New Jersey Licensed Care Manager

Job Summary

To support the care of Dual Special Needs members, the full-time New Jersey Licensed Care Manager will assess clinical needs, develop individualized care plans, and coordinate services remotely while ensuring appropriate levels of care.

Key responsibilities:

• Assess patients' clinical needs against established guidelines to ensure medically appropriate services
• Develop, coordinate, and assist in the implementation of individualized plans of care
• Monitor and advocate for members' care across various sites to ensure resource utilization and service evaluation

Required qualifications:

• Active Unrestricted NJ SW/RN/LPN License or CSW required
• High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree
• Minimum of three years' broad clinical experience required
• Minimum of three years' experience in home care, discharge planning, or case management, preferably with the elderly frail population
• Strong knowledge of managed care principles and medical terminology required