RN Care Manager – Complex Care & High Utilizer Management

ManagerManagerFull TimeRemoteSeniorTeam 1-10Since 2012H1B SponsorCompany SiteLinkedIn

Location

New York

Posted

31 days ago

Salary

$100K - $115K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

RN Care Manager – Complex Care & High Utilizer Management

CENTERLIGHT

• Deliver ongoing care, support, and health education to participants with chronic illnesses including COPD, Diabetes, Heart Failure, cardiovascular disease, and degenerative neurological or musculoskeletal disorders. • Collaborate closely with medical providers, behavioral health specialists, and operational leaders to develop and implement strategies that reduce avoidable utilization. • Conduct clinical reviews using evidence-based criteria to ensure appropriateness of care for chronic disease–related needs. • Monitor utilization patterns and proactively engage participants to reduce unnecessary, repetitive, or avoidable service use. • Support participants in navigating the healthcare system and reinforce chronic-condition self-management practices.

Job Requirements

  • BSN required
  • Current Registered Nurse (RN) license in New York State
  • Certification in Case Management (CCM) or equivalent, preferred
  • 3+ years of clinical experience in chronic disease management, care coordination, or case management
  • Experience working with high‑risk, medically complex, or high‑utilizing populations
  • Strong assessment, communication, and interdisciplinary collaboration skills
  • Experience in PACE, MLTC, Managed Care, or high‑risk care management preferred
  • Prior experience with behavioral health integration or complex psychosocial case management preferred.

Benefits

  • Health insurance
  • 401(k) matching
  • Paid time off
  • Flexible work arrangements
  • Professional development opportunities

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