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ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essential Functions: • Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status., • Authorizes covered services and coordinates care regardless of payer., • Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team., • Works with member/family to maintain the most independent living situation possible, • Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings., • Regularly assesses members for ongoing eligibility for services based on the specific plan's eligibility criteria., • Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs., • Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member., • Ensures appropriate, safe plan for members' discharge from their plan., • Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy., • Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM)., • Responds to members' requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated, • Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care., • Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes., • Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs., • Associates degree in Nursing from an accredited nursing program required, • Bachelor's degree in Nursing preferred, • Three (3) years of experience as a registered nurse required, • Clinical experience in geriatrics and/or managed long-term care experience preferred, • Experience using multiple languages may be required based on operational needs Competencies, Knowledge and Skills:, • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel, • Ability to communicate effectively with a diverse group of individuals, • Ability to multi-task and work independently within a team environment, • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices, • Adhere to code of ethics that aligns with professional practice, • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice, • Strong advocate for members at all levels of care, • Strong understanding and sensitivity of all cultures and demographic diversity, • Ability to interpret and implement current research findings, • Awareness of community & state support resources, • Critical listening and thinking skills, • Decision making and problem-solving skills, • Strong organizational and time management skills, • Bilingual speaking and writing skills are preferredLicensure and Certification:, • Current, unrestricted Registered Nurse licensure in the state of New York required, • Case Management Certification preferred Working Conditions:, • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essential Functions: • Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status., • Authorizes covered services and coordinates care regardless of payer., • Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team., • Works with member/family to maintain the most independent living situation possible, • Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings., • Regularly assesses members for ongoing eligibility for services based on the specific plan's eligibility criteria., • Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs., • Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member., • Ensures appropriate, safe plan for members' discharge from their plan., • Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy., • Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM)., • Responds to members' requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated, • Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care., • Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes., • Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs., • Associates degree in Nursing from an accredited nursing program required, • Bachelor's degree in Nursing preferred, • Three (3) years of experience as a registered nurse required, • Clinical experience in geriatrics and/or managed long-term care experience preferred, • Experience using multiple languages may be required based on operational needs Competencies, Knowledge and Skills:, • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel, • Ability to communicate effectively with a diverse group of individuals, • Ability to multi-task and work independently within a team environment, • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices, • Adhere to code of ethics that aligns with professional practice, • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice, • Strong advocate for members at all levels of care, • Strong understanding and sensitivity of all cultures and demographic diversity, • Ability to interpret and implement current research findings, • Awareness of community & state support resources, • Critical listening and thinking skills, • Decision making and problem-solving skills, • Strong organizational and time management skills, • Bilingual speaking and writing skills are preferredLicensure and Certification:, • Current, unrestricted Registered Nurse licensure in the state of New York required, • Case Management Certification preferred Working Conditions:, • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essential Functions: • Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status., • Authorizes covered services and coordinates care regardless of payer., • Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team., • Works with member/family to maintain the most independent living situation possible, • Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings., • Regularly assesses members for ongoing eligibility for services based on the specific plan's eligibility criteria., • Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs., • Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member., • Ensures appropriate, safe plan for members' discharge from their plan., • Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy., • Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM)., • Responds to members' requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated, • Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care., • Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes., • Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs., • Associates degree in Nursing from an accredited nursing program required, • Bachelor's degree in Nursing preferred, • Three (3) years of experience as a registered nurse required, • Clinical experience in geriatrics and/or managed long-term care experience preferred, • Experience using multiple languages may be required based on operational needs Competencies, Knowledge and Skills:, • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel, • Ability to communicate effectively with a diverse group of individuals, • Ability to multi-task and work independently within a team environment, • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices, • Adhere to code of ethics that aligns with professional practice, • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice, • Strong advocate for members at all levels of care, • Strong understanding and sensitivity of all cultures and demographic diversity, • Ability to interpret and implement current research findings, • Awareness of community & state support resources, • Critical listening and thinking skills, • Decision making and problem-solving skills, • Strong organizational and time management skills, • Bilingual speaking and writing skills are preferredLicensure and Certification:, • Current, unrestricted Registered Nurse licensure in the state of New York required, • Case Management Certification preferred Working Conditions:, • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Job Description Title: Health Home Plus Client Care Coordinator Reports To: Client Care Supervisor FLSA: Non-Exempt Status: Full-time Supervisory Responsibility: Not Applicable About CHOICE: CHOICE is a leading Care Management Agency serving Westchester County in New York. Our Vision is a world where all people have a foundation to meet the challenges of everyday life. We are a dynamic not-for-profit organization which operates in the fast-changing environment of healthcare reform. Funded by Medicaid and government grants, we strive to maximize positive human outcomes as we deliver our services to our clients. CHOICE's core Mission is to help people restore and maintain their dignity and well-being regardless of their economic, mental, emotional, or physical conditions or limitations. We do this by providing Mental Health Advocacy and Peer Support, Homeless Outreach Programs and Services, and Mental Health Care Management and Support to those in need. Essential Functions of the Role: The Intensive Case Managers operate within a multidisciplinary unit and include Client Care Coordinators. All Intensive Case Managers have at least 2 years clinical experience, which includes client direct contact experience. function as an advocate, facilitator, outreach coach, educator, care coordinator, and motivational counselor for members and their families for members who have complex behavioral health and or medical conditions. The role of the Intensive Care Manager includes, but is not limited to the following tasks: Position Responsibilities: • Providing a timely outreach to new referrals, • Engaging members into the program by providing compelling rationale on the benefits of the program to fit the unique member's needs., • Completing members needs assessment to determine appropriate services and inform the care plan., • Developing an individualized member centric comprehensive care plan with input from the member, provider, and family. The individual goals include recovery and resiliency, decreasing symptomatology and/or increasing functional ability in areas such as self-care, work/school, and family/interpersonal relations to reduce barriers to treatment., • Providing monitoring and reviewing of cases through planned outreach, incoming contacts, care coordination and utilizing rounds, weekly reports, and individual supervision., • Rounding or staffing with a supervisor takes place once per month at a minimum for difficult or challenging cases., • Providing consultation and coordination with the behavioral health or medical providers, facility or family members, community agencies, or involved medical practitioners regarding treatment and/or treatment planning issues., • Providing motivational counseling and encourage self-advocacy to help sustain members' commitment to their care plans and treatment adherence., • Coordinating and consulting with the Care Manager as necessary. Attending regularly scheduled rounds to consult with a psychiatrist or health plan staff and discuss cases and the need for continued intensive care management and outreach. Sending outreach letters to members who are not telephonically accessible or who do not res pond to multiple telephonic outreach attempts., • Frequency of outreach to the member, supports and provider(s) occur at a minimum one time per month, but more may be scheduled according to the member's clinical needs., • Send outreach letters to members who are not telephonically accessible or who do not respond to multiple outreach attempts., • Client's progress and Intensive Case Manager interventions are documented appropriately in the care management system., • Provide case closure/discharge at the time of completion., • Follow all workflows meeting regulatory and accreditation requirements., • Education: 1. A bachelor’s degree in one of the fields listed below; or 2. A NYS teacher’s certificate for which a bachelor’s degree is required; or 3. NYS licensure and registration as a Registered Nurse and a bachelor’s degree; or 4. A Bachelor’s level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses; or 5. A Credentialed Alcoholism and Substance Abuse Counselor (CASAC). Salary Range: $42,500 - $47,000

