Case Manager V

Company : LanceSoft Inc

Location : New York, NY, 10261

Posted Date : 4 November 2025

Job Type : Other

Category : Community & Social Service

Occupation : Case Manager

Job Details

Job Tittle: Healthcare - Case Manager V
Location: Hybrid (Bronx/ Westchester)
Duration: 3+ Months
Shift Timing: M-F 8:30AM-5PM
Pay Range: $52.13 - $54.13
Job Description:

Must be able to support Bronx/ Westchester temps will visit members in their homes, assisted living facilities and nursing homes.
Daily responsibilities will be conducting UAS Assessments to support care management. Candidates will be assigned a minimum of 15 cases per week.
Orientation: Orientation will be 5 days for current UAS certified RNs
Language requirements: Spanish preferred

Required Experience:

Management will accept ONLY: UAS Certified RN licensed in the state of NY
New grads will be considered.
Candidates with no UAS will be considered if they have experience with home care management.

Required Education:

Bachelor's Degree or Health Education (a combination of experience and education will be considered in lieu of degree).

Required Licensure/Certification:

NY State RN License.

Essential Functions/Responsibilities:

Conduct face to face assessments of members' functional status, medical, behavioral, psychosocial and community resource needs.
Provides the Interdisciplinary Care Team (ICT) with assessment information and act as facilitator to ensure that members' needs are met.
Develop an ICP/PCSP based on members' clinical, behavioral and social needs that addresses barriers to care.
Competently assesses members' health status and ensures that member is receiving all necessary medical and supportive services
Modify ICP/PCSP as appropriate to member's needs and progress
Manage care transitions through effective and timely communication necessary for member care and discharge planning.
Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies.
Prepare for and participate in clinical case reviews to share best practices.
Adhere to SWH documentation policies and procedures including documentation of clinical assessment activities and their effectiveness.
Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population
Collaborate with other SWH Care Managers to reduce variations in clinical practice, identify opportunities for systems' improvement, and develop policies and procedures relevant to practice.
Provide backup to other Assessment nurses as needed
Analyze data and use it to improve care delivery
Performs other duties as assigned.

Skills/Aptitudes:

Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management
Excellent communication skills
Strong computer skills: competent in Microsoft Office Products (Outlook, Word, Excel)
Ability to work independently and maintain flexibly in fast paced environment
Ability to analyze data and use it to improve care delivery
Self-starter with high level of accountability and responsibility for outcome of care
Highly organized and able to manage multiple priorities appropriately
Independent problem solving skills
Able to work collaboratively and build enduring relationships with providers, members and the multidisciplinary team