RN Care Manager

Job title: Care Manager - ED

Job location: New York, NY 10004

Shift: M- F 9 am - 5 pm - Hybrid

Length: 8 weeks, Possible extension

Local Hourly pay: $55 $60/hr

Education:

1. RN license as a Registered Nurse in the State of New York required.
2. Baccalaureate degree required.
3. Master’s Degree and Bilingual Spanish Certification in Case Management preferred.

Skills:

Minimum 5 years of clinical experience as a Registered Nurse (RN); leadership experience preferred.

Experience with Care Coordination, Utilization Review, and Discharge Planning.

Minimum 2 years of experience in a healthcare, Care Management, or Managed Care setting.

Ability to read and interpret medical records, claims data, pharmacy information, lab reports, and prescriptions.

Ability to work closely with members and caregivers

Duties:

Assess and evaluate members’ clinical, psychosocial, financial, and environmental needs and develop individualized plans of care with members, caregivers, and healthcare providers.

Engage members in collaborative relationships, support self-management, address gaps in care and social determinants of health, and link members to available resources.

Participate in interdisciplinary rounds, communicate plans of care to Primary Care Physicians, and provide care management support during Transitions of Care.

Provide chronic disease education, preventive care, medication management, home safety guidance, and complex care management, including reducing unnecessary hospitalizations.

Advocate for members, address challenges and treatment options, use critical thinking and judgment, and track outcomes and clinical information using data.

Maintain accurate and current clinical and non-clinical documentation, including medical records, claims data, pharmacy, lab reports, prescriptions, and Care Management System documentation.

Benefits

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Equal Employment Opportunity

Pride Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment

Pride Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations

We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.