Registered Nurse Case Manager - Field in Essex and surrounding counties New Jersey
Core
Field-based Registered Nurse Case Manager delivering high-quality, cost-effective care by developing individualized care plans and coordinating physical, behavioral, and psychosocial services for members in Essex County and surrounding areas.
Role type
Senior IC Registered Nurse Case Manager (Field-Based)
Builds
Individualized care plans, service authorizations, and safe transitions of care for MLTSS and Dual Special Needs Program members
Domain
Healthcare / Long-Term Services and Supports (LTSS) / Medicaid & Medicare
Deliverable
client delivery
Required skills
Clinical judgment, critical thinking, care plan development, service coordination, home health experience, pediatric case management, documentation in EHR, field-based home visits
Preferred skills
LTSS experience, discharge planning, managed care, Medicaid/Medicare familiarity, MS Office Suite proficiency
Technologies
Electronic Health Record (EHR), Outlook, Word, Excel, SharePoint, Teams
Responsibilities
Conduct in-home face-to-face assessments for MLTSS and D-SNP/FIDE members; Evaluate member needs and coordinate services including medical day care, personal care, and nursing facility placement; Partner with members, caregivers, and PCPs to develop and implement care plans; Authorize services and support safe transitions of care; Document case activity in EHR; Mentor new team members
Seniority
Mid-level, hands-on IC