RN Care Manager, Population Health Programs – NYC

What You’ll Do

• Conduct comprehensive assessments for Medicare beneficiaries, including medical, behavioral, and social needs.
• Develop and manage individualized care plans aligned with evidence-based clinical guidelines.
• Provide ongoing chronic disease management for conditions such as diabetes, heart failure, COPD, and hypertension.
• Perform medication reconciliation and support medication adherence.
• Deliver patient education, health coaching, and self-management support.
• Career coordination, documentation, and patient engagement skills.
• Coordinate care across primary care providers, specialists, hospitals, post-acute facilities, and community resources.
• Manage transitions of care following emergency department visits and hospitalizations.
• Identify and close preventive care, screening, and quality care gaps.
• Design, implement, and continuously improve care management workflows from patient enrollment through ongoing engagement.
• Develop documentation standards that support care management and value-based reimbursement programs.
• Partner with operations and analytics teams to establish caseload models, outreach strategies, performance metrics, and scalable processes.
• Evaluate and optimize care management technology and electronic health record workflows.
• Serve as a clinical thought partner to leadership on value-based care initiatives and accountable care strategies.
• Support quality improvement initiatives, including HEDIS, STARs, Transitional Care Management (TCM), and other value-based performance measures.
• Document care management activities accurately to support program requirements and reimbursement.
• Identify opportunities to reduce avoidable emergency department visits and hospital admissions.
• Collaborate closely with interdisciplinary care teams, patients, caregivers, and providers through phone and virtual communication.
• Escalate clinical concerns appropriately while supporting coordinated, patient-centered care.

What You’ll Bring

• Active Registered Nurse (RN) license in New York State.
• Three or more years of clinical nursing experience, preferably in primary care, care management, population health, or a related setting.
• Experience supporting Medicare populations strongly preferred.
• Demonstrated success building, improving, or optimizing clinical workflows.
• Familiarity with value-based care models, including ACOs, MSSP, APCM, CCM, and related programs.
• Strong care coordination, documentation, and patient engagement skills.
• Operational mindset with the ability to thrive in an evolving, early-stage environment.
• Knowledge of social determinants of health and community-based resources.
• Excellent communication and relationship-building skills.
• Able to work in a hybrid role with regular in-person collaboration in New York City.
• A builder mentality with a passion for creating scalable solutions.
• High emotional intelligence, humility, adaptability, and a collaborative approach to problem-solving.

Compensation

Salary Range: $85,000–$110,000 annually.

If the range doesn’t align with your needs, please still apply! Carex values transparency in all steps of the recruiting process. The range listed above is dependent on skills and experience as it relates to the role. New roles arise every day, and we want you to be the first to know when the right role pops up for you.

Carex Consulting Group is an equal opportunity employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, marital status, disability, gender identity, or Veteran status.