Get It Recruit - Finance is Hiring a Remote RN Care Manager - NYS Registered Nurse - MLTC - Remote | WFH
Position OverviewWe are seeking experienced Registered Nurses for a Remote RN Care Manager position with a Managed Care Plan. This role offers full remote work flexibility after completing 2-3 weeks of training in Manhattan, NY. The ideal candidate will hold a current NYS-RN License and have prior MLTC RN Care Management experience. Candidates must reside in downstate NY or NJ and be available for occasional in-office meetings. Key ResponsibilitiesProvide clinical support and oversee care to ensure members receive safe and effective community-based care. Proficiency in article 49 regulation is required. Authorize services, create care plans, and coordinate care across the continuum for high-risk populations. Coordinate Hospitalization, Skilled Services, and Nursing Home Communication and Planning. Manage Benefits Coordination For Medicare, Medicaid, And Other Insurances.Facilitate transitional care management between acute settings and home or skilled nursing facilities. Conduct Monthly Call Assessments and follow up on relevant calls triggered by medication changes, diagnoses, or critical events. Coordinate post-discharge services as necessary. QualificationsRN (BSN preferred) with a current, valid, and unencumbered license in NY. Experience in home care, acute, sub-acute, long-term care (LTC), or managed long-term care (MLTCP) settings. Compliance with state and federal licensure and employment requirements. Bilingual ability, UAS certification, and care management knowledge are advantageous. Residency in Downstate NY, Westchester, Long Island, or Northern New Jersey. Benefits And CompensationCompetitive salary range of $100,000.00 - $115,000.00 per year, commensurate with experience. Comprehensive benefits package including 401(k), health, dental, vision insurance, life insurance, and generous PTO. Additional perks include a flexible schedule, employee assistance program, and referral program. Application ProcessQualified candidates are encouraged to apply now for immediate consideration. Employment Type: Full-Time