Clinical Manager - Integrated Care

Matter of Care Home Health Services • New York City, NY

8h

About The Position

Matter of Care is hiring a Clinical Manager – Integrated Care to lead care transitions from hospital to home and support safe, high-quality care for participants. The role partners with physicians, hospital discharge teams, home care clinicians, and interdisciplinary teams to reduce readmissions and improve outcomes. The manager conducts in-home nursing assessments, provides skilled nursing care, coordinates individualized transition plans, and supports participants and caregivers with education and follow-up care. The position also supervises and mentors nursing and care aide staff, conducts field visits and competency assessments, and ensures compliance with applicable standards.

Matter of Care Home Health Services is part of the CenterLight Health System family. It provides coordinated healthcare services to older adults while supporting their independence and dignity through a participant-centered approach and community partnerships. The responsibilities listed are not exhaustive and may change based on company needs. The employer is an affirmative action and equal opportunity employer and provides reasonable accommodation for individuals with disabilities.

Requirements

• Active, unrestricted New York State RN license.
• Graduate of an accredited nursing program; a BSN is preferred.
• Minimum 3 years of clinical nursing experience.
• 1–2 years in home care, community health, or a similar setting.
• Strong assessment, critical thinking, communication, and care coordination skills.
• Experience with EHR systems.
• Ability to travel throughout assigned service areas.

Nice To Haves

• BSN.
• Experience in PACE, care transitions, case management, long-term care, or geriatrics.
• Supervisory experience.

Responsibilities

• Lead hospital-to-home care transitions and develop individualized transition plans.
• Collaborate with hospital discharge planners, physicians, and interdisciplinary teams.
• Conduct comprehensive in-home nursing assessments and provide skilled nursing care.
• Educate participants and caregivers on medications, chronic disease management, and follow-up care.
• Serve as an active member of the Interdisciplinary Team (IDT).
• Supervise and mentor Nurses, Personal Care Aides, and Home Health Aides.
• Conduct supervisory field visits and competency assessments.
• Ensure compliance with PACE, LHCSA, CMS, and organizational standards.
• Participate in quality improvement initiatives and maintain accurate documentation.

Benefits

• 28 paid time off (PTO) days annually.
• 9 paid holidays.
• Tuition reimbursement up to $5,250 annually.
• 403(b) retirement plan with employer contributions.
• Medical, dental, and vision coverage.
• Health Savings Account (HSA) and Health Reimbursement Account (HRA) options.
• Flexible Spending Accounts (FSA).
• Transit and commuter benefits.
• Gym reimbursement up to $400 annually.
• Employee Assistance Program (EAP).
• Relias learning platform and professional development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager