Registered Nurse Care Manager, Russian Speaking Preferred

CareSource

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

Posted 10/28/2026full-timeQueens • New York • United StatesJuniorMid-Level💰 $100,000 - $135,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, including in-home assessments, service planning, and interdisciplinary collaboration. Proficient in navigating healthcare regulations and case management standards while ensuring optimal patient outcomes.

Highest-signal resume keywords

Registered Nurse LicensureCare CoordinationCase Management CertificationPatient Centered Service PlansHealthcare Regulations Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

In-Home AssessmentCare ManagementPatient AdvocacyService AuthorizationEligibility AssessmentDocumentation of Care ManagementGeriatric Clinical ExperienceBilingual CommunicationMicrosoft Office ProficiencyDecision-Making Skills

Soft Skills

Critical ListeningOrganizational SkillsTime ManagementProblem-Solving Skills

Certifications & Qualifications

Registered Nurse LicensureCase Management Certification

Industry Keywords

Healthcare ContinuumInterdisciplinary TeamsCMSA StandardsGrievance DocumentationAdverse Determinations

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 across the healthcare continuum
Authorize covered services and coordinate care regardless of payer
Collaborate with members, families, caregivers, primary care practitioners and interdisciplinary teams
Support the most independent living situation possible
Manage care across hospital, sub-acute, long-term and home settings
Assess ongoing eligibility for services
Perform home visits to assess living situations, cultural influences, and functional and cognitive needs
Develop Patient Centered Service Plans with primary care physicians and the Inter-Disciplinary Team
Ensure safe and appropriate member discharge plans
Identify, investigate and document grievances
Present complex care management cases at Intensive Care Management meetings
Respond to member requests 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 and authorize medically appropriate services using network providers
Travel regularly to homes, offices and other public settings, potentially more than 50% of the time
Perform other related duties as requested

Requirements

What you’ll need

Associate 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
Critical listening and thinking skills
Decision-making and problem-solving skills
Strong organizational and time management skills
Valid driver's license, vehicle and verifiable insurance required
Successful driver's license record check required
Annual influenza vaccination required during influenza season
Must reside in the assigned territory
Russian speaking preferred
Bachelor's degree in Nursing preferred
Clinical experience in geriatrics and/or managed long-term care 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

Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Reasonable accommodations for qualified individuals
Annual influenza vaccination provided/required as a condition of continued employment
Flexible hours, including possible evenings and/or weekends as needed