RCM Healthcare Services Is Hiring A RN Case Manager Bilingual

Join Our Team as a Bilingual RN Case Manager – MLTC (Hybrid: 4 Days Remote) 🚑

Enhance your nursing career with a rewarding role that combines care coordination and community engagement in a flexible work environment.

📝 Compensation & Location

• Salary Range: $100,000 - $115,000
• Locations Available: Manhattan, Brooklyn, Queens, or Bronx
• Work Schedule: 4 days remote, 1 day field-based per week
• Travel: Up to 25% regular travel to homes, offices, or public settings

📋 Position Summary

The RN Care Manager is responsible for delivering comprehensive care coordination, including in-home assessments, planning, advocacy, and authorization of services. The goal is to meet members' health needs while promoting quality, cost-effective outcomes.

🕒 Schedule & Status

• Shift: Monday through Friday, Business Hours
• Type: Permanent, Full-Time

🎯 Core Responsibilities

• Ensure seamless care across all healthcare settings by assessing and monitoring members’ needs.
• Authorize services and coordinate care regardless of payer.
• Collaborate with members, families, caregivers, primary care providers, and interdisciplinary teams.
• Support members in maintaining the highest level of independence possible.
• Perform home visits to evaluate living conditions, cultural factors, and cognitive needs.
• Work with physicians and the interdisciplinary team to develop personalized care plans.
• Manage members' discharge planning to ensure safe transitions.
• Investigate and document grievances according to plan policies.
• Participate in Intensive Care Management meetings for complex cases.
• Respond promptly to member requests and complete adverse determination documentation.
• Identify and evaluate members requiring Care Management Review (CMR).
• Document all care activities in accordance with company policies.
• Develop efficient, needs-based care plans utilizing network providers and appropriate service levels.
• Perform additional duties as needed to support team and organizational goals.

🎓 Requirements

Education & Experience

• Associates degree in Nursing from an accredited program (required)
• Bachelor's degree in Nursing (preferred)
• Minimum of 3 years’ experience as a registered nurse (required)
• Geriatrics or managed long-term care experience (preferred)
• Ability to communicate in multiple languages may be required based on operational needs

Licensure & Certifications

• Current, unrestricted RN license in New York (required)
• Case Management Certification (preferred)

Skills & Competencies

• Proficiency in Microsoft Office Suite (Outlook, Word, Excel)
• Excellent communication with diverse populations
• Strong multi-tasking and independent working skills
• Knowledge of healthcare laws, regulations, and policies
• Adherence to professional ethics and CMSA standards
• Advocacy for members and cultural sensitivity
• Ability to interpret research and utilize community resources
• Critical thinking, decision-making, and organizational skills
• Bilingual skills in speaking and writing are highly preferred

🌟 About Us

RCM Healthcare Services has been providing exceptional staffing solutions since 1975. We are dedicated to connecting qualified healthcare professionals with top-tier institutions across the nation. Our commitment to excellence is recognized by the Joint Commission Gold Seal of Approval.

🤝 Equal Opportunity & Accommodation

We are an equal opportunity employer, valuing diversity and inclusion. RCM Technologies is committed to providing reasonable accommodations to qualified individuals with disabilities, in accordance with the Americans with Disabilities Act (ADA) and applicable laws. If you need accommodations during the application or employment process, please contact us, and we will support your needs.