New York, New York, United States · Hybrid
How We Show Up for Our Patients: As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Hom…
Skills: Care Coordination, Patient Assessment, Case Management, Chronic Kidney Disease Care, Interdisciplinary Collaboration
New York, New York, United States · On-site
$60k–$90k/yr
Under general supervision, serves as the primary intake and admissions coordinator for Adult Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) services, with approximately 0.5 FTE dedicated to …
Skills: Clinical Assessment, Care Coordination, Crisis Intervention, Intake Coordination, Group Facilitation
New York, New York, United States · On-site
$125k–$175k/yr
$40,000 Student Loan Repayment Or $30,000 Sign-on Bonus In Home Care, No Nights, Weekends or Holidays This position requires daily travel to patient homes within assigned area. Optum Home & Community Care, part of the Op…
Skills: In-home Assessments, Medication Reconciliation, Physical Examination, Chronic Condition Management, ICD 10 Documentation
New York, New York, United States · Hybrid
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How many people can answer the question, "What do you do for a living?" with the answer, "I help find cures for cancer." At Blood Cancer United, employees take our mission seriously. Whether you work in one of our region…
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New York, New York, United States · On-site
$20/hr
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Skills: Crisis De-escalation, Case Management, Active Listening, Interpersonal Relations, Problem Solving
New York, New York, United States · On-site
Program: ROADS | Brooklyn, NY 11207 What You'll Do As a Children's Room Specialist Intern, you’ll work with our Children and Youth Services Program serving children aged 2 and up who obtain support at the Brooklyn …
Skills: Early Childhood Education, STEM Projects, Arts And Crafts, Computer Literacy, Homework Help
New York, New York, United States · On-site
$18/hr–$18/hr
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Skills: Curriculum Planning, Lesson Planning, Child Supervision, Behavior Management, Data Collection
New York, New York, United States · On-site
$24/hr–$24/hr
ABOUT US: - We believe that everyone deserves a home! Breaking Ground operates nearly 4,000 units of housing across New York City, along with housing in upstate New York and Connecticut. Supportive housing - affordable h…
Skills: Case Management, Psychosocial Evaluations, Harm Reduction, Motivational Interviewing, Crisis Intervention
New York, New York, United States · On-site
$20/hr–$20/hr
The Child Center of NY strengthens children and families with skills, opportunities, and emotional support to build healthy, successful lives. Founded in 1953, The Child Center of NY has become a powerful community prese…
Skills: Youth Mentoring, Case Management, Advocacy, Workshop Facilitation, Social Emotional Development
New York, New York, United States · On-site
$21/hr–$21/hr
Volunteers of America–Greater New York (VOA–Greater New York) is a leading anti-poverty organization serving neighbors in need across New York City, Northern New Jersey, and Westchester. Through 70+ programs,…
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New York, New York, United States · Hybrid
$70k–$75k/yr
Goodwill Greater New York and Northern New Jersey (GWNYNJ) believes that the power of work and sustainable fashion is how we unlock the good in our communities. For over 100 years, we have helped people get jobs, stay em…
Skills: Staff Supervision, Outreach Strategy, Intake Management, Case Management, Program Compliance
New York, New York, United States · On-site
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Skills: Case Management, Career Navigation, Vocational Counseling, Employment Services, Motivational Interviewing
New York, New York, United States · On-site
$24/hr–$24/hr
ABOUT US: - We believe that everyone deserves a home! Breaking Ground operates nearly 4,000 units of housing across New York City, along with housing in upstate New York and Connecticut. Supportive housing - affordable h…
Skills: Case Management, Psychosocial Evaluations, Harm Reduction, Motivational Interviewing, Crisis Intervention
New York, New York, United States · On-site
$21/hr–$21/hr
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Skills: Street Outreach, Motivational Interviewing, Vulnerability Assessment, Case Management, Crisis Intervention
New York, New York, United States · On-site
$66k/yr
PURPOSE: The Jewish Board’s Youth and Family Division supports domestic violence survivors and their family members. Using a non-judgmental, trauma-informed approach, staff guide the residents to create and meet pe…
Skills: Resident Engagement, Trauma-Informed Care, Case Management, Public Benefits Navigation, Housing Resource Development
New York, New York, United States · On-site
$70k–$80k/yr
Goodwill Greater New York and Northern New Jersey (GWNYNJ) believes that the power of work and sustainable fashion is how we unlock the good in our communities. For over 100 years, we have helped people get jobs, stay em…
Skills: Case Management, Crisis Intervention, Supportive Counseling, Intake Assessment, Trauma-Informed Practice
New York, New York, United States · On-site
$24/hr–$24/hr
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Skills: Employer Engagement, Job Matching, Workforce Development, Networking, Market Research
New York, New York, United States · On-site
Do Work That Matters. In a Culture That Means It. Be part of a team that values connection, accountability, and real impact. Why Access? Because how we work matters just as much as what we do. At Access, our Culture Play…
Skills: Direct Care, Person Centered Support, Crisis Intervention, Interpersonal Communication, Patient Advocacy
New York, New York, United States · On-site
Program: HELP One Building A | 273 Snediker Avenue, Brooklyn, NY 11207 What You'll Do As a Children's Room Specialist Intern, you’ll work with our Young Adult Families program serving children aged 2 and up living …
Skills: Early Childhood Education, STEM Projects, Arts And Crafts, Computer Literacy, Homework Help
New York, New York, United States · On-site
$19/hr–$19/hr
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Skills: Incident Management, Crisis Intervention, Record Keeping, Client Engagement, Microsoft Office Suite
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The RN Care Manager coordinates care for high-needs CKD and ESKD populations through home, clinic, and facility visits. They build partnerships with physician practices to implement individualized care plans and reduce preventable readmissions.
