assessments and UAS information for MLTC and MAP programs.
- Develop comprehensive, individualized care plans based on member needs and identified risks.
- Collaborate with primary care physicians, nurses, caregivers, and other healthcare providers.
- Monitor member conditions and identify issues requiring timely clinical intervention.
- Coordinate services across the continuum of care, including transitions and discharge planning.
- Help reduce unnecessary hospitalizations, emergency department visits, and nursing home admissions.
- Partner with Utilization Management on concurrent and retrospective reviews.
- Ensure members receive appropriate preventive and chronic disease care.
- Maintain timely and accurate care management documentation.
- Participate in interdisciplinary care planning and a rotating on-call schedule.
- Ensure care management activities meet applicable MLTC/MAP regulatory requirements.
Key Qualifications
- Active New York State Registered Nurse license required .
- Bachelor's degree required; BSN preferred .
- Minimum 5 years of clinical RN experience .
- 2 to 3 years of experience in CHHA, Lombardi, MLTC and/or MAP programs .
- Experience with care coordination, utilization review, and discharge planning .
- PRI and Screen certification required within three months of employment.
- Strong computer and clinical documentation skills.
- Leadership experience preferred.
- Master's degree, Case Management certification, and bilingual Spanish skills are preferred.
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Vacancy posted 3 days ago
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