Hybrid Case Manager, Registered Nurse

Posted 1 hour ago

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About the role

  • Case Manager Registered Nurse managing clinical strategies for members in New Jersey communities. Conducting assessments, care plans, and collaborating with diverse populations in a field role.

Responsibilities

  • Conduct face-to-face home visits using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS) and/or Dual Special Needs Programs (D-SNP/FIDE).
  • Perform in-person assessments for non-MLTSS members to determine medical needs and support appropriate service referrals.
  • Successfully complete and maintain NJ Choice Certification (required for continued employment).
  • Work with diverse populations, including pediatric and medically complex members.
  • Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams.
  • Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services.
  • Develop individualized care plans and authorize services within MLTSS/FIDE program benefits in a cost-effective manner.
  • Document all assessments, interactions, and care planning activities accurately and in a timely manner in the electronic health record.
  • Utilize strong critical-thinking and problem-solving skills in daily work.
  • Mentor new staff once appropriate proficiency has been achieved.

Requirements

  • Active, unrestricted RN license in the state of New Jersey
  • Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care
  • Residency in Middlesex and Mercer County, NJ
  • Ability and willingness to travel up to 75% within Middlesex and Mercer Counties.
  • Successful completion of NJ Choice Certification, including: Exam score of 80% or higher, Completion of state training modules, Field mentoring, as required by the NJ Division of Aging Services

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access and many other benefits depending on eligibility.

Job title

Case Manager, Registered Nurse

Job type

Experience level

Mid levelSenior

Salary

$66,575 - $142,576 per year

Degree requirement

Associate's Degree

Location requirements

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