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Longitudinal Care Manager RN Per Diem

NY, NY 10017

Posted: 10/06/2025 Employment Type: Contract to Hire Job Number: 26460566 Pay Rate: 61-63 USD/Hour

Job Description


The Longitudinal Care Manager provides ongoing care coordination and management for patients over time, ensuring continuity of care, optimal health outcomes, and appropriate utilization of services. This role supports patients across the continuum of care following initial assessments through regular monitoring, plan adjustments, and collaboration with multidisciplinary teams.

Key Responsibilities:
  • Manage a caseload of patients longitudinally, tracking health status, progress, and care needs.
  • Update and adjust individualized care plans based on patient condition, clinical goals, and evolving needs.
  • Coordinate with physicians, specialists, community resources, and other care providers to ensure comprehensive care delivery.
  • Conduct regular patient outreach via phone or telehealth to monitor health, provide education, and reinforce care plans.
  • Identify barriers to care and implement strategies to address social, behavioral, or medical needs.
  • Document all patient interactions, care plan updates, and progress notes accurately in the electronic health record (EHR).
  • Facilitate smooth transitions between stages of care (initial, palliative, hospice) when appropriate.
  • Serve as a resource and advocate for patients and their families.

Qualifications:
  • Current NYS RN license
  • Experience in case management, care coordination, or similar clinical roles.
  • Knowledge of chronic disease management, utilization management, and patient-centered care.
  • Knowledge of D-SNP, Medicare, and Medicaid programs and eligibility criteria.
  • Strong communication, problem-solving, and organizational skills.
  • Ability to work independently and manage multiple patients effectively.

Preferred:
  • Experience with telephonic care management or remote patient monitoring.
  • Familiarity with EHR systems and care management software.
  • Previous experience across the continuum of care (initial, longitudinal, palliative, hospice).

Meet Your Recruiter

Chris Mazzurco

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Drew Anson

Chief Delivery Officer

Drew Anson is Chief Delivery Officer at Phaxis, a Workforce Solutions Company based in New York.

In this role, Drew leads the delivery and recruiting working closely with the leadership team to define a model that is efficient at supporting the firm s current needs and is scalable for future growth.

Drew is a seasoned executive with more than 13 years of Services & Recruitment experience. In that time, he has supported numerous Fortune 100/500/1000 organizations across industries by providing global workforce solutions, namely resources and thought leadership for large-scale projects, implementations, and managed services.

Prior to joining Phaxis predecessor firm Park Hudson in 2021, Drew spent three years at engineering technology and talent solutions firm, Collabera, as Director of Sales in North Carolina. Earlier in his career, he spent nearly eight years at Insight Global, most recently as Sales Manager of the Columbus, OH office.

He holds a degree from Central Michigan University in Sales & Marketing.

Favorite Book: Extreme Ownership Jocko Willink & Leif Babin
Favorite Team: Michigan Wolverines
Inspirational Quote: There is no substitute for hard work. Thomas A. Edison