Assisted Living Registered Nurse (RN Case Manager)

Northwell Health•Lake Success, NY

19h•Onsite

About The Position

FlexStaff is seeking a Registered Nurse (RN) to work full-time as a Nurse Case Manager for an Assisted Living facility in Queens, NY. In this role, you’ll lead clinical assessments, coordinate individualized care plans, and serve as a critical liaison among residents, families, providers, and staff to promote safety, well-being, and independence.

Requirements

Current, unencumbered New York State Registered Nurse (RN) license required.
2+ years of clinical experience in assisted living, long-term care, home care, case management, or geriatric settings.
Strong care coordination skills with knowledge of community resources, payer requirements, and transitions of care.
Familiarity with NYS DOH regulations.
Proficiency with EMR systems and strong documentation skills.
Excellent communication, critical thinking, and relationship-building skills; ability to work effectively with residents, families, and interdisciplinary teams.
BLS certification required.

Nice To Haves

ALP experience a plus.
Experience with UAS-NY assessments and/or managed long-term care (MLTC) preferred.
Additional certifications (e.g., CCM, ANCC gerontology) a plus.
Bilingual (e.g., Spanish, Mandarin, Russian, Bengali) a plus given our diverse resident community.

Responsibilities

Conduct comprehensive nursing assessments on admission and at regular intervals; update care plans based on resident status, goals, and preferences.
Coordinate and monitor services (home care, rehab, specialty appointments, labs, pharmacy, DME) to ensure timely, appropriate, and cost-effective care.
Facilitate smooth transitions of care (hospital, rehab, home), including pre-admission screening, discharge planning, medication reconciliation, and follow-up.
Collaborate with residents, families/guardians, primary care providers, and the interdisciplinary team to address clinical needs and psychosocial factors.
Monitor clinical outcomes and chronic disease management; identify risks and implement interventions to reduce falls, infections, and avoidable hospitalizations.
Ensure compliance with New York State Department of Health regulations for Assisted Living/ALP settings; maintain accurate, timely documentation in the EMR.
Participate in quality improvement initiatives, audits, and incident reviews; track metrics and implement corrective actions as needed.
Educate residents and families on disease processes, medications, and community resources; provide in-service training for care staff on clinical best practices.
Support medication management processes and coordinate with pharmacy services.
Participate in on-call rotation and respond to urgent resident needs as appropriate.