Case Manager Registered Nurse - Field in Mercer and Surrounding Counties, NJ
Core
Conduct home visits and in-person assessments to develop individualized care plans, authorize services, and coordinate interdisciplinary support for members in Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Programs.
Role type
Senior IC Case Manager Registered Nurse
Builds
Individualized care plans and service authorizations for MLTSS/D-SNP members
Domain
US Healthcare / Long-Term Services and Supports
Deliverable
physical/clinical work
Required skills
Advanced clinical judgment, critical thinking, care planning, resource utilization, interdisciplinary collaboration, accurate documentation, problem-solving
Preferred skills
Case management experience, discharge planning background, crisis intervention skills
Technologies
Electronic health record systems
Responsibilities
Conduct face-to-face home visits using comprehensive assessment tools; Perform in-person assessments to determine medical needs and refer to appropriate services; Coordinate with members, providers, and interdisciplinary care teams; Schedule and participate in interdisciplinary meetings; Develop and authorize cost-effective care plans; Document all assessments and activities in the electronic health record; Mentor new staff
Seniority
Mid-level, hands-on IC