Case Manager RN - Field (Passaic County, NJ)
Core
Frontline advocate for dual eligible members (Medicare/Medicaid) with complex health and social challenges, assessing needs and coordinating care to facilitate overall wellness.
Role type
Senior IC case manager (nursing)
Builds
Proactive plans of care to address identified issues and enhance short and long-term outcomes for members.
Domain
Healthcare / Social Determinants of Health
Deliverable
client delivery
Required skills
Clinical judgment, holistic assessment, motivational interviewing, regulatory compliance, interdisciplinary collaboration, data review
Preferred skills
Certified Case Manager certification, care management/discharge planning experience, bilingualism
Technologies
MS Word, Excel, Outlook, PowerPoint, proprietary applications
Responsibilities
Conduct assessments using clinical tools and data to evaluate member needs and benefits; Apply clinical judgment to reduce risk factors and address complex health/social indicators; Collaborate with stakeholders and present cases at interdisciplinary conferences; Utilize case management processes and motivational interviewing to ensure member engagement.
Seniority
Mid-level, hands-on IC
