RN Care Manager
Integrated Resources Inc
Job Title: RN Care Manager -ED
Job Location: New York, NY 10004
Job Duration: 3 Month (Possibility of extension)
Shift time: 9AM to 5PM , Hybrid Pay - $65/hr. - $68/hr. on w2 Note: We have openings for Manhattan/ Brooklyn/ Bronx/ Queens (choose any location, shift, department as per experience) Position Overview:
Role & Responsibilities:
Education & Licensure :
Job Location: New York, NY 10004
Job Duration: 3 Month (Possibility of extension)
Shift time: 9AM to 5PM , Hybrid Pay - $65/hr. - $68/hr. on w2 Note: We have openings for Manhattan/ Brooklyn/ Bronx/ Queens (choose any location, shift, department as per experience) Position Overview:
Role & Responsibilities:
- Ensure compliance with regulatory requirements and participate in the rotating on-call schedule.
- Document member contacts and care coordination activities within two business days.
- Coordinate with Utilization Management and Quality Management teams.
- Review additional service authorization requests and refer denials or reductions to the Medical Director when needed.
- Coordinate care transitions, discharge planning, and services across in-network and out-of-network providers.
- Assess member risks and identify clinical issues requiring timely intervention.
- Develop and monitor individualized care plans in coordination with members, physicians, nurses, and other providers.
- Review member assessments and UAS information for MLTC and MAP programs.
- Minimum of five (5) years of clinical experience as a Registered Nurse
- Leadership experience preferred
- Experience in: Care Coordination, Utilization Review, Discharge Planning
- Computer literacy required
- Bilingual Spanish Certification in Case Management
Education & Licensure :
- Licensed Registered Nurse (RN) in the State of New York (required)
- Baccalaureate degree (required)
- PRI and Screen certification required within three (3) months of employment
- Preferred Qualifications: Master's Degree
Vacancy posted 22 hours ago
Similar jobs that could be interesting for youBased on the RN Care Manager in New York, NY vacancy
- ...Leading MLTC in the NY area is seeking experienced REMOTE Care Managers CANDIDATES MUST RESIDE IN THE METROPOLITAN NEW YORK ARE Responsibilities... ...in accordance with departmental workflows Background RN, State of NY Previous Care Management experience in an MLTC...SuggestedRemote work
Green Key Resources
New York, NY3 days ago - ...Position Overview The primary goal of the Care Manager is to optimize members' health care and delivery of care experience with expected... ...registration to practice as a Registered Professional Nurse (RN) issued by the New York State Education Department (NYSED)....SuggestedWork at office
MetroPlusHealth
New York, NY2 days ago $90k
...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding... ...for experienced candidates ~ BSN for new graduates ~ NYS RN license required ~ CCM preferred ~1 year of RN experience in...SuggestedFull timePart timeRelocation packageFlexible hoursMJHS
New York, NY5 days ago- ...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding... ...for experienced candidates ~ BSN for new graduates ~ NYS RN license required ~ CCM preferred ~1 year of RN experience in...Suggested
Metropolitan Jewish Health System
New York, NY5 days ago - ...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,...SuggestedFull timeContract workMonday to FridayShift work
ATRIA Consulting
New York, NY1 day ago $56.2k - $101k
...Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide... ...New Jersey, and requires an active New Jersey Registered Nurse (RN) license. The standard schedule is Monday through Friday from...Full timePart timeWork at officeLocal areaRemote workMonday to FridayFlexible hoursCentene Corporation
New York, NY11 hours ago- Position Overview The primary goal of the Care Manager is to optimize members’ health care and delivery of care experience with expected cost... ...registration to practice as a Registered Professional Nurse (RN) issued by the New York State Education Department (NYSED). Professional...
- Elderplan and HomeFirst, Medicare/Medicaid managed care health plans, are seeking a registered nurse to provide comprehensive case management... ..., physical, and spiritual needs. Ideal candidates hold an NYS RN license, ADN or BSN, and prefer CCM. #J-18808-Ljbffr MJHS
- Fidelis Care - New York is seeking a field-based Care Management RN to assess and coordinate medical and support services for complex, high-acuity populations. You will develop personalized care/service plans for long-term members and educate families on benefits and options...
