Case Manager Registered Nurse - Field in Middlesex and surrounding Counties NJ
Core
Develop, implement, and support health service strategies and programs promoting high-quality care for members enrolled in Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Programs (D-SNP/FIDE) through in-person assessments and care planning.
Role type
Senior IC case manager registered nurse (field-based)
Builds
Individualized care plans and authorized service referrals for medically complex and pediatric members
Domain
US Healthcare / Managed Long-Term Services and Supports (MLTSS)
Required skills
Advanced clinical judgment, critical thinking, care planning, resource utilization, interdisciplinary collaboration, written documentation, problem-solving
Preferred skills
Case management experience, discharge planning background, managed care experience, crisis intervention skills
Technologies
Electronic health record systems, comprehensive assessment tools
Responsibilities
Conduct face-to-face home visits for MLTSS/D-SNP members, perform in-person assessments for non-MLTSS members to determine medical needs, coordinate with providers and interdisciplinary teams, develop individualized care plans, document assessments and care planning activities, mentor new staff
Seniority
Senior, hands-on IC
