Case Manager Registered Nurse - Field (Middlesex County, New Jersey)
Core
Develop proactive care plans to address complex health and social needs for dual-eligible members (Medicare/Medicaid) to enhance wellness and reduce risk factors.
Role type
Senior IC case manager registered nurse
Builds
Integrated care management plans and coordinated care delivery for vulnerable populations
Domain
Healthcare / Social Determinants of Health / Dual Eligible Populations
Deliverable
client delivery
Required skills
Clinical judgment, motivational interviewing, care planning, interdisciplinary collaboration, regulatory compliance, data analysis
Preferred skills
Certified Case Manager certification, discharge planning experience, home health coordination, bilingualism
Technologies
Microsoft Office 365, EHR portals, VPN, Teams, Outlook, Excel
Responsibilities
Conduct assessments using clinical tools and claims data to evaluate member needs; apply clinical strategies to reduce health risks and barriers; collaborate with providers and community organizations to coordinate care; present cases at interdisciplinary conferences; utilize motivational interviewing to engage members.
Seniority
Mid-level, hands-on IC
