Manager of Nursing

Starting at 90,000 / Year

The Manager of Nursing is responsible for the RN functions and interfaces directly with senior management to ensure that assessed member needs are effectively addressed. The Manager of Nursing serves as a valuable resource to the Care Management team by documenting critical clinical caseloads, reassessments, and change in condition information in the electronic record system. The Manager of Nursing partners with the RN team by coordinating services and community resources and meeting member socioeconomic needs to support the quality of life.

1. Manages a team of care management nurses and reviewers to ensure the seamless and timely
completion and quality of care management while also focusing on quality, gaps in care, and
utilization.
2. Assist the Director of Nursing in planning, developing, organizing, implementing, evaluating,
and directing the day-to-day functions of the RN Care Management Team
3. Makes written and oral reports/recommendations to the Director of Nursing as
necessary/required, concerning the operation of the RN Care Management Team
4. Participate in the utilization review process and evaluate to determine if the member’s
condition and needs meet criteria for covered services.
5. Delivers member specific metrics and coaches RNs on gap closing opportunities.
6. Collaborates with RN Care Management Team to improve performance in areas of Quality, Risk
Adjustment and Operations
7. Compare assessment data to baseline assessment to monitor Members’ progress, recognize
alterations in function, including life-threatening situations, and intervene and document
appropriately.
8. Serves as clinical point person in response to Care Delivery questions, concerns, or issues
9. Ensure that documentation in the care management record meets all applicable professional
standards, using an EMR for each observation, verbal report, or interaction with the Member,
Member’s caregiver/family, PCP or other provider, whether by home visit, telephonic, or written
interaction.
10. Participate in Disease Management, Utilization Management (as required), and Quality
Improvement activities.
11. Utilize electronic timekeeping system as directed.
12. Arrive to work on time, regularly, and works as scheduled.
13. Recognize and follow the dress code of the facility, including wearing name tag at all times.
14. Follow policy and procedure regarding all electronic devices, computers, tablets, etc.
15. Support and abide by Elderwood IPA’s Mission, Vision, and Values.
16. Abide by Elderwood IPA’s businesses code of conduct, compliance and HIPAA policies.
17. Performs other duties as assigned by supervisor, management staff, or Administrator

• Current New York State Registered Nurse License and a valid NYS Driver’s
license in good standing required
• Masters in relevant field preferred, or BSN with extensive experience
accepted
• Minimum of four (4) years nursing experience in home care, case
management, discharge planning or managed care required
• Minimum of one (1) years management experience required
• Minimum of one (1) year experience working with a frail or elderly population
required
• Minimum of one (1) year experience with health assessments required
• Bilingual skills are preferred

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.