New Jersey Licensed Care Manager

Job Summary

A company is looking for a Care Manager I, Specialty Programs.

Key Responsibilities:

• Assess member's clinical needs against established guidelines for specialty populations
• Implement high-quality, cost-effective care based on customized population models and clinical practice guidelines
• Coordinate resource utilization by partnering with members, families, physicians, and healthcare teams

Required Qualifications:

• License as an RN or a Bachelor's degree in social work, health, or behavioral science
• Graduate level degree in Social Work or Health and Behavioral Science preferred
• Minimum of three years of experience serving members with special needs
• Strong knowledge of case management standards and managed care principles
• Strong knowledge of specialty populations as applicable