Case Manager, Registered Nurse – New York License

Job not on LinkedIn

🔥 0 minutes ago

🗽 New York – Remote

infoinfo

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 20%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Lifelancer

Lifelancer

51 - 200 employees

Founded 2020

💼 Consulting

🏥 Healthcare

📦 Logistics

💰 Pre Seed Round on 2022-03

Consulting • Healthcare • Logistics

Lifelancer is an AI-powered talent hiring platform that connects employers with skilled professionals in the Life Sciences, Pharmaceutical, and IT sectors. It enables individuals to create profiles showcasing their skills, get matched with high-paying international jobs or projects, and facilitates hiring and payroll for employers in multiple countries. The platform aims to streamline the hiring process with efficient AI sourcing and compliance support.

📋 Description

• Conduct comprehensive assessments of members’ medical, behavioral health, and social determinants of health needs • Spend 50–75% of the day engaging telephonically with members and coordinating their care • Compile clinical information and develop individualized care plans with members • Provide evidence-based disease management education and support • Involve appropriate members of the interdisciplinary care team • Coordinate care to support a seamless healthcare experience • Document care management activities accurately and timely in members’ electronic health records • Collaborate with the Interdisciplinary Care Team to address barriers to care and maintain stable health conditions • Connect members with health plan benefits, community resources, and support services • Meet regulatory requirements within specified timelines • Support Care Team members through clinical decision-making and guidance • Participate in special projects, process improvement initiatives, and mentoring new team members as assigned • Educate and guide members and families on chronic condition management and healthcare navigation • Advocate for necessary services and monitor member progress

🎯 Requirements

• Active and unrestricted Registered Nurse (RN) licensure in New York, or compact licensure in state of residence • Associate’s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED) • Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams • Access to a private, dedicated workspace at home • Ability to work independently from home and collaborate virtually • Minimum 3+ years of nursing experience • Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience • Ability to meet performance and productivity metrics, including call volume, member engagement, and regulatory requirements • Experience or willingness to learn care management within Medicare and Medicaid managed care • Familiarity with community resources and services • Ability to use healthcare technology tools • Effective verbal and written communication • Excellent customer service and engagement skills • BSN preferred • Preferred experience with Medicare and/or Medicaid members, SDoH needs, chronic medical conditions, behavioral health, health-related assessments, and care planning • Bilingual skills, especially English-Spanish, preferred

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility

Apply Now

Similar Jobs

🕒 Yesterday

The NAI

1 - 10

💼 Consulting

📣 Marketing

📱 Media

Claims Review Nurse resolving healthcare claim disputes for Capitol Bridge’s Florida and multi-state medical review programs. Assessing documentation, coordinating clinical reviewers, and drafting determinations.

🇺🇸 United States – Remote

💵 $75k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🕒 2 days ago

AMDEX Corp

51 - 200

💼 Consulting

🏥 Healthcare

📦 Logistics

Registered Nurse reviewing Medicare records and preparing physician-review cases for Avar Consulting’s policy research programs. Supporting audits, quality assurance, and Medicare FFS/MA documentation.

🇺🇸 United States – Remote

💵 $60k - $75k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🕒 2 days ago

AstraZeneca

10,000+ employees

💊 Pharmaceuticals

🧬 Biotechnology

🏥 Healthcare

Oncology Nurse Educator delivering clinical education for AstraZeneca’s lung and GI cancer medicines. Engaging healthcare providers across the Northwest and supporting patient care strategies.

🇺🇸 United States – Remote

💵 $151.1k - $226.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🕒 2 days ago

SCP Health

5001 - 10000

🏥 Healthcare

🤝 B2B

🎯 Recruiter

Remote Triage Nurse providing telephonic assessment, education, and care direction for SCP Health’s clinical practice management network. Night-shift RN role serving patients across the United States.

🇺🇸 United States – Remote

💵 $27 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🕒 2 days ago

IMH

501 - 1000

🏗️ Construction

📦 Logistics

🛡️ Insurance

Registered Nurse triaging and educating patients by phone for Intermountain Health’s clinical communication center. Assessing needs, documenting calls, and directing patients to appropriate care.

🇺🇸 United States – Remote

💵 $37 - $57 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior