Job Description

Are you an experienced Registered Nurse looking for a rewarding remote opportunity? Join our team as a Remote RN Care Manager, providing exceptional care and support to Managed Care Plan members. This position is fully remote after a 2-3 week training period in our Manhattan, NY office.

About the Role:

As an RN Care Manager, you will play a crucial role in ensuring members receive safe and effective care in their communities. You'll provide clinical support, oversee care plans, and coordinate services for high-risk populations.

Qualifications:

Registered Nurse (BSN preferred): Must have a current, valid, and unencumbered RN license.
Experience: Previous experience in home care, acute, sub-acute, long-term care, or managed long-term care (MLTCP) settings.
Compliance: Must maintain all state and federal licensure and employment requirements.
Preferred Skills: Bilingual, UAS certification, and care management knowledge.
Residency: Must reside in Downstate NY, Westchester, Long Island, or Northern New Jersey and be able to commute to Manhattan, NY for training and occasional in-office meetings.
Essential Job Responsibilities:

Regulation Proficiency: Become proficient in article 49 regulation.
Service Authorizations: Responsible for service authorizations, creating care plans, and coordinating services.
Care Coordination: Assess and coordinate hospitalization, skilled services, CHHA, and nursing home communication and planning.
Benefits Coordination: Manage benefits for Medicare, Medicaid, and other insurance.
Transitional Care Management: Coordinate transitions from acute to home, home to skilled nursing facility (SNF), and more.
Monthly Assessments: Complete monthly call assessments and follow up on changes in medication, diagnosis, or events such as ER visits or falls.
Post-Discharge Services: Coordinate post-discharge services as needed.
Additional Duties: Perform all other duties as assigned.
Benefits:

Competitive salary ranging from $100,000.00 - $115,000.00 per year, based on experience
401(k) plan
Dental insurance
Employee assistance program
Flexible schedule
Health insurance
Life insurance
Paid time off (PTO)
Referral program
Vision insurance
Why Join Us?

We offer a competitive salary, comprehensive benefits, and a generous PTO package. We value our team members and are committed to providing a supportive and flexible work environment.

Ready to Apply?

If you are a qualified and experienced RN, apply now for immediate consideration. We look forward to welcoming you to our team!
Employment Type: Full-Time
Salary: $ 100,000.00 115,000.00 Per Year

Job Tags

Full time, Immediate start, Remote job, Flexible hours,

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