Case Manager Registered Nurse - Field in New Jersey
Core
Field-based Registered Nurse conducting in-person patient assessments, coordinating multidisciplinary care plans, and facilitating transitions between care settings for members in Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Programs.
Role type
Senior IC Case Manager Registered Nurse
Builds
Care plans and service authorizations for MLTSS/D-SNP members
Domain
Healthcare / Long-Term Services and Supports
Required skills
Clinical nursing assessment, care plan development, interdisciplinary collaboration, discharge planning, cost-effective service authorization, electronic health record documentation, critical thinking, problem solving, mentoring
Preferred skills
LTSS experience, case management, discharge planning, managed care, Medicaid/Medicare experience
Technologies
EHR systems, Microsoft Office Suite (Outlook, Word, Excel, SharePoint, Teams), VPN, multi-system navigation
Responsibilities
Conduct face-to-face home visits to evaluate medical needs, schedule and attend interdisciplinary meetings, advocate for members to ensure safe discharge, collaborate with care teams to develop and authorize cost-effective care plans, document accurately in EHR, coordinate care with PCPs and authorized representatives, mentor new hires
Seniority
Mid-Senior level, hands-on IC