Registered Nurse, Care Manager

. Provide care management to a group of health plan members .

Posted 9/25/2026full-timeRemote • New York • United StatesJunior💰 $75,250 - $87,139 per yearWebsite

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 assessment, planning, facilitation, and advocacy through an interdisciplinary approach
Implement quality and cost-effective plans of care based on UAS-NY assessments
Collaborate with members, families, health care teams, medical providers, and community-based programs
Oversee a caseload of managed care members
Complete required regulatory documentation clearly, concisely, and timely
Coordinate health plan support staff, including LPNs, Community Health Workers, and Care Coordination
Provide guidance and education to support staff
Participate in departmental and staff meetings and required training
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 and respect members' cultural health beliefs, language needs, and support systems
Perform other duties as assigned

What you’ll need

License and current registration as a Registered Professional Nurse in New York State
Associate degree required
BSN preferred
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 literacy 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 perform duties involving exposure or potential exposure to blood, body fluids, or tissues
Ability to lift up to 20 pounds frequently and up to 50 pounds occasionally

Comp & perks