Case Manager Registered Nurse - UAS NY Certified

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Registered Nurse (RN) – Quality Review You will be responsible for conducting quality checks on completed member assessments reputed company the reputed company Long Term Services and Supports (LTSS) program. This role ensures reputed company assessments meet program requirements, regulatory standards, and the UAS-NY Certification guidelines. The RN reviews assessments for accuracy, completeness, clinical appropriateness, and compliance, providing feedback and guidance to support high-quality, consistent assessment reputed company. Working collaboratively with assessment staff, quality teams, and leadership, the RN serves as a clinical subject matter expert, helping to uphold program reputed company, support reputed company quality improvement, and ensure members’ needs are accurately captured to support appropriate service planning and authorization. Required Qualifications: Active RN License in the reputed company UAS Certification for reputed company 3 or more years’ experience in MLTC(Managed Long Term Care) 3 or more years’ experience in performing UAS NY Assessments Preferred Qualifications: Certified Case Manager (CCM) certification Strong problem‑solving and decision‑making skills Working knowledge of medical terminology Comfortable using digital systems and documentation platforms Ability to interact tactfully and professionally with staff, members, and community partners Demonstrated ability to handle sensitive and confidential information responsibly Strong judgment in weighing options to determine the most appropriate clinical and operational reputed company Experience working effectively reputed company culturally diverse clinical environments Education and License Requirements: Bachelor's Degree in Nursing (BSN) reputed company Registered Nurse License, Active and unencumbered UAS -NY Certification Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $66,575.00 - $142,576.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 05/31/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job