Job Description Managers for a Managed Care Plan servicing New York. The RN Care Manager position works as a Hybrid - Remote Case Manager, working primarily from home, with 1 day of Field Case Management visits per week, in designated areas. Bilingual Spanish, Chinese and Bengali needed for Manhattan, Bronx or Brooklyn visits. Qualified candidates will be able to work from their home and will make Field visits 1 day per week in field. Qualified candidates will have prior RN Case Management experience within Managed Care, CHHA Home Care or Hospital Case Management, bilingual language ability a plus. Qualified candidates will have a NYS RN License or NYS NP, and prior RN Case Management, Coordination of Care experience within a multi-disciplinary team. Patient visit areas available are: Bilingual Spanish in Manhattan or Bronx visits, Bilingual Chinese in Brooklyn or Upper Manhattan and Bilingual Bengali in the Bronx. Remote / Hybrid - RN Care Manager - Bilingual - Responsibilities: Reporting to the Supervisor of Care Management, this position will provide telephonic and in-person case management to our members including medical, social, psychological, physical and spiritual needs by developing, implementing and monitoring the member's care plan in conjunction with the PCP, caregivers and other team members in order to help meet the member's needs. managed care nurse, managed care rn, nursing, rn, nurse, care management Qualifications: * NYS RN license required * CCM preferred * At least 2+ years of RN Case Management experience in managed care, home care, acute care, hospital or nursing home preferred * Ability to make patient visits 1 day per week, ability to work remote from home the remaining days (In Office during Probation period, remote work begins after Probation period) * Reliable transportation * Covid19-Vaccination * Bilingual Spanish, Bilingual Chinese (Cantonese/Mandarin) & Bilingual Bengali & English in demand! * Prior experience in an interdisciplinary service delivery environment, required. * Working knowledge of Medicare and Medicaid regulations Excellent Salary $105,000 - 115,000 based on relative experience and great Benefits! Medical/Dental/Vision, Matching 401k, PTO & More! Qualified Candidates Please Apply Now for Immediate Consideration! Company DescriptionPermanent Placement Recruitment Services for New York Health Care companies!Permanent Placement Recruitment Services for New York Health Care companies!

