RN Case Manager


: $67,290.00 - $117,470.00 /year *

Employment Type

: Full-Time


: Healthcare - Nursing

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Develops and updates individualized care plan based on comprehensive assessment of members in

consultation with the member and family/caregiver and the assessment nurse

Implements the care plan and authorizes/arranges for delivery of covered services consistent with the

care plan

Conducts ongoing communication and collaboration with member, family caregiver, or member's

designated representative, as well as with member's PCP and other significant health care providers

Monitors provision of services by Agency network providers to ensure they are appropriate and in

accordance with the member's care plan

Conducts ongoing monitoring of member's health, safety, and functional status, and progress towards

established goals

Provides coordination of care transitions, including discharge and transition planning from hospital or

nursing homes

Determines member eligibility for program and quality initiatives including diabetes management

program, falls prevention program, etc.

Facilitates establishment of Advance Care Planning and assuring appropriate administration of the

member's Health Care Proxy.

Reviews member's medical status and issues, identifying follow up issues

Serves as primary contact with member's PCP or specialist physicians as well as member's long-term

care service providers

Monitors member's medication adherence

Counsels member on his/her medical condition and provides education/coaching on self- management

or care giving by family members

Conducts monthly outreach to member to check on member's status

Updates member case records.

Participate in Quality Assurance and Improvement Activities as directed by Director of Care

NYS license and current registration as a registered nurse

Minimum of one-year experience in clinical practice, case management, care management or home


Experience in managed care and/or care management preferred

Experience with geriatric population preferred.

Preferred qualifications for a Care Manager include a bachelor s or master s degree in health, human

or education services and one year of care management experience

Associated topics: bsn, care, intensive, intensive care, intensive care unit, nurse, nurse clinical, recovery, staff nurse, surgery * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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