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
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
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
Full Job Description
Salary Range: $135,000.00 - $140,000.00
Monday–Friday | 8:30 AM–5:30 PM
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
Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.
About CenterLight Health System Inc
CenterLight Health System Inc is a non-profit healthcare organization that provides a wide range of services to seniors and individuals with chronic illnesses and disabilities in the New York City area. The organization offers home care, adult day health care, rehabilitation, and other services to help individuals live independently and improve their quality of life. CenterLight Health System Inc is committed to providing compassionate and high-quality care to its patients and their families.
