Hybrid Registered Nurse, Care Manager

at CareSource

• Job title: Registered Nurse, Care Manager
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $100,000 - $160,000 per year
• Degree requirement: Associate's Degree
• Location requirements: Hybrid, Brooklyn, United States

About the role

• Nurse Care Manager coordinating member care services and health assessment in Brooklyn. Collaborating with healthcare teams for quality member outcomes and continuous care management.

Responsibilities

• Responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs
• Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status
• Authorizes covered services and coordinates care regardless of payer
• Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team
• Works with member/family to maintain the most independent living situation possible
• Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings
• Regularly assesses members for ongoing eligibility for services based on the specific plan’s eligibility criteria
• Performs home visits as required to assess members’ living situation, cultural influences, functional and cognitive needs
• Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member
• Documents care management/coordination according to company policy to the specific plan the member is enrolled in
• Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members’ needs

Requirements

• Associates degree in Nursing from an accredited nursing program required
• Bachelor's degree in Nursing preferred
• Three (3) years of experience as a registered nurse required
• Clinical experience in geriatrics and/or managed long-term care experience preferred
• Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
• Bilingual speaking and writing skills are preferred.
• Must hold current, unrestricted Registered Nurse licensure in the state of New York required.

Benefits

• Comprehensive total rewards package
• Bonus tied to company and individual performance
• Health insurance
• Paid time off
• Flexible work arrangements
• Professional development opportunities