(Archived) RN CASE/CARE MANAGER - Office-based

Position Overview: The Nurse Case Manager (NCM) is responsible for Complex Case Management, Disease Management and Transitional Case Management, for example, longitudinal engagement, coordination for discharge planning, transition of care needs and outpatient member management through the care continuum. Nurse Case Manager will identify, screen, track, monitor and coordinate the care of members with multiple co-morbidities and/or psychosocial needs and develop a members’ action plan and/or discharge plan. The Case Manager may perform telephonic and/or face-to-face assessments. They will interact and collaborate with interdisciplinary care team (IDT), which includes physicians, inpatient case managers, care team associates, pharmacists, social workers, educators, health care coordinators/managers. The Case Manager also acts as an advocate for members and their families linking them to other IDT members to help them gain knowledge of their disease process(s) and to identify community resources for maximum level of independence. The Case Manager will participate in IDT conferences to review care plan and member progress on identified goals and interventions. The Nurse Case Manager will act as an advocate for members and their families guide them through the health care system for transition planning and longitudinal care. The Nurse Case Manager will work in partnership with the care team and will coordinate, or provide appropriate levels of care under the direct supervision of an RN Manager or Medical Director.

Required Qualifications:

To perform this job successfully, an individual must have the following education and/or experience.

• Current, unrestricted NYS RN license required

• Expert knowledge of case management principles, as evidenced by certification in Case Current certification as a Certified Case Manager or eligible for certification ([Register to View] )
  • If not yet certified at time of employment, must obtain certification within 12 months of date of hire

• 3+ years of diverse clinical experience; preferred in caring for the acutely ill members with multiple disease conditions (delegated medical management)
• 1+ years of managed care, Complex Case Management, Disease Management and/or Transitional Case Management experience
• Knowledge of utilization management, quality improvement, and discharge planning
• Knowledgeable in Microsoft Office applications including Outlook, Word, and Excel

Full COVID-19 vaccination is an essential requirement of this role. CareMount will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. CareMount is an EO employer – M/F/Veteran/Disability