NJ Licensed RN Case Manager

Job Summary

To support healthcare delivery, the full-time remote NJ Licensed RN Case Manager will assess patient needs, coordinate care plans, and advocate for members while mentoring new staff and participating in quality improvement initiatives.

Key responsibilities:

• Assess patients' clinical needs and ensure appropriate care levels and lengths of stay
• Coordinate and implement care plans while monitoring services and negotiating fees as necessary
• Document care activities accurately and collaborate with multidisciplinary teams to ensure continuity of care

Required qualifications:

• Active Unrestricted NJ RN License or active Compact License required
• High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree
• Minimum of two (2) years of clinical experience required
• Minimum of two (2) years of healthcare payer experience required
• CCM certification preferred for Clinical Advocate roles