Field RN Care Manager

Healthcare Support Staffing; Newark (NJ); Hybrid; USD 75,000 - 95,000; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision benefits

Positive work environment

Weekday hours, Monday through Friday

Job summary

A leading health benefits company is seeking Registered Nurses (RNs) for in-field assessments in New Jersey. RNs will conduct evaluations of activities of daily living to determine member eligibility for care services. Candidates must have an active RN license in NJ and at least one year of home health experience. The role may involve travel across counties in NJ, with flexible remote follow-up work. The company offers a competitive salary with benefits in a positive work environment.

Qualifications

• Must possess a clear and active RN license in the state of NJ.
• At least 1 year of experience in home health care.
• 3-4 years in care coordination or similar roles related to chronic illnesses.
• Willingness and ability to travel across NJ counties

Responsibilities

• Conduct assessments for a state-mandated tool in various settings.
• Manage member cases within licensure scope.
• Provide supervision to non-RN clinicians.
• Use an iPad to complete assessments and document findings.

Skills

Home health experience

Experience with chronic illnesses

Case management skills

Travel readiness

Education

Clear and active RN license in NJ

Relevant experience or education in care coordination

Job description

Anthem, Inc. is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With more than 73 million people served by its affiliated companies including nearly 40 million enrolled in its family of health plans, Anthem is one of the nation's leading health benefits companies.

One in nine Americans receives coverage for their medical care through Anthem's affiliated plans. We offer a broad range of medical and specialty products.

Job Description

RNs are responsible for conducting (hands-off/in-field (reimbursement rate for mileage = .535/mile)) assessments for a state mandated tool. Assessments will take approximately 2.5-3 hours per assessment. Will complete approximately 2 cases per day (10/week).

Assessments evaluate ADL (activities of daily living) needs and determine if the member meets requirements for nursing facility care. Assessments will be conducted in the member's homes, nursing facilities, and medical day care facilities.

Will travel primarily in certain counties but should be open and willing to travel throughout NJ, as needed. Assessments are conducted in the field but follow-up work can be done remotely from home.

RNs will be given an iPad to complete assessments.

Here are the counties that are needing coverage as well as the number of expected hires per county:

• Hudson
• Bergen
• Middlesex
• Union

Responsible for overall management of the member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum.

Qualifications

Minimum Education/Licenses/Qualifications:

• Must have clear and active RN license in the state of NJ
• At least 1 year of home health experience
• 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management or similar role (or any combination of EDU/experience)
• Comfortable with travel – must have reliable transportation (must be comfortable traveling outside of assigned county if necessary)

Additional Information

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment
• Monday through Friday 8am-5pm