CareSource mission

Hybrid Registered Nurse Care Manager - Long Island

Queens, NY

Sponsorship not specified$100k-$135kDetected 2 days ago

ExcelResearchProblem SolvingTime ManagementWritingMicrosoft Office

About the role

The Nurse Care Manager is 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 while promoting quality cost effective outcomes.
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.

Works with member/family to maintain the most independent living situation possible
Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member.
Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM).
Develop Self and Others
Drive Execution
We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team.
Identifies same day grievances, investigates and documents accordingly.
Documents any grievance according to plan policy.

Over 50% (Mobile) Routine travel required
Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs.
May be required to travel greater than 50% of time to perform work duties.
Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer

Associates degree in Nursing from an accredited nursing program required
Bachelor's degree in Nursing preferred
Two (2) years of experience as a registered nurse required
Clinical experience in geriatrics and/or managed long-term care experience preferred
Experience using multiple languages may be required based on operational needs
Current, unrestricted Registered Nurse licensure in the state of New York required
Case Management Certification preferred
Must have valid driver's license, vehicle and verifiable insurance.

Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
Ability to communicate effectively with a diverse group of individuals
Ability to multi-task and work independently within a team environment
Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
Adhere to code of ethics that aligns with professional practice
Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
Strong advocate for members at all levels of care
Strong understanding and sensitivity of all cultures and demographic diversity
Ability to interpret and implement current research findings
Awareness of community & state support resources
Critical listening and thinking skills
Decision making and problem-solving skills

$100,000 - $135,000
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
Compensation Type (hourly/salary):

Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes.

This listing is sourced directly from CareSource mission's careers page and normalized into a canonical job model.