$84k - $105k
...in our mission and experience why amazing health starts with amazing healthcare. For more information, visit As a Full Time Care Manager RN , at a privately managed Health Center you'll provide accessible, comprehensive primary care services to Hormel Foods employees...Full timeLocal areaAfternoon shiftEarly shift- ArchWell Health is seeking a Nurse Care Manager to coordinate and evaluate care for patients with acute and chronic conditions across the care continuum. You will develop comprehensive care plans with the care team and execute them to meet performance standards, regulatory...Remote job
- Green Key Resources is seeking experienced remote Care Managers for the New York metro area. This role supports MLTC members by coordinating... ...needs with an interdisciplinary team. The ideal candidate is an RN licensed in NY with prior managed care or MLTC experience and...Remote job
- A healthcare organization in New York is seeking a Clinical Coordinator/RN Care Manager responsible for conducting comprehensive assessments upon patient admission. The role involves coordinating care, facilitating discharge planning to prevent readmissions, and collaborating...
- Molina Healthcare seeks an RN Care Manager to support Medicaid and Medicare members in the New York area. The role involves home visits, care planning, and coordinating LTSS services with a multidisciplinary team. Responsibilities include member assessments, waiver processes...
- Your job is more than a job You overthink every care option and scenario because, as a Care Manager, you’re the hub of your patient's case management and care plan. You assure quality through the continuum of care, collaborate with members of the care team, and implement...Shift work
- ...rapidly changing society. Job Description Provide daily oversight of clinical case management team to insure timely evaluation, development and implementation of individualized plan of care that insures at risk and chronically ill members receive necessary services and...
$71.1k - $97.8k
Become a part of our caring community Great nursing careers should leave room for your life, too! As an RN Care Manager, you will enjoy no nights or weekends while making a meaningful difference for Wisconsin Family Care Program members in your community. Reporting to...Full timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayWeekend work$80.07k - $96.84k
Job Description: Care Manager - Registered Nurse Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice...Work at officeLocal areaRemote workFlexible hoursNight shiftWeekend work- Molina Healthcare seeks an RN-care manager to support LTSS-oriented care coordination. You will collaborate with a multidisciplinary team to implement and monitor care plans, ensuring timely assessments and effective coordination of waiver services. The role requires an...
- ...Health is re-imagining the practice of primary care. We are putting the relationship between... ...cost of care. Job Summary The Nurse Care Manager is responsible for helping coordinate and... .... Bachelor's Degree in Nursing (BSN) or RN with bachelor's degree in a related...Work experience placementWork at officeRemote work
- A healthcare provider based in New York is seeking a Care Manager to enhance members’ healthcare delivery while achieving cost savings through... ...ideal candidate will possess a Bachelor’s Degree, valid NYS RN license, and a minimum of 2 years of experience in a health care...
- Humana Inc. is seeking a Telephonic Registered Nurse Care Manager to operate remotely, handling patient transitions and post-acute care planning... ...Care services. The position requires an Associates Degree, RN license, and at least 3 years in post-acute nursing, with BSN...Remote jobPart timeWeekend work
- ...Health System seeks a nurse to coordinate patient care within the Warren Clinic. The role focuses on disease registry management, follow-ups, and performance reporting to... ...candidate has a nursing degree and an Oklahoma RN license with BLS certification, plus several years...Remote job
- ...Longitudinal Care Manager The Longitudinal Care Manager provides ongoing care coordination and management for patients over time, ensuring... ...and their families. Qualifications: Current NYS RN license Experience in case management, care coordination, or...Remote job
$71.1k - $97.8k
Become a part of our caring community Humana/iCare is seeking an RN Care Manager to join the team in the Family Care Partnership (FCP) program to provide services to members in our newly expanded service area to include the following Counties: Racine, Kenosha, Waukesha,...Full timeTemporary workApprenticeshipWork at officeRemote workHome officeMonday to Friday- MetroPlus in New York is seeking a Care Manager to optimize members' health care and care experience, collaborating with the member’s care... ...and environmental needs. The position requires a New York State RN license, a Bachelor’s degree, and at least two years of healthcare...
- A leading Health Insurance company is seeking a talented RN Care Management Coordinator for a remote contract position. The role involves applying critical thinking and medical knowledge to determine case appropriateness and collaborating with healthcare providers. Candidates...Remote jobHourly payContract work
- EmblemHealth seeks a care manager to provide care coordination within a multi-disciplinary team. You will perform telephonic or face-to-face assessments, identify gaps in care, and coordinate interventions to support high-risk members in the community. The role emphasizes...Flexible hours
- The Clinical Coordinator / RN Care Manager performs the initial comprehensive assessment on admission in accordance with the Care Management Department policy, screening all patients by utilizing established tools for high-risk indicators to ensure high-risk patient populations...Local area
- Fully Remote • Maryland, MD • Care Management Job Type Full-time Description Summary/Position Objectives: This position is responsible for the planning, development, implementation, and timely oversight of care plans for members with identified Care Management (CM) needs...Full timeTemporary workWork experience placementWork at officeLocal areaRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Care Manager. Be the first to apply!
Related searches