RN II, Field – Cumberland County

This is a fully remote position, open to applicants in Connecticut, +3 more states.

📋 Description

• Evaluate the clinical requirements of members in accordance with established guidelines and standards.

• Assess the necessity, appropriateness, and efficiency of various services.

• Create, coordinate, and support the implementation of personalized care plans for members.

• Collaborate with patients, families, healthcare providers, hospitals, and external stakeholders.

• Ensure the delivery of high-quality, cost-effective care throughout the entire continuum.

• Oversee and monitor the medical care activities and outcomes of members.

• Advocate on behalf of members and their families across different care settings.

• Promote active participation and compliance with programs among members.

• Maintain accurate and thorough documentation in alignment with established standards and policies.

• Engage with multidisciplinary teams through phone communication and/or face-to-face interactions.

• Assess care quality, troubleshoot issues, analyze discrepancies, and contribute to quality enhancement initiatives.

• Perform additional tasks as assigned by management.

⛳️ Requirements

• An associate's or bachelor's degree (or higher) in nursing or a diploma from an accredited nursing school.

• A minimum of two (2) years of clinical experience is required.

• A valid and unrestricted NJ RN license is mandatory.

• Proficient in using personal computers and necessary software in a Windows environment.

• Skilled in MS Office applications (Word, Excel, PowerPoint) and Lotus Notes.

• Familiarity with case and care management principles is essential.

• Knowledge of utilization management principles is required.

• Must possess a car along with a valid New Jersey State License and Insurance.

• Daily local travel is necessary.

• Bilingual candidates are preferred.

🏝️ Benefits

• Comprehensive health benefits, including Medical, Dental, and Vision coverage.

• Retirement plans to help secure your future.

• Generous paid time off (PTO) policy.

• Incentive plans to reward your contributions.

• Wellness programs to support your health and well-being.

• Paid volunteer time off to give back to the community.

• Tuition reimbursement to support your educational goals.