Local Contract Nurse RN - Clinic Case Management
Newark, NJ
Apidel Technologies
5x8 hrs, Days
Referral Bonus

***This is Local Job in Newark, NJ. No Travel Worker will be considered here**

Job Description
Position: Nurse Case Manager
Location: Hybrid role (50% travel and 50% Remote)
Candidate must reside in any of these Counties - (Sussex, Warren, Bergen, Essex, Passaic, Hudson etc.))
Duration: 04+ months(with possibilities of extension)
Shift: Monday - Friday, 8:00AM - 5