Nurse Manager RN

Responsibilities

• Conduct comprehensive health assessments to identify members' medical needs, health risks, and wellness goals.
• Develop, implement, and monitor individualized care plans focused on preventive care, chronic disease management, and overall wellness.
• Coordinate healthcare services and collaborate with primary care providers, specialists, social workers, and other members of the interdisciplinary care team.
• Educate members on preventive health measures, medication adherence, healthy lifestyle choices, and management of chronic conditions.
• Identify gaps in care and coordinate appropriate follow-up services to improve health outcomes.
• Support members in accessing primary care, specialty services, community resources, and other necessary healthcare services.
• Monitor members' progress toward established health goals and update care plans as needed.
• Conduct outreach and follow-up with members to encourage engagement in wellness programs, screenings, and recommended medical appointments.
• Review clinical information and health records to identify potential risks and opportunities for intervention.
• Assist with medication reconciliation and promote medication compliance in collaboration with healthcare providers.
• Help manage transitions of care following hospitalizations, emergency department visits, or other changes in the member's health status.
• Document assessments, care plans, interventions, and member interactions accurately and in a timely manner.
• Work collaboratively with the care management team to address barriers to care, including social determinants of health.
• Maintain compliance with applicable healthcare regulations, confidentiality requirements, and organizational policies.
• Participate in care team meetings, quality improvement initiatives, and wellness program development as needed.

Qualifications

• Current and valid Registered Nurse (RN) license in the state of New York
• Bachelor's degree in Nursing
• Previous experience in care management, case management, wellness, population health, managed care, or a related healthcare setting preferred.
• Strong knowledge of preventive healthcare, chronic disease management, and patient education.
• Excellent communication, clinical assessment, and care coordination skills.
• Ability to develop relationships with members and motivate them to participate in their healthcare and wellness plans.
• Strong organizational skills and the ability to manage multiple cases effectively.
• Proficiency in electronic medical records (EMR) and clinical documentation systems.
• CPR/BLS certification preferred or required based on program needs.