Registered Nurse, Care Manager

Posted 1ds ago

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Job Description

Registered Nurse Care Manager coordinating person-centered care plans for Nascentia Health members. Supporting home, post-acute, and long-term community healthcare through remote care management.

Responsibilities:

  • Provide care management to a group of health plan members
  • Create Person-Centered Service Plans (PCSP)
  • Coordinate services and document care according to health plan standards
  • Assess, plan, facilitate, and advocate for member support and services through an interdisciplinary approach
  • Implement quality and cost-effective plans of care using available resources and UAS-NY assessments
  • Collaborate with members, families, healthcare teams, medical providers, and community-based programs
  • Oversee a caseload of managed care members
  • Complete required regulatory documentation clearly, concisely, and timely
  • Coordinate health plan support staff, including LPNs, Community Health Workers, and Care Coordination
  • Provide guidance and education to support staff
  • Participate in departmental, staff, and training meetings
  • Comply with state and federal privacy regulations, including HIPAA
  • Communicate and collaborate with members, families, health plan staff, and providers
  • Act as a liaison and member advocate
  • Demonstrate cultural competence and address members' cultural health beliefs, language needs, and support systems
  • Perform other duties as assigned

Requirements:

  • License and current registration as a Registered Professional Nurse in New York State
  • Associate degree required
  • Minimum of one year of Nursing Experience required
  • Long-term care and/or managed care experience a plus
  • Knowledge of homecare, Medicare, and Medicaid a plus
  • Care Management Certification a plus
  • Bilingual skills a plus
  • Ability to work independently and prioritize workload
  • Computer literacy and working knowledge of basic computer skills and Microsoft Office programs
  • Strong communication skills, both person-to-person, virtually, and by phone
  • Valid NYS driver's license and ability to drive in all types of weather
  • Ability to learn and routinely utilize the organization's software systems
  • Ability to perform duties involving exposure or potential exposure to blood, body fluids, or tissues
  • Ability to meet physical requirements, including lifting up to 20 pounds frequently and up to 50 pounds occasionally

Benefits:

  • Up to a $15,000 sign-on bonus
  • Eligible Site for the Nurse Corps Loan Repayment Program
  • Retention bonuses
  • 401k with generous Employer match
  • Medical, Dental, Vision plans
  • Tuition Reimbursement for BSN after 6 months of employment
  • Exceptional work/life balance - no rotating shifts, holidays or weekends
  • Partially funded HSA
  • Employee Recognition Platform
  • Paid Time Off, Holidays, and Extended Sick Leave
  • Short/Long term Disability
  • Employee Assistance Program (EAP)
  • Remote-first work environment
  • Work-life balance and flexibility
  • Occasional in-person training or team events a few times per year