Access CNY logo
Access CNY
Syracuse, New York

Nurse Case Manager, Enhanced Step Down - Sign-On Bonus

Registered NurseIncludes callNo weekendsFull-Time

Listed compensation

$37.45-$40.01/hr

The week · per this posting · Monday – Friday

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 3mo ago

Job Description

Nurse Case Manager, Enhanced Step-Down

3,000 Sign-On Bonus

  • Reports to: Director, Enhanced Step-Down
  • Location: 1603 Court St., Syracuse, NY 13208
  • Pay Rate: $37.45 - $40.01 Hourly

Schedule: Monday – Friday: 8:00 a. m. – 4:00 p. m.

The people we care for come from all walks of life, and so do we. We strive to diversify our workforce, not because it’s the right thing to do, but because it makes our agency stronger!

About Us

With a history stretching back more than 70 years, AccessCNY is continually growing and expanding our reach. Offering person-centered services that empower individuals of all ages and abilities to reach their full potential as part of our community.

Our focus is supporting individuals by ways of residential housing, mental health and clinical services, and immersing our participants in community engagement.

Working closely with the Office for People with Developmental Disabilities and the Office of Mental Health, we support 27 housing locations and 3 administrative buildings.

About the Role

We are looking for a proactive employee to provide monitoring and oversight of participants’ medical care and ensure their health needs are met while enrolled in the Enhanced Step-Down (ESD) Program for CTI-only services and/or the Transitional Residential Setting (TRS).

Responsibilities

Monitor the health and well-being of up to 30 participants in the ESD Program, ages 18+

Attend pre-admission, intake, discharge, and annual participant meetings; review medical records, including current medications and treatments

Obtain and coordinate medical services for participants with other agencies, specifically referring partner hospitals

  • Complete and document participant nursing assessments upon intake and discharge
  • Develop and monitor Plan of Nursing Services (PONS) for each participant, as needed

Review participant medical records and ensure the maintenance of orderly medical records for each participant, complete pharmacy reviews

Schedule medical appointments, accompany and/or transport participants to medical appointments, advocate for participants, as needed

Review all physician/medical consult forms after medical visits and assure follow up regarding provider recommendations/prescriptions

Stay informed and updated on participant health; complete notes and other documentation required by regulation and Agency policy

  • Meet with participants referred by partnering hospitals to the ESD program within 24 hours of referral
  • Follow the CTI case management progression and maintain fidelity with the CTI model

Complete intake assessments to determine needs, goals, and services needed to achieve and maintain stability in the community

Engage individuals in skill building, offer crisis management, collaborate with other service providers, assist individuals in navigating complex systems and collaborate with informal supports in adherence to the CTI model

  • Provide CTI case management for a small caseload of assigned participants for approximately 9 months
  • Accompany assigned participants to meetings/intake appointments, as needed
  • Observe participant progress; adjust supports, make referrals and changes, as needed
  • Medication Assistive Personnel (AMAP) courses as needed to ensure staff certifications; conduct annual recertification per OPWDD regulations
  • Observe and review staff competency in medication administration, and make recommendations, as needed
  • Attend scheduled medical review meetings with ESD Director, CTI & TRS teams
  • Respond to on-call matters outside of agency hours, as assigned
  • Provide back up for the Human Resources RN for TB screenings, as needed
  • Observe confidentiality and safeguards all participant related information
  • Follow Agency standards and procedures

Maintain Compliance with Applicable Rules and Regulations

  • Ensure compliance with federal, state, and local employment laws and regulations, as well as company policies
  • Perform Other Duties as Assigned

Education/Experience

NYS Registered Nurse licensure, required. One year of experience working with individuals with mental health and/or I/DD diagnoses, preferred.

Conditions of Employment

Must have a valid NYS Driver License in accordance with the Agency Vehicle and Driving policy and transportation necessary to meet program needs. Must respect confidentiality. Must be able to perform duties with repetitive motion. Must be able to lift 75lbs. Must have a flexible schedule and be available for emergencies. Must meet NYS RN recertification requirements and maintain active NYS RN certification.

Did you know that AccessCNY offers great health, dental and vision insurance? Additionally, we provide a 401(k) match upon hire, PTO, and 11 paid holidays.

Requirements

Requires a valid New York State Registered Nurse licensure and a valid NYS Driver License. Preference is given to candidates with one year of experience working with individuals with mental health or I/DD diagnoses.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Nursing AssessmentMedical Record ReviewPatient AdvocacyCare CoordinationClinical OversightPatient Monitoring

Case Management — Registered Nurse Career Context

Of the 37 active Nurse Case Manager listings this role was benchmarked against, 19% are remote, 59% have no call, 81% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$81k midpoint carries the purchasing power of roughly $75k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Nurse Case Manager market look like in New York?
MeasureThis jobMarket
Work-life score6.6 / 10 · top 25% in nurse case managerranked against 2,789 Nurse Case Manager listingslisting-based score, 0–10
Cost-of-living adjusted pay~$75k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Case Management listings in New York60 active—live on WeekdayDoc, Nov 2026
All nurse case manager listings in New York242 active5,684 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 19% remote · 59% no call · 81% no weekends37 benchmarked listings
Sign-on & loan repayment$3k sign-onNew York registered nurse listings (all specialties): 10% state a sign-on bonus (median $10k) · 4% offer loan repayment242 active listings, Nov 2026
New Case Management RN listings1,108 in the last 30 days967 the 30 days before (+15%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (2,789 Nurse Case Manager listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. New York figures use all nurse case managers: too few New York Case Management postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Case Manager, Enhanced Step Down - Sign-On Bonus at Access CNY a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Nurse Case Manager — ranked against 2,789 active Nurse Case Manager listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Nurse Case Manager Jobs

30 matches · ranked by pay

Salary Distribution

20 jobs · 19 employers
10
<$100k
3
$100k-120k
5
$120k-140k
2
$140k-160k

Annual compensation range

Benefits & Perks

16 jobs
401k / retirement match
100% this job
Sign-on bonus
19% this job
CME allowance
13%
Loan repayment
6%

Share of similar jobs offering each benefit

#1

Registered Nurse - Case Manager w/sign-on bonus - 5403

Vantage Search Group · Twentynine Palms, California

$125k-$156k
#2

Case Manager Registered Nurse (Remote, RN Illinois)

CVS Health · Illinois

$67k-$143k
#3

Registered Nurse - Case Manager

$60-$67/hr
#4

RN Case Manager

$62-$65/hr
+ 28 more · ranked by pay

Work-life snapshot

median 3.9this job 6.6
Better work-life than 80% of Nurse Case Manager listings

Listing-based score, 0–10, across 2,789 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • On-site
  • Includes call
Access CNY logo

About Access CNY

Individual and Family Services
Syracuse, NY
201-500 employees

Benefits & Perks

Health Insurance
Dental Insurance
Vision Insurance
401(k) Match
PTO
11 Paid Holidays
Sign-On Bonus $3,000

Living in Syracuse

Typical 3-bedroom home value
$217k
Typical market rent
$1,566/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
95.7
State income tax
Up to 10.9%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Syracuse, NY metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.