Requires a valid RN license, BLS certification, and at least 2 years of RN experience with a focus on renal or dialysis care. A BSN and Certified Case Manager (CCM) credential are preferred.
As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home™.
Care at Somatus goes beyond treatment. Through a whole‑person approach, we deliver outcomes‑driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions.
We hire the brightest and boldest — talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn’t just a milestone — it’s a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence.
Does this sound like you? Keep reading.
How We’ll Support You:
We offer 25+ health, growth, and wealth work perks to help teammates be the best version of themselves, including:
This role requires travel to practices within the Queens, NY Area.
The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations that face multiple challenges, from accessing resources to adhering to a physician’s treatment plan. The RN Care Manager will work closely with Somatus patients and physician practices, working closely with the Patient Health Advocate to establish trust with physicians and practices.
The RN Care Manager, VBC is an important part of the interdisciplinary care team. They are responsible for outreach, scheduling face-to-face visits with members in their homes, dialysis clinics, and/or physician offices to support higher-risk members who need barrier assessments, and face-to-face care plan education. In addition, our field nurses develop trusting relationships with the nephrology practices in their markets and work closely with those practices to support increased collaboration to improve patient outcomes.
This is a physician practice partnership role that involves meeting with members in clinical, home, and facility settings, within their designated locations.
Partner closely with physicians and practice staff to establish a collaborative working relationship focused on improving patient outcomes. Serve as Somatus’ primary representative within the practice and build trusted relationships over time.
Support the care team in planning, coordinating, and facilitating regular interdisciplinary care team meetings with partnered practices to improve outcomes for complex, high-priority patients.
Establish and maintain positive, supportive relationships with patients and provider offices through in-person and telephonic engagement.
Develop strong partnerships with provider practice teams to support both clinical and operational goals and improve the overall quality of patient care.
Collaborate with provider practices to develop and optimize workflows that align with operational objectives and care team processes.
Educate provider practices on the Somatus program and reinforce collaborative, integrated workflows.
Provide a complete continuum of quality care through close communication with members via in-person, telehealth or on-phone interaction, including comprehensive assessments, transitional care assessments and reassessments.
Travel to member homes, facilities, and physician offices to conduct visits, participate in care planning, and deliver care coordination services.
Utilize nursing assessment skills to identify medical, behavioral, and social determinants of health barriers affecting the treatment plan.
In collaboration with the patient, nephrologist, PCP, and interdisciplinary care team, develop and implement individualized care plans to address identified needs, remove barriers to care, and improve overall health outcomes.
Manage patients through transitions of care by supporting effective handoffs and minimizing preventable readmissions.
Assess the patient’s knowledge of their discharge care requirements and renal condition and provide education and self-management support.
Provide clinical guidance and oversight to both non-licensed (community health workers, health coaches) and licensed (social workers, renal dietitians) team members, delegating tasks as appropriate.
Perform other duties as assigned.
Qualifications:
Preferred Qualifications:
Knowledge, Skills, and Abilities:
Knowledge and experience to empower patients in self-management and shared decision-making.
Work collaboratively with interdisciplinary team members.
Strong analytical and critical thinking skills. Strong community engagement and facilitation skills.
Ability to consult with physicians and other team members to ensure that care plan is successfully implemented.
Participate actively in assigned Care Management Coordination Committee (CMCC) meetings.
Core values consistent with a patient-centered approach to care
Ability to adapt to a changing work environment based on member and client needs (field-based or remote work).
Self-motivated with a strong work ethic.
Effective written and verbal communication skills that demonstrate respect and cultural awareness during interactions with patients and clients
Computer proficiency, to include strong data entry, utilizing MS Office (Word, Excel, PowerPoint and Outlook), and telecom devices including the ability to type and talk at the same time while navigating multiple applications
Adheres to departmental policies and procedures.
Physical Requirements
Reside in a location that can receive a high-speed internet connection or can leverage existing high-speed internet service.
Access to private dedicated home workspace free from distractions and to protect patient privacy regarding HIPAA and Privacy regulations.
Ability to travel throughout the assigned region to conduct home, provider, or facility visits, depending on the assigned market needs, as needed 75% of the time.
Ability to work assigned schedule to meet patient and client expectations.
Ability to remain in a seated or standing position for extended periods of time as required to perform essential job functions.
Compensation:
$80,000 to $90,000 per year
We offer competitive compensation that reflects market conditions and recognizes the skills, experience, and contributions of our team members. Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies, experience, and geographic location and may fall outside of the range shown above. In addition, this position may be eligible for a discretionary performance-based bonus in accordance with the Company's applicable incentive compensation plans.
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Our priority is the health and safety of our members, colleagues, partners, and community. For this position, we require proof of COVID-19 vaccination, annual Influenza vaccination, along with immunizations for Hepatitis, MMR, Varicella, Tdap, and TB for employment.
At Somatus, we celebrate what makes us unique — our people. We believe that a culture intentionally built to foster and support our unique passions, experiences, and perspectives helps fuel us in the pursuit of our mission.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by law. Discrimination of any type will not be tolerated.
IND1
The leading provider of outcomes-driven care for individuals and communities living with chronic conditions.
The leading provider of outcomes-driven care for individuals and communities living with chronic conditions.
Offices: 1861 International Dr, McLean, Virginia 22102, US · 500 N Washington St, Falls Church, Virginia 22046, US
There are currently 7,292 open social services positions in New York, NY listed on Clera. New openings are added daily as companies post roles.
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