RN Field Case Manager

Healthcare Support Staffing; Newark (NJ); On-site; USD 65,000 - 85,000; Full time

Job summary

A managed care company is seeking a case manager with a clear and active RN license in New Jersey and a BSN. The role involves managing 75 to 100 active cases, developing personalized service care plans, and interacting closely with patients and their healthcare teams. Qualified candidates should have at least one year of case management experience and be adept at working in a dynamic environment. This role promises an exciting opportunity to make a direct impact on patient care.

Qualifications

• Must possess a clear and active RN license in New Jersey.
• Minimum of 1 year of care/case management experience.
• Ability to create, review, and interpret treatment plans.

Responsibilities

• Complete a comprehensive assessment and develop a Person Centered Service Care Plan.
• Manage 75 to 100 active cases based on case intensity.
• Interact continuously with member family physicians and IDT members.

Skills

Case management

Clinical expertise

Ability to work in fast-paced environment

Proficient with computers and MS apps

Education

RN license in the state of NJ - BSN

Job description

One of the fastest growing managed care companies in the U.S.

Job Description

• In conjunction with the PCP member member’s family and other pertinent members of the Interdisciplinary Care Team (IDT) CM completes a comprehensive assessment and develops a Person Centered Service Care Plan utilizing clinical expertise to evaluate the member’s need for alternative services.
• Assesses short-term and long-term needs and establishes case management objectives.
• Manages 75 to 100 active cases based on case intensity and acuity.
• Responsible for Utilization Management and uses prescribed criteria to provide timely appropriate and medically necessary service authorizations.
• Interacts continuously with member family physician(s) IDT members and other providers utilizing clinical knowledge and expertise to determine medical history and current status.

Qualifications

• Must have clear and active RN license in the state of NJ-BSN
• At least 1 year of care/case management experience
• Ability to work in a fast paced environment with changing priorities and prioritize workload
• Ability to create review and interpret treatment plans Ability to create review and interpret treatment plans
• Ability to implement process improvements
• Proficient with computers and MS apps

Additional Information

All your information will be kept confidential according to EEO guidelines.