Case Manager Registered Nurse - Field (Ocean County, NJ)
Core
Frontline advocate for Medicare and Medicaid dual eligible members, assessing needs and coordinating care to address complex health and social challenges.
Role type
Senior IC Registered Nurse Case Manager
Builds
Proactive plans of care to enhance short and long-term outcomes for members with co-morbid conditions.
Domain
Healthcare / Social Determinants of Health
Required skills
Clinical judgment, holistic assessment, motivational interviewing, regulatory compliance, interdisciplinary collaboration, data analysis
Preferred skills
Certified Case Manager, Care Management experience, Home Health Care Coordination, Bilingual
Technologies
MS Word, Excel, Outlook, PowerPoint, proprietary applications
Responsibilities
Conduct evaluations of member needs using clinical tools and data; Apply strategies to reduce risk factors and address social indicators; Collaborate with stakeholders and present cases at conferences; Utilize case management processes in compliance with policies.
Seniority
Mid-level, hands-on IC