Healthcare Consulting and Placement is currently seeking experienced Registered Nurses for a Remote RN Care Manager opportunity with a Managed Care Plan. This position is fully remote after 2-3 weeks of in-office training in Manhattan, NY. Qualified candidates must hold a NYS-RN License and have previous MLTC RN Care Management experience. Candidates must reside in downstate NY or NJ and be able to commute to Manhattan, NY for training, with occasional in-office meetings as required.
Position Overview
The RN Care Manager provides clinical support and oversight to ensure members receive safe and effective care in the community.
Qualifications
RN (BSN preferred). Must hold a current, valid, and unencumbered license.
Experience as a NY licensed RN in home care, acute, sub-acute, long-term care (LTC), or managed long-term care (MLTCP).
Maintains all state and federal compliance requirements for licensure and employment.
Bilingual, UAS certified, and care management knowledge preferred.
Resides in Downstate NY, Westchester, Long Island, or Northern New Jersey.
Essential Job Responsibilities
Proficiency in article 49 regulation required.
Authorizes services, develops care plans, and coordinates care across the continuum for high-risk populations.
Coordinates hospitalization, skilled services CHHA, nursing home communications, and planning.
Manages Benefits Coordination For Medicare, Medicaid, And Other Insurances.
Coordinates transitional care management (acute to home, home to SNF/custodial, etc.).
Conducts monthly call assessments and follows up on care-related changes.
Coordinates post-discharge services as needed.
Performs other duties as assigned. Bilingual proficiency (Spanish/Cantonese/Mandarin) a plus.
Benefits
Competitive salary ($100,000.00 - $115,000.00 per year based on experience).
Comprehensive benefits package including 401(k), health, dental, vision insurance, life insurance, and generous PTO.
Employee assistance program and flexible schedule.
Referral program available.
Qualified candidates are encouraged to apply now for immediate consideration.
Employment Type: Full-Time
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Human Resources Services
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