Care Manager – Nursing

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🏈 Alabama, California, +18 more states – Remote

🏈 Alabama – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote ⚜️ Louisiana – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

💵 $98k - $108k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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CenterLight Healthcare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

CenterLight Healthcare is a leading non-profit provider of health and related services to older adults in need across the New York metropolitan area. Specializing in long-term care and managed long-term care, they offer a range of services including short-term rehabilitation, skilled nursing, home healthcare, and community-based care. CenterLight Healthcare PACE serves participants aged 55 and older, assisting those eligible for Medicare and/or Medicaid, and operates multiple centers to provide comprehensive medical and supportive services, emphasizing individualized care tailored to the unique needs of each participant.

📋 Description

• Manage overall care management and quality of care for participants • Review field staff assessments and discipline-specific documentation for quality and address deficiencies • Participate in care planning meetings and act as a member of the IDT • Monitor field staff documentation and conduct coaching, competency, and training sessions • Coordinate a continuum of care aligned with members’ healthcare needs and goals • Arrange, coordinate, and authorize appropriate member-specific services, including ADL/IADL assistance, housing, meals, and transportation • Implement care management activities and interventions to achieve participant goals • Coordinate transitions between care settings with team members, facilities, discharge planners, and home care coordinators • Document services according to CLHC standards and federal/state regulations • Coordinate long-term care services in nursing homes, rehabilitation facilities, and other settings • Collaborate with PCPs, specialty physicians, specialty services, and the IDT regarding participant condition changes • Provide or arrange skilled services, service authorization, periodic reassessment, and service evaluation • Monitor care management activities, services, member responses, plan effectiveness, and service utilization • Modify plans of care based on changes in member health and goals • Maintain current knowledge of health issues, procedures, evidence-based clinical guidelines, medications, and practice standards • Recommend improvements to services, programs, policies, and procedures • Follow disciplinary policies and engage Human Resources as needed • Act only within the scope of authority to practice • Complete required position competencies before working independently • Work 8:00 AM–5:00 PM, 40 hours weekly

🎯 Requirements

• Graduated from a Nursing education program acceptable to New York State Education Department (NYSED) • Bachelor's degree preferred • Minimum of two (2) years of Care Planning Experience • Minimum of two (2) years of administrative experience in a management capacity in a certified home health agency (CHHA), long-term home health care (LHCSA), acute care, medical-surgical, and/or critical care, nursing home experience, diagnostic & treatment clinic preferred • Customer Service experience required • Managed long-term care insurance experience beneficial • Minimum of one (1) year of experience working with a frail or elderly population, or receive appropriate PACE organization training upon hiring if having less than one year while meeting other requirements • Supervisory experience preferred • Current active and unrestricted license and registration in New York State required • Be legally authorized to practice in the state where the healthcare professional will perform the function • Be medically cleared for communicable diseases and have all immunizations up-to-date before direct participant contact • Bilingual preferred • Meet physical, cognitive, visual, auditory, mobility, lifting, and fine motor requirements of the position