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Registered Nurse, Care Manager

πŸ”₯ 5 minutes ago

πŸ—½ New York – Remote

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πŸ’΅ $75.3k - $87.1k / year

⏰ Full Time

🟒 Junior

πŸ‘» Ghost score 0%

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Logo of Nascentia Health

Nascentia Health

501 - 1000 employees

Founded 1890

βš•οΈ Healthcare Insurance

πŸ₯ Healthcare

Healthcare Insurance β€’ Healthcare β€’ Managed Long-Term Care

Nascentia Health is a healthcare organization dedicated to providing high-quality home and community-based care services for over 135 years. It specializes in managed long-term care, home health aides, and personal care assistance, while also offering Medicare Advantage Special Needs Plans for eligible individuals. Nascentia Health focuses on helping patients maintain their independence and access necessary services to stay safely in their homes.

πŸ“‹ Description

β€’ Provide care management to a group of health plan members β€’ Create Person-Centered Service Plans (PCSP) β€’ Coordinate services and document care according to health plan standards β€’ Assess, plan, facilitate, and advocate for member support and services through an interdisciplinary approach β€’ Implement quality and cost-effective plans of care using available resources and UAS-NY assessments β€’ Collaborate with members, families, healthcare teams, medical providers, and community-based programs β€’ Oversee a caseload of managed care members β€’ Complete required regulatory documentation clearly, concisely, and timely β€’ Coordinate health plan support staff, including LPNs, Community Health Workers, and Care Coordination β€’ Provide guidance and education to support staff β€’ Participate in departmental, staff, and training meetings β€’ Comply with state and federal privacy regulations, including HIPAA β€’ Communicate and collaborate with members, families, health plan staff, and providers β€’ Act as a liaison and member advocate β€’ Demonstrate cultural competence and address members' cultural health beliefs, language needs, and support systems β€’ Perform other duties as assigned

🎯 Requirements

β€’ License and current registration as a Registered Professional Nurse in New York State β€’ Associate degree required β€’ Minimum of one year of Nursing Experience required β€’ Long-term care and/or managed care experience a plus β€’ Knowledge of homecare, Medicare, and Medicaid a plus β€’ Care Management Certification a plus β€’ Bilingual skills a plus β€’ Ability to work independently and prioritize workload β€’ Computer literacy and working knowledge of basic computer skills and Microsoft Office programs β€’ Strong communication skills, both person-to-person, virtually, and by phone β€’ Valid NYS driver's license and ability to drive in all types of weather β€’ Ability to learn and routinely utilize the organization's software systems β€’ Ability to perform duties involving exposure or potential exposure to blood, body fluids, or tissues β€’ Ability to meet physical requirements, including lifting up to 20 pounds frequently and up to 50 pounds occasionally

πŸ–οΈ Benefits

β€’ Up to a $15,000 sign-on bonus β€’ Eligible Site for the Nurse Corps Loan Repayment Program β€’ Retention bonuses β€’ 401k with generous Employer match β€’ Medical, Dental, Vision plans β€’ Tuition Reimbursement for BSN after 6 months of employment β€’ Exceptional work/life balance - no rotating shifts, holidays or weekends β€’ Partially funded HSA β€’ Employee Recognition Platform β€’ Paid Time Off, Holidays, and Extended Sick Leave β€’ Short/Long term Disability β€’ Employee Assistance Program (EAP) β€’ Remote-first work environment β€’ Work-life balance and flexibility β€’ Occasional in-person training or team events a few times per year

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