CLINICAL MANAGER - INTEGRATED CARE

Matter of Care Home Health Services•New York, NY
•$135,000 - $140,000

About The Position

Matter of Care is seeking a Clinical Manager – Integrated Care to lead high-quality hospital-to-home care transitions for participants. The role partners with physicians, hospital discharge teams, home care clinicians, and interdisciplinary teams to support safe transitions home, reduce readmissions, and improve outcomes. Matter of Care is part of the CenterLight Health System family and serves older adults through coordinated, participant-centered healthcare focused on independence and dignity.

Requirements

  • Active, unrestricted New York State RN license.
  • Graduate of an accredited nursing program.
  • Minimum 3 years of clinical nursing experience.
  • 1–2 years of experience 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 preferred.
  • 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 about 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.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service