Case Manager

Overview

• Serve as a Nurse Case Manager in a hybrid role, balancing remote and fieldwork responsibilities.
• Collaborate with members and families to ensure independent living and consistent care across the healthcare continuum.
• Assess and monitor members’ needs and statuses to provide effective healthcare solutions.
• Authorize covered services and coordinate care irrespective of payer sources.
• Engage with interdisciplinary teams to optimize care delivery for members.
• Work in a bilingual environment, supporting diverse member needs.
• Enjoy a hybrid work schedule with three remote days and two fieldwork days weekly.
• Contribute to a dynamic healthcare organization dedicated to member well-being.

Key Responsibilities & Duties

• Conduct assessments to determine member needs and develop personalized care plans.
• Monitor member progress and adjust care plans as necessary to achieve optimal outcomes.
• Coordinate with primary care practitioners and interdisciplinary teams to ensure seamless care delivery.
• Authorize services and manage care transitions effectively for members.
• Communicate with members, families, and caregivers to address concerns and provide support.
• Ensure compliance with healthcare regulations and organizational policies.
• Utilize bilingual skills to enhance communication and care delivery.
• Participate in training and development activities to maintain clinical expertise.

Job Requirements

• Bachelor of Science in Nursing (BSN) and current NYS RN License and registration.
• Minimum three years of RN experience, preferably in geriatrics or managed long-term care.
• Proficiency in bilingual communication, particularly in Chinese, is highly desirable.
• Strong clinical expertise and ability to assess and monitor member needs effectively.
• Experience in coordinating care and authorizing services across diverse healthcare settings.
• Ability to work in a hybrid environment with fieldwork and remote responsibilities.
• Excellent communication and collaboration skills with interdisciplinary teams and families.
• Commitment to maintaining compliance with healthcare standards and regulations.