Job Details Job Details: We are seeking a compassionate and dedicated Permanent Hospice Registered Nurse Case Manager to join our dynamic healthcare team. As a Hospice Registered Nurse Case Manager, you will be responsible for coordinating all aspects of the interdisciplinary care and services provi

Key Responsibilities Conduct comprehensive assessments of members’ eligibility and healthcare needs using clinical tools and data review Develop and implement case management plans aligned with benefit structures and clinical guidelines Coordinate with internal and external providers, programs, an

Registered Nurse (RN) | Case Manager. About the Position TravelNurseSource is working with ADN Healthcare, LLC to find a qualified Case Manager RN in York, Maine, 03909!. As a trusted travel nurse & allied health temp agency, ADN Healthcare is dedicated to delivering exceptional staffing solutions t

Under the supervision of the Medical Foster Care (MFC) Nursing Supervisor, the clinical Nurse Case Manager is responsible for the coordination of care for a caseload of 15 or more medically fragile or special needs children residing in foster boarding homes, as part of assuring a quality medical hom

Registered Nurse Case Manager - FlexStaff. Submits data to management regarding case management and/or quality initiatives. Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient.

Use industry criteria, benefit plan design, clinical knowledge, and critical thinking to assess, plan and provide, ongoing coordination and management of service delivery through an integrated case management approach. Apply clinical guidelines, provide recommendations and discuss cases with Medical

Under the supervision of the Medical Foster Care (MFC) Nursing Supervisor, the clinical Nurse Case Manager is responsible for the coordination of care for a caseload of 15 or more medically fragile or special needs children residing in foster boarding homes, as part of assuring a quality medical hom

We are seeking a Field Nurse Case Manager to cover Hempstead, NY and surrounding areas to include Queens, Long Island, Jamaica, Brookhaven, Islip, Oyster Bay, North Hempstead, Babylon, Huntington, and Smithtown. A Field Case Manager role is a home-based position with travel, up to 2 hours one-way, t

Provides direct oversight to Licensed Practical Nurse on shift, reporting problems and corrective action to Charge Nurse. Provides supervision to the Licensed Practical Nurse(s) on shift. Consults with Charge Nurse and/or Nursing Supervisor, as needed.

Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience. In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coo

RN MLTC Case Manager - Bi-Lingual Korean, Russian, Spanish, Mandarin, Hindi, Urdu, etc. Are you a bilingual RN Case Manager looking to work within MLTC?.

Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience. In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coo

If you're an experienced Field Nurse Case Manager looking for flexibility, autonomy, and the opportunity to make a real impact-we'd love to connect. Now Hiring: Field Nurse Case Managers (RN) - New Jersey (1099 Contractor). The IMA Group is expanding across New Jersey and seeking experienced Field N

Nurse Case Manager- Manhattan, Brooklyn, Queens, Bronx & Staten Island. Are you a Registered Nurse seeking a new opportunity? Are you tired of working 12 hour shifts? Want a change from the hospital setting?. Registered Nurse- Brooklyn & Bronx (7:00 AM-3:00 PM/3:00 PM-11:00 PM/11:00 PM-7:00 AM).

We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our Social Service Health Care Team. As a Registered Nurse Case Manager, you will be responsible for providing comprehensive patient care and coordinating services for the people we support. Provides supervision and t

Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience. In partnership with the primary care provider, (PCP), the RN, Care Manager is the lead for care management activities, drives care coo

Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience 2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly

Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP). RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis e

Whether you?re a Nurse Practitioner, a Physician Assistant, or a specialized Women?s Health Nurse Practitioner, you?ll have access to the tools, training, and support you need to thrive while transforming women?s healthcare. We foster a collaborative environment where every Nurse Practitioner, Physi

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nur

OR A NYS teacher's certification for which a bachelor's degree is required; OR NYS licensure and registration as a Registered Nurse and a bachelor's degree PLUS Two years of experience in providing direct services, or a substantial number of case management services, to mentally disabled or chronica

Current license to practice as a Registered Professional Nurse in New York State.

Gifted Healthcare is committed to supporting nurses at every stage of their career while helping them make a lasting impact on patient care. Our mission is to help nurses thrive and advance their careers by providing exceptional job opportunities, day-one benefits, and 24/7 support. The Travel Regis

Active Registered Nurse (RN) license in the state of New York.

To create the initial comprehensive and interdisciplinary patient centered home health plan of care; update the home health plan of care in collaboration with the physician - To effectively case manage the care and services for assigned patients resulting in positive clinical outcomes and minimized

To effectively case manage the care and services for assigned patients resulting in positive clinical outcomes and minimized risks of rehospitalization.