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.
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