RN II – Field Based

Jobtailor; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

Jobtailor in the United States is seeking a Registered Nurse to assess members' clinical needs against guidelines, coordinate individualized care plans, and advocate across care sites. You will collaborate with families, physicians, hospitals, and external stakeholders to ensure high-quality, cost-effective care within established standards.

With 2+ years of clinical experience and an active NJ RN license, you will document findings, participate in quality initiatives, and support program

Qualifications

• High School Diploma/GED required.
• Bachelor degree preferred or relevant experience in lieu of degree.
• Minimum of two (2) years clinical experience.
• Active Unrestricted NJ RN License Required.
• Proficiency in Windows-based PCs and supporting software.
• Proficiency with MS Office products (Word, Excel, PowerPoint) and Lotus Notes.
• Working knowledge of case/care management principles.
• Working knowledge of utilization management principles.
• Car with valid New Jersey State License and Insurance.
• Daily local travel is required.
• Bi-lingual preferred.

Responsibilities

• Assess members' clinical needs against established guidelines and standards.
• Evaluate the necessity, appropriateness, and efficiency of services.
• Develop, coordinate, and assist in implementing individualized member care plans.
• Coordinate with patients, families, physicians, hospitals, and external customers.
• Coordinate high-quality, cost-effective care across the continuum.
• Monitor medical care activities and outcomes for appropriateness and effectiveness.
• Advocate for members and families across care sites.
• Encourage member participation and program compliance.
• Document accurately and comprehensively according to standards and policies.
• Communicate with multidisciplinary teams by telephone and/or in person.
• Evaluate care, solve problems, analyze variances, and participate in quality improvement.
• Complete other assigned functions as requested by management.

Skills

Clinical Assessment

Care Coordination

Individualized Care Plans

Quality Improvement

Documentation Standards

Education

High School Diploma/GED

Bachelor Degree Preferred

Tools

Windows Environment

MS Office

Lotus Notes

Job description

• Assess members' clinical needs against established guidelines and standards
• Evaluate the necessity, appropriateness, and efficiency of services
• Develop, coordinate, and assist in implementing individualized member care plans
• Coordinate with patients, families, physicians, hospitals, and external customers
• Coordinate high-quality, cost-effective care across the continuum
• Monitor medical care activities and outcomes for appropriateness and effectiveness
• Advocate for members and families across care sites
• Encourage member participation and program compliance
• Document accurately and comprehensively according to standards and policies
• Communicate with multidisciplinary teams by telephone and/or in person
• Evaluate care, solve problems, analyze variances, and participate in quality improvement
• Complete other assigned functions as requested by management

Requirements

• High School Diploma/GED required
• Bachelor degree preferred or relevant experience in lieu of degree
• Minimum of two (2) years clinical experience
• Active Unrestricted NJ RN License Required
• Proficiency in personal computers and supporting software in a Windows based environment
• Proficiency with MS Office products (Word, Excel, PowerPoint) and Lotus Notes
• Working knowledge of case/care management principles
• Working knowledge of utilization management principles
• Car with valid New Jersey State License and Insurance
• Daily local travel is required
• Bi-lingual preferred

Core Competencies

Demonstrates expertise in clinical assessment, care coordination, and member advocacy while ensuring compliance with established guidelines and standards. Proficient in utilizing case management and utilization management principles to enhance care quality and efficiency.

Hard Skills

• Clinical Assessment
• Care Coordination
• Individualized Care Plans
• Quality Improvement
• Documentation Standards

Soft Skills

• Communication
• Problem Solving
• Advocacy
• Member Engagement

Certifications & Qualifications

• High School Diploma/GED
• Bachelor Degree Preferred
• Valid New Jersey State License

Industry Keywords

• Clinical Needs Assessment
• Cost-Effective Care
• Multidisciplinary Teams
• Program Compliance
• Local Travel

Tools & Technologies

• Windows Environment
• MS Office
• Lotus Notes