Job DescriptionRN Care Manager, MLTC Compensation Salary Range: $90,000 - $105,000 per year
Bonus / Commission (if applicable): This role is eligible for a $15,000 sign-on bonus.
Location: Remote (Hybrid training required: 2 days onsite / 3 days remote for 4-6 months)
Remote / Field-Based
Position Summary As an RN Care Manager within an MLTC program, you will conduct telephonic assessments and develop person-centered service plans to support members' medical, psychosocial, and community-based needs. This role is focused on care coordination, ensuring continuity across healthcare settings, and improving quality of life through education and intervention. You will collaborate with interdisciplinary teams, providers, and caregivers while ensuring compliance with CMS and DOH regulations.
Responsibilities ? Schedule / Shift - Shift details: Monday - Friday (Business Hours)
- Hours per week: 40
? Key Duties: - Conduct telephonic assessments and review UAS-NY data to develop Person Centered Service Plans (PCSP)
- Coordinate care by collaborating with PCPs, specialists, and interdisciplinary teams
- Assist members in accessing necessary medical, social, and community-based services
- Identify care gaps and educate members on preventative health and disease management
- Ensure accurate and timely documentation of care plans in compliance with regulatory standards
Requirements ? Education - Required: Associate's Degree in Nursing
- Preferred (if applicable): Bachelor of Science in Nursing (BSN)
? Licenses & Certifications - Required: Active New York State Registered Nurse (RN) license
? Skills: - Strong knowledge of Medicare, Medicaid, and MLTC regulations
- Excellent telephonic assessment, care coordination, and documentation skills
- Strong communication and collaboration abilities
- Bilingual Spanish preferred
About Us RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences. With more than 50 years of staffing experience, our team understands the environments you're stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We're committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being. RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.
Equal Employment Opportunity & Reasonable Accommodation RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.
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