Complete Home Care Holdings is hiring a Remote RN Care Manager to oversee and coordinate care services for members enrolled in a Managed Long-Term Care program. You will be responsible for developing individualized care plans and ensuring comprehensive, high-quality care through collaboration with patients, families, and healthcare providers.
What You'll Do
- Conduct comprehensive assessments of members’ health, functional, and psychosocial needs to develop individualized care plans.
- Review and evaluate NY UAS information for members in the MLTC line of business.
- Coordinate and manage care services across multiple providers and settings.
- Facilitate communication between members, families, and healthcare providers to ensure continuity of care.
- Assess and monitor member conditions via monthly calls.
- Identify clinical issues that require immediate attention to reduce the risk of unnecessary hospitalizations.
- Develop, implement, and regularly review care plans in collaboration with members and multidisciplinary teams.
- Monitor and evaluate the effectiveness of care plans, adjusting as needed.
- Maintain timely and thorough documentation in the health record.
- Participate in weekly Interdisciplinary Care Team Meetings.
- Provide guidance and support on navigating the healthcare system and accessing services.
- Participate in family conferences as needed.
- Ensure care management activities comply with health plan policies, state and federal regulations, and accreditation standards.
- Facilitate discharge plans from hospitals or other settings in collaboration with the Transition of Care Team.
- Coordinate services in collaboration with the utilization management department.
- Track and report on care outcomes, quality metrics, and member satisfaction.
- Conduct audits and reviews of care plans and services to ensure quality and compliance.
- Identify and utilize community resources and services to support members' needs.
- Advocate for members to access necessary services and benefits.
- Manage and monitor care budgets to ensure cost-effective use of resources.
- Provide education on disease management, care options, and self-care strategies.
- Offer training and guidance to other care team members on best practices.
What We're Looking For
- Permanent residence in New York state.
- Able to attend in-person training in Bayside, Queens for 10 days.
- Active & in good standing NYS RN license.
- Minimum of 2 years of experience in case management, care coordination, or a related field.
- Excellent interpersonal, communication, and problem-solving skills.
- Proficiency in care management software, electronic health records (EHR), and other relevant technologies.
- Ability to work independently and as part of a multidisciplinary team.
- Must be able to carry, lift, push or pull at least 20lbs.
Nice to Have
- Bachelor’s degree in nursing, master’s degree or advanced certification.
- Bilingual (English and Spanish) or English and Mandarin/Cantonese.
- Experience in a managed care or long-term care setting.
- Strong knowledge of long-term care services, healthcare systems, and regulatory requirements.
Technical Stack
- Care management software
- Electronic health records (EHR)
Team & Environment
You will be part of a multidisciplinary team and participate in weekly Interdisciplinary Care Team Meetings, reporting to a Care Management Supervisor.
Benefits & Compensation
- Health insurance
Work Mode
This is a remote position, but you must be a permanent resident of New York state.
Complete Home Care Holdings is an equal opportunity employer.
