Schedule: Monday–Friday 8:30 AM–5:30 PM
Salary Range: $135,000.00 - $140,000.00
Coverage Area: Brooklyn
Lead the Transition from Hospital to Home. Improve Lives Every Day.
As a Clinical Manager – Integrated Care, you'll play a vital leadership role in ensuring participants receive seamless, high-quality care as they transition safely home. This role partners with physicians, hospital discharge teams, home care clinicians, and interdisciplinary teams to reduce readmissions and improve outcomes.
What You'll Do
- 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.
What We're Looking For
Required
- Active, unrestricted New York State RN license.
- Graduate of an accredited nursing program (BSN preferred).
- Minimum 3 years of clinical nursing experience.
- 1–2 years in home care, community health, or similar setting.
- Strong assessment, critical thinking, communication, and care coordination skills.
- Experience with EHR systems and ability to travel throughout assigned service areas.
Preferred
- PACE, Care Transitions, Case Management, Long-Term Care, Geriatrics, and supervisory experience.
Why Matter of Care?
- Monday-Friday daytime leadership schedule
- 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
About Matter of Care Home Health ServicesMatter of Care is a member of the CenterLight Health System family and is dedicated to helping older adults receive high-quality, coordinated healthcare services while maintaining their independence and dignity.
Through a participant-centered approach and strong community partnerships, we work every day to improve health outcomes and quality of life for the individuals and families we serve.
Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.
Salary Range (Min-Max):$135,000.00 - $140,000.00
