Hybrid Nurse Care Manager - Queens
Core
Coordinate care for members across the healthcare continuum, including in-home assessments, planning, and advocacy to promote quality, cost-effective outcomes.
Role type
Senior Registered Nurse Care Manager
Builds
Patient-centered service plans and care coordination strategies
Domain
Healthcare / Geriatrics / Managed Long-Term Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nurse licensure, care coordination, home visit assessment, interdisciplinary collaboration, grievance investigation, care management review, discharge planning, eligibility assessment, plan of care development
Preferred skills
Bachelor's degree in Nursing, geriatrics experience, managed long-term care experience, bilingual communication, Case Management Certification
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Conduct in-home assessments and monitor member status; authorize covered services and coordinate care across settings; collaborate with primary care practitioners and interdisciplinary teams; develop patient-centered service plans; manage grievances and adverse determinations; perform care management reviews and formulate plans of care; document care coordination and recertification notes.
Seniority
Senior, hands-on IC
