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Registered Nurse, Care Manager
Nascentia Health. Provide care management to a group of health plan members .
About the role
Key responsibilities & impact- Provide care management to a group of health plan members
- Create Person-Centered Service Plans (PCSP)
- Coordinate services and document care according to health plan standards
- Provide care management through assessment, planning, facilitation, and advocacy
- Implement quality and cost-effective plans of care using available resources and UAS-NY assessments
- Oversee a caseload of managed care members
- Complete regulatory documentation clearly, concisely, and on time
- Coordinate health plan support staff, including LPNs, Community Health Workers, and Care Coordination
- Provide guidance and education using a team approach
- Participate in departmental, staff, and training meetings
- Adhere to state and federal privacy regulations, including HIPAA
- Communicate and collaborate with members, families, health plan staff, and providers
- Act as a liaison and member advocate
- Demonstrate cultural competence regarding members' cultural health beliefs, language needs, and support systems
- Perform other duties as assigned
Requirements
What you’ll need- License and current registration as a Registered Professional Nurse in New York State
- Associate degree required
- Minimum of one year of Nursing Experience required
- Long-term care and/or managed care experience a plus
- Knowledge of homecare, Medicare, and Medicaid a plus
- Care Management Certification a plus
- Bilingual skills a plus
- Ability to work independently and prioritize workload
- Computer literate and working knowledge of basic computer skills and Microsoft Office programs
- Strong communication skills, both person-to-person, virtually, and by phone
- Valid NYS driver's license and ability to drive in all types of weather
- Ability to learn and routinely utilize the organization's software systems
- Ability to meet physical requirements, including lifting up to 20 pounds frequently and up to 50 pounds occasionally
- Tasks routinely involve exposure or potential exposure to blood, body fluids, or tissues
- Employment contingent upon negative results of a pre-hire drug screen
Benefits
Comp & perks- Up to a $15,000 sign-on bonus
- Eligible Site for the Nurse Corps Loan Repayment Program
- Retention bonuses
- 401k with generous Employer match
- Medical, Dental, Vision plans
- 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/Long term Disability
- Employee Assistance Program (EAP)
- Remote-first work environment supporting work-life balance and flexibility
- No rotating shifts, holidays, or weekends
- Occasional in-person training or team events a few times per year