Registered Nurse, Care Manager

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*** THIS POSITION MAY BE ELIGIBLE FOR UP TO A $15,000 SIGN-ON BONUS ***

• Provides care management for members through an interdisciplinary approach through assessment, planning, facilitation, and advocacy for support and services to meet a member's needs.
• Implements an appropriate, quality, and cost-effective plan of care that utilizes all resources available to meet the member’s needs in collaboration with the member, family, health care team, medical providers, and other community-based programs based on the UAS-NY assessment.
• Oversees caseload of managed care members.
• Performs all care management activities in compliance with all regulatory agency requirements; completes required documentation, that is clear and concise and is done in a timely manner (organizational standards). Responsible for coordination of health plan support staff, including LPN, Community Health Workers, and Care Coordination; provide guidance and education to efficiently manage patients using a team approach.
• Participate in departmental meetings and attend all scheduled staff meetings and training as applicable and required.
• Adhere to all state and federal privacy regulations, including HIPAA and Nascentia Health Options policies and agreements regarding confidentiality, privacy, and security.
• Communicate and collaborate effectively with potential members, their families, health plan staff, and providers.
• Acts as a liaison and member advocate.
• Demonstrates cultural competence by respecting and being responsible for the member's cultural health beliefs, language needs, and support system.
• Other duties as assigned.

• 1. Nursing:
  License and current registration as a Registered Professional Nurse in New York State.
  
  Education:
  
  BSN preferred; associate degree required. Minimum of one year of Nursing Experience is required.
• 2. Long-term care and/or managed care experience a plus
• 3. Knowledge of homecare, Medicare, and Medicaid is a plus.
• 4. Care Management Certification is a plus.
• 5. Bilingual skills a plus
• 6. Ability to work independently and prioritize workload.
• 7. Computer literate and working knowledge of basic computer skills and Microsoft Office programs.
• 8. Strong communication skills, both person-to-person, virtually, and by phone.
• 9. Valid NYS driver’s license and ability to drive in all types of weather.
• 10. Ability to learn and routinely utilize the organization’s software systems to perform required job duties.

• This role offers the benefits of a remote-first work environment, supporting work-life balance and flexibility. Employees may occasionally attend in-person training or team events a few times per year.
• Standard postures include standing, sitting, bending, walking, and driving.
• Frequently uses a laptop computer to enter orders and obtain product information.
• Sensory requirements include speech, vision, smell, and hearing.
• Lifting requirements of up to 20 pounds frequently and up to 50 pounds occasionally
• Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids, or tissues.

[This is an S03 exempt position with a min-max rate of: $75,250- $87,138.92 /annually] with:

• $15,000 sign-on bonus*
• Eligible Site for the Nurse Corps Loan Repayment Program
• 401k with generous Employer match
• 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…