Registered Nurse Care Manager, Mandarin Speaking Preferred

CareSource

. Provide care coordination through in-home assessment, planning, facilitation, advocacy and authorization of covered plan services .

Posted 10/7/2026full-timeQueens • New York • United StatesJuniorMid-Level💰 $100,000 - $135,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care coordination, including in-home assessments, service planning, and advocacy for members across various healthcare settings. Proficient in developing patient-centered service plans and ensuring compliance with healthcare laws and case management standards.

Highest-signal resume keywords

Registered Nurse LicensureCare CoordinationPatient Centered Service PlansCase Management CertificationExperience in Geriatrics

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

In-Home AssessmentCare ManagementService AuthorizationEligibility AssessmentDocumentation of Care ManagementGrievance InvestigationComplex Case PresentationPlan-Specific Criteria KnowledgeCognitive Needs AssessmentFunctional Needs Assessment

Soft Skills

CollaborationAdvocacyCommunicationFlexibilityProblem Solving

Tools & Technologies

Microsoft OfficeOutlookWordExcel

Certifications & Qualifications

Registered Nurse LicensureCase Management Certification

Industry Keywords

Healthcare ContinuumCMSA StandardsCommunity Support ResourcesManaged Long-Term CareFederal Healthcare LawsState Healthcare Regulations

About the role

Key responsibilities & impact

Provide care coordination through in-home assessment, planning, facilitation, advocacy and authorization of covered plan services
Assess and closely monitor members' needs and status across the healthcare continuum
Authorize covered services and coordinate care regardless of payer
Collaborate with members, families, caregivers, primary care practitioners and the interdisciplinary team
Support the most independent living situation possible for members
Provide continuous care management across hospital, sub-acute, long-term and home settings
Assess ongoing eligibility for services based on plan-specific criteria
Conduct home visits to assess living situations, cultural influences, functional needs and cognitive needs
Develop Patient Centered Service Plans with the primary care physician and Inter-Disciplinary Team
Ensure safe and appropriate member discharge plans
Identify, investigate and document same-day grievances
Present complex care management cases at Intensive Care Management meetings
Respond to member requests within designated timeframes and complete Initial Adverse Determinations as indicated
Identify members requiring Care Management Review and formulate appropriate plans of care
Document care management and coordination according to company and plan policies
Develop efficient plans of care, authorize needed services at appropriate levels, utilize network providers and align services with member needs
Perform other job-related duties as requested
Travel regularly to homes, offices and other public settings in a mobile role

Requirements

What you’ll need

Associate's degree in Nursing from an accredited nursing program required
Two (2) years of experience as a registered nurse required
Current, unrestricted Registered Nurse licensure in the state of New York required
Intermediate proficiency with Microsoft Office, including Outlook, Word and Excel
Knowledge of local, state and federal healthcare laws and regulations and company case management policies
Knowledge of and adherence to Case Management Society of America (CMSA) standards
Ability to interpret and implement current research findings
Awareness of community and state support resources
Must have a valid driver's license, vehicle and verifiable insurance
Successful driver's license record check required
Influenza vaccination required during influenza season (October 1–March 31), with proof required
Must reside in the assigned territory
May be required to travel greater than 50% of the time
Flexible availability, including possible evenings and/or weekends
Experience in geriatrics and/or managed long-term care preferred
Bachelor's degree in Nursing preferred
Experience using multiple languages may be required based on operational needs
Bilingual speaking and writing skills preferred
Case Management Certification preferred

Benefits

Comp & perks

$10,000 sign-on bonus
Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Flexible hours, including possible evenings and/or weekends
Reasonable accommodations for qualified individuals with disabilities, medical conditions, or sincerely held religious beliefs
Annual influenza vaccination provided as a condition of continued employment, with 30 days from hire to complete it for employees hired during influenza season