Case Manager, Registered Nurse - Field

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

📋 Description

• Create proactive care plans that address identified issues while improving both short- and long-term outcomes.

• Evaluate members' needs and benefits through clinical tools and comprehensive data analysis.

• Utilize clinical judgment to mitigate risk factors and challenges, addressing complex health and social indicators.

• Perform holistic assessments by analyzing claims and gathering information from diverse sources.

• Determine the need for referrals to clinical resources and interdisciplinary team members.

• Collaborate effectively with supervisors, healthcare stakeholders, members, providers, and community organizations.

• Present cases during interdisciplinary case conferences.

• Organize case management activities and assess the medical needs of members.

• Employ motivational interviewing techniques to enhance member engagement and identify health needs.

• Travel 25-50% within Monmouth/Ocean Counties for face-to-face member meetings.

⛳️ Requirements

• A minimum of 3+ years of clinical practice experience is required.

• An active and unrestricted RN license in New Jersey is mandatory.

• Must be willing and able to travel 25-50% of the time using a personal vehicle.

• Reliable transportation is essential.

• Candidates must live close to or within Monmouth/Ocean Counties, New Jersey.

• Certification as a Case Manager is preferred.

• At least 2+ years of experience in Care Management, Discharge Planning, and/or Home Health Care Coordination is preferred.

• A dedicated workspace free from interruptions is required.

• Separate arrangements for dependent care during work hours are necessary.

• An Associate's Degree is required.

• A Bachelor's Degree is preferred.

• Confidence in working from home and the ability to think independently are essential.

• Strong analytical and problem-solving skills are required.

• Effective communication, organizational, and interpersonal skills are necessary.

• Ability to work independently is crucial.

• Proficient computer skills, including the ability to navigate multiple systems and keyboarding, are required.

• Proficiency in MS Word, Excel, Outlook, PowerPoint, and proprietary applications is expected.

• Bilingual candidates are preferred.

🏝️ Benefits

• Mileage reimbursement according to the company's expense reimbursement policy.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Options for retirement savings.

• Wellness programs.

• Additional resources based on eligibility.

• Eligibility for CVS Health bonus, commission, or short-term incentive programs.