Care Manager, RN

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Design, assess, and implement intricate care management strategies for members with primarily physical needs.

• Assess member requirements, barriers to accessing care, and social determinants affecting health.

• Create continuous care and service plans.

• Collaborate with healthcare providers, specialists, caregivers, and community resources.

• Identify challenges and obstacles to care, providing appropriate care management solutions.

• Coordinate person-centered care and services among members, families, caregivers, and provider teams.

• Monitor members' statuses, changes in condition, and progress towards care plan objectives.

• Offer local resource support for services such as employment, housing, participant direction, independent living, justice, and foster care.

• Ensure timely access to necessary care and services.

• Conduct outreach through telephonic, digital, home, and various other sites.

• Collect, document, and uphold member information and care management activities to ensure regulatory compliance.

• Educate members and their families/caregivers about disease processes, care gaps, provider directives, care options, referrals, and healthcare benefits.

• Provide leadership insights on opportunities to enhance care quality and cost efficiency.

• Execute additional assigned duties and adhere to all policies and standards.

⛳️ Requirements

• Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing.

• 2–4 years of relevant experience.

• Active Registered Nurse (RN) license in New Jersey is mandatory.

• RN - Registered Nurse - State Licensure and/or Compact State Licensure is required.

• Proficient computer skills.

• Excellent time-management abilities.

• Strong organizational skills.

• Comfortable managing an MLTSS caseload in line with New Jersey Medicaid requirements.

• Approximately 50% travel required for member visits.

• Availability Monday to Friday from 8:00 a.m. to 5:00 p.m., with flexibility depending on business needs.

🏝️ Benefits

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off.

• Paid holidays.

• Flexible work arrangements including remote, hybrid, field, or office work schedules.

• Additional incentive options may be included in total compensation.

• An equal opportunity workplace committed to diversity.