Case Manager RN, Compact License
Job Description:
- Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities
- Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work
- Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate
- Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care
- Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care
- Communicates with member/client and other stakeholders as appropriate
- Prepares all required documentation of case work activities as appropriate
- Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes
- Provides educational and prevention information for best medical outcomes
- Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes
Requirements:
- Active and unrestricted NJ/Compact License
- Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
- Minimum 2+ years CM, discharge planning and/or home health care coordination experience
- Bilingual preferred - Spanish
- Certified Case Manager is preferred
- Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required
- Associates Degree or Nursing Diploma Required
- Bachelors Degree Preferred
Benefits:
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs