RN Case Manager

Location & Practice Overview

The position is based onsite at one of Extended Home Care’s administrative offices in New York City. Candidates may be assigned to the Brooklyn, Manhattan, or Staten Island location.

Responsibilities

• Assess patients across the lifespan and establish or update individualized plans of care with input from the patient, caregiver, physician, and multidisciplinary team members.
• Complete required clinical documentation according to agency policy and regulatory timelines, including OASIS, Form 485, interim physician orders, interdisciplinary referral forms, and coordination notes.
• Oversee multidisciplinary team activity for the assigned caseload and confirm that scheduled visits are authorized and supported by current physician orders.
• Maintain and revise the Home Health Aide plan of care, communicate with the Home Health Aide Coordinator, and follow up with physicians or other providers as needed for care coordination.
• Develop and carry out discharge plans in conjunction with field staff, the patient or caregiver, and other members of the health care team while interpreting agency policy to families.

Additional expectations include participation in case conferences, clinical rounds, performance improvement activities, and accurate documentation that meets CMS and New York State Department of Health standards.

Qualifications & Requirements

Minimum requirements center on New York State licensure and recent clinical experience. Several additional credentials and backgrounds are strongly preferred but not mandatory.

Compensation & Benefits

The role offers a stated annual salary of $115,000 together with a standard benefits package.

• Salary: $115,000 per year
• Health, dental, and vision coverage
• Life insurance
• 401(k) plan with company match
• Paid holidays and PTO package
• Paid orientation and employee referral program

Schedule & Work Environment

Patient Population & Clinical Setting

The caseload spans the full age spectrum of patients who receive intermittent professional and ancillary services in their homes under a certified home health agency model.

Clinical Focus & Key Services

The clinical content of the role centers on the coordination and oversight of intermittent home health services rather than continuous bedside care.

Role Highlights

This position differs from many traditional RN roles in its emphasis on longitudinal caseload ownership, regulatory documentation, and office-based coordination within a special-needs home health environment.

• Primarily office-based work with limited or no routine field visiting
• Longitudinal responsibility for an assigned caseload rather than episodic bedside assignments
• Integration of clinical judgment with documentation accuracy and multi-party coordination
• Practice setting within a Special Needs Certified Home Health Agency that has long-standing focus on intellectual and developmental disability populations

About Extended Home Care

Extended Home Care is a Special Needs Certified Home Health Agency that has provided home care services to New Yorkers since 1997. The organization maintains specialized expertise in serving individuals with intellectual and developmental disabilities while also delivering skilled nursing, therapy, medical social work, and home health aide services to a broader patient population. Offices support operations in Brooklyn, Manhattan, and Staten Island.

Frequently Asked Questions

How the RN Case Manager Role Works

An RN Case Manager in this home health setting connects clinical assessment with the day-to-day coordination needed to keep an active patient case moving. The work begins with reviewing the patient’s current needs, available clinical information, and existing plan of care. From there, the nurse helps determine whether services remain appropriate, communicates with physicians and other members of the care team, and keeps required documentation aligned with the patient’s condition and ordered services. A typical case may involve updating the plan of care after a change in condition, following up on physician orders, reviewing whether scheduled services are authorized, communicating with field clinicians or Home Health Aide coordinators, and documenting the outcome in the clinical record. Cases may also require coordination with managed care organizations or commercial payers when authorization is part of the patient’s coverage requirements. The role therefore combines clinical judgment with organized follow-through. Rather than focusing primarily on hands-on bedside treatment, the RN Case Manager keeps multiple parts of the home health plan connected: patient needs, physician direction, clinical services, documentation, authorization, communication, and eventual discharge planning. This makes the position particularly relevant for registered nurses who enjoy managing an ongoing caseload and coordinating care across several participants.

Experience That Fits This RN Case Manager Position

This position can be a strong match for registered nurses whose previous work has required careful clinical documentation, coordination with multiple healthcare professionals, and responsibility for following a patient’s plan of care over time. Recent medical-surgical nursing experience provides the required clinical foundation, while experience in acute care, long-term care, public health, community health, or home health can provide useful preparation for the coordination demands of the position. Candidates coming from hospital nursing may recognize several transferable skills: identifying changes in patient status, communicating concerns to physicians, documenting clinical findings, participating in discharge planning, and coordinating services after a patient leaves an acute-care environment. Nurses with home health experience may bring additional familiarity with OASIS, physician orders, interdisciplinary communication, and the documentation requirements of a certified home health agency. Experience with intellectual and developmental disability populations is particularly relevant because Extended Home Care has a longstanding special-needs focus. Familiarity with electronic medical records and common office applications can also support the administrative side of the role. UAS certification and BSN education are listed as preferred qualifications rather than core minimum requirements. For candidates evaluating their fit, the most important starting points are an active New York State RN license, graduation from an accredited nursing program, and at least one year of recent medical-surgical nursing experience. The additional preferences help identify candidates who can move more quickly into the specific home health case-management environment.