Case Manager Registered Nurse - Field in Union & surrounding counties, NJ
Core
Field Case Manager RN conducting home visits to assess medical needs, develop care plans, and coordinate services for members in Managed Long-Term Services and Supports programs.
Role type
Senior IC Case Manager Registered Nurse
Builds
Care plans and service authorizations for MLTSS/D-SNP members
Domain
Healthcare / Long-Term Services and Supports
Required skills
Clinical judgment, critical thinking, care planning, utilization management, interdisciplinary collaboration, documentation, problem-solving
Preferred skills
LTSS experience, case management, discharge planning, managed care, Medicaid/Medicare experience
Technologies
EHR systems, Microsoft Office Suite, Teams, Outlook, SharePoint
Responsibilities
Conduct face-to-face home visits to evaluate medical needs; develop and authorize cost-effective care plans; schedule and attend interdisciplinary meetings; coordinate care with PCPs and care teams; document accurately in electronic health records; mentor new hires
Seniority
Mid-Senior level, hands-on IC