RN-Nurse Care Manager
$100k - $135kPride Global
Job Description
Job Description
Position: RN Case Manager
Employment Type: Full-Time
Work Structure: Hybrid – Field + Remote
Territory: Queens, NY
The RN Case Manager is responsible for providing comprehensive care coordination, including in-home assessments, care planning, advocacy, service authorization, and ongoing monitoring to ensure members receive the appropriate services based on their individual health and functional needs. Responsibilities Include:
- Conduct in-home assessments and monitor members' health, functional, cognitive, and environmental needs.
- Develop and implement individualized, patient-centered service plans.
- Coordinate care across hospitals, nursing facilities, home care, and other healthcare settings.
- Authorize covered services and ensure services are appropriate and cost-effective.
- Collaborate with members, families, caregivers, physicians, and interdisciplinary teams.
- Advocate for members and help them maintain the most independent living situation possible.
- Complete required care management documentation, assessments, and re certifications.
- Coordinate safe and appropriate discharge plans.
- Identify members with complex care needs and participate in intensive care management discussions.
- Respond to member requests, grievances, and care management needs within required time frames.
- Connect members with appropriate community and state resources.
- Current, unrestricted New York State RN license required.
- Associate's Degree in Nursing from an accredited nursing program required.
- Bachelor's Degree in Nursing preferred.
- Minimum 2 years of RN experience required.
- Clinical experience in geriatrics and/or Managed Long-Term Care (MLTC) preferred.
- Strong assessment, critical thinking, decision-making, and problem-solving skills.
- Strong organizational and time-management abilities.
- Ability to work independently and collaboratively with a multidisciplinary team.
- Bilingual speaking and writing skills preferred.
Field Schedule : Approximately 6 home visits completed in 1 day
Remote Work: Care coordination, documentation, member follow-ups, and care planning
Training Location: Queens Office
Travel: Over 50% mobile; regular travel throughout the assigned territory
Driver Requirement: Valid driver's license, personal vehicle, and verifiable auto insurance required
Salary: $100,000–$135,000 per year, based on education, training and experience
Benefits: Health, dental, vision, retirement plan, paid time off, professional development, and employee wellness programs
Certification: Case Management Certification preferred Immediate Opportunity!
Ready to take your nursing career beyond the bedside? Apply today and make a difference by helping members receive the care, services, and support they need to live safely and independently in their communities! #PHC
#PHCPermZip
Vacancy posted 13 days ago
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