Certified Case Manager (CCM), Clinical Data, Clinical Medicine, Computer Skills, Consulting, Delivery Driving, Demographics, Discharge Plans, Diversity, Documentation, Health Plan, Healthcare, Healthcare Providers, Hospital, Identify Issues, Leadership, Maintenance Services, Multilingual, Needs Assessment, Patient Assessment, Patient Care, Patient Follow-up, Plan Meetings, Primary Care, Project/Program Coordination, Quality Assurance, Quality Management, Registered Nurse (RN), Regulatory Compliance, Regulatory Requirements, Risk Analysis, Spanish Language, Time Management, Utilization Management
Join a mission-driven healthcare organization focused on improving patient outcomes and delivering coordinated, community-based care. This role plays a critical part in ensuring continuity of care and optimizing patient health through comprehensive care management.
Responsibilities:
- Develop, implement, and monitor individualized care plans in collaboration with patients, families, and healthcare providers
- Review and evaluate patient assessments and clinical data to identify risks and care needs
- Partner with primary care physicians to discuss and address patient care concerns
- Coordinate services across the continuum of care, including discharge planning
- Conduct routine patient monitoring and follow-ups to ensure quality care delivery
- Identify clinical issues requiring intervention to prevent hospitalizations or ED visits
- Facilitate utilization review processes and collaborate with utilization management teams
- Approve or escalate service requests based on evidence-based standards
- Maintain accurate and timely documentation of care coordination activities
- Participate in interdisciplinary care planning meetings
- Support quality improvement initiatives and regulatory compliance requirements
- Assist with member grievances and coordination of specialty programs
Qualifications:
- Active RN license in the State of New York
- Bachelor’s degree required
- Minimum 5 years of clinical experience as a Registered Nurse
- Experience in care coordination, utilization review, and discharge planning
- Strong hospital experience required
- Bilingual Spanish speaking required
- Computer proficiency required
- PRI and Screen certification within 3 months of hire
- Leadership experience preferred
- Master’s degree and Case Management certification preferred
"Please note that the salary range and/or hourly rate range of $50.00 - $60.00 is a good faith determination of potential base compensation offered to applicants at the time of this job advertisement and may be subject to modification in the future. When determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).
For consideration to this and/or other roles suitable for your background, please submit your most up-to-date resume to join our talent pool.
At ATRIA Consulting, LLC, we are a woman-owned business fully committed to promoting, cultivating, and maintaining a culture of diversity, equity, and inclusion. We embrace and celebrate differences across all demographics and backgrounds. We encourage everyone to apply."