New Jersey Licensed Case Manager RN

Job Summary

To support patient care and transition planning, the full-time New Jersey Licensed Case Manager RN will assess clinical needs, coordinate care plans, and mentor new staff in a remote environment.

Key responsibilities:

• Assess patients' clinical needs against established guidelines to ensure appropriate care levels
• Coordinate and implement care plans while monitoring services and advocating for members and families
• Document care activities comprehensively and participate in quality improvement initiatives

Required qualifications:

• Active Unrestricted NJ RN License or active Compact License required
• Minimum of two (2) years clinical experience and healthcare payer experience
• High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree
• Proficiency in MS Office and knowledge of case/care/disease management principles
• CCM certification preferred for Horizon Clinical Advocate roles