Job Description:
• Coordinate care for members who often face multiple chronic medical and behavioral health conditions
• Conduct comprehensive assessments to evaluate members’ needs and address SDoH challenges
• Provide education and guidance to members and their families on managing chronic conditions
• Develop and implement individualized care plans, monitor member progress, and advocate for necessary services
• Collaborate with the interdisciplinary care team to ensure optimal health outcomes
• Document assessments and interventions accurately and timely
• Participate in team meetings to discuss member status and care strategies
Requirements:
• Must have active and unrestricted Registered Nurse (RN) licensure in the state of NY
• Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams
• Access to a private, dedicated space to conduct work effectively
• Minimum 3+ years of nursing experience
• Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience
• Experience providing care management for Medicare and/or Medicaid members preferred
• Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health preferred
• Experience conducting health-related assessments and facilitating the care planning process preferred
• Bilingual skills, especially English-Spanish preferred
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• Wellness screenings
• Tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access