Case Manager RN - Field (Hudson 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 RN (Field)
Builds
Proactive plans of care to address identified issues and enhance short and long-term outcomes for members.
Domain
Healthcare / Social Determinants of Health
Required skills
Clinical judgment, holistic assessment, motivational interviewing, regulatory compliance, interdisciplinary collaboration, data review
Preferred skills
Certified Case Manager, Care Management/Discharge Planning experience, Bilingual
Technologies
MS Word, Excel, Outlook, PowerPoint, proprietary applications
Responsibilities
Conduct evaluations of member needs using clinical tools and data; 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 in compliance with policies.
Seniority
Senior, hands-on IC