MLTC-Nurse Care Manager Queens

4 days ago

Kew Gardens, New York, United States b-13b3-4100-ad4e-78e4d8521829 Full time

Nurse Care Manager – Managed Long Term Care (MLTC) - $20,000 sign-on bonus ($5,000 payable every six months, less taxes) - Immediate Opportunity

Join Our Team as a Nurse Care Manager at RiverSpring Health Plans

Do you have a passion for caring for older adults? If so, you've found the perfect place to advance your career Join our compassionate and dedicated team and make a meaningful difference in the lives of our members.

RiverSpring Health Plans serves over 18,000 frail and disabled individuals, empowering them to live independently in their homes for as long as possible.

As a Nurse Care Manager, you will play a vital role in care coordination, including in-home assessments, planning, facilitation, advocacy, and authorization of covered services to meet members' health needs while promoting quality, cost-effective outcomes.

Key Responsibilities:

  • Collaborate with members and their families to maintain the most independent living situation possible.
  • Ensure consistent care across the healthcare continuum by assessing and closely monitoring members' needs and status.
  • Authorize covered services and coordinate care across different payers.
  • Communicate and collaborate with members, family members, caregivers, primary care practitioners, and the interdisciplinary team.

Qualifications:

  • Current NYS RN License and registration
  • Associate's Degree in Nursing Required. Bachelor of Science in Nursing (BSN) Preferred
  • Minimum of 3 years of RN experience
  • Clinical expertise in geriatrics preferred; managed long-term care experience is also a plus.
  • Bilingual Spanish or Russian

Compensation:

  • Annual salary: $105,000 - $115,000
  • Eligible for a 20,000 sign-on bonus ($5,000 payable every six months, less taxes)
  • Benefits include health insurance, retirement plans, paid time off, and professional development opportunities

If you're ready to make a difference and support older adults in their journey to live independently, we would love to hear from you

Equal Opportunity Employer (EOE)

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