Care Manager, RN

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

📋 Description

• Develop, evaluate, and implement intricate care management activities tailored for members primarily with physical needs.

• Assess member requirements, obstacles to care, and social determinants impacting health.

• Formulate ongoing care plans and service strategies.

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

• Recognize barriers to care and deliver suitable interventions.

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

• Monitor member status, changes in condition, and progress towards care plan objectives.

• Provide resource support related to employment, housing, participant direction, independent living, justice, and foster care services.

• Ensure timely access to necessary care and services.

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

• Collect, document, and maintain accurate member information and care management activities.

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

• Offer leadership insights on opportunities to enhance care quality and cost-effectiveness.

• Execute other assigned responsibilities while adhering to all policies and standards.

⛳️ Requirements

• Degree from an accredited nursing school or a Bachelor's degree in Nursing.

• 2 to 4 years of relevant experience.

• Current New Jersey Registered Nurse (RN) license is required.

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

• Capability to serve members throughout Monmouth and Ocean Counties, New Jersey.

• Availability to work Monday through Friday from 8:00 AM to 5:00 PM EST, with flexibility according to member and business needs.

• Willingness to travel locally up to 50% for in-home member visits.

• Ability to independently manage a caseload, coordinate member care, and complete necessary documentation.

• Adherence to state, federal, organizational, and third-party payer regulations.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

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

• Potential additional incentives included in total compensation.

• Benefits may be subject to program eligibility.