Manager, Case Manager

Job Title: Care Manager (RN) – ED Location: New York, NY Pay Rate: $60–$65 per hour (Local) Pay Rate: $2400–$2600 Weekly (Travel) Employment Type: Full-Time Schedule: Monday–Friday, 9:00 AM–5:00 PM Education: Bachelor's Degree Required Client is seeking a qualified Care Manager – ED to support members through effective care coordination, transitions of care, and comprehensive care management. The Care Manager will assess member needs, develop individualized care plans, coordinate services with healthcare providers and interdisciplinary teams, and connect members with appropriate clinical and community resources. The ideal candidate will have at least two years of care management experience in a healthcare setting or managed care organization, strong clinical assessment and communication skills, and a commitment to improving health outcomes while reducing avoidable hospitalizations and healthcare costs.

Coordinate care management services during transitions of care. Conduct transition-of-care assessments to identify members' clinical, psychosocial, financial, environmental, and social needs. Perform medication reconciliation and support medication adherence. Develop, implement, and evaluate individualized, member-centered care plans in collaboration with members, caregivers, providers, and interdisciplinary teams. Participate in interdisciplinary rounds and communicate care plans to primary care physicians and other healthcare professionals. Identify and address gaps in care, barriers to treatment, and social determinants of health. Connect members with appropriate community resources and organizational support services. Educate members and caregivers on chronic disease management, preventive care, medication safety, home safety, and self-management strategies. Support complex care management by promoting access to appropriate services and helping reduce unnecessary hospitalizations. Advocate for members by helping them understand treatment options and make informed healthcare decisions. Address barriers to care, including language differences, cognitive limitations, stress, financial challenges, and limited social support. Review and interpret medical records, claims data, pharmacy information, laboratory reports, and prescriptions. Maintain accurate, timely, and comprehensive clinical and non-clinical documentation in care management systems. Comply with organizational policies, privacy requirements, mandatory training, and professional competency standards. Bachelor's degree required. Minimum of 2 years of care management experience in a healthcare setting or managed care organization. Active and valid New York State Registered Professional Nurse (RN) license and current registration , issued by the New York State Education Department (NYSED). Ability to read, interpret, and evaluate medical records, claims data, pharmacy records, laboratory reports, and prescriptions. Knowledge of care coordination, transitions of care, chronic disease management, medication reconciliation, and community resource referrals. Ability to maintain accurate documentation and manage multiple member needs effectively.

Pride-Health 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.

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.

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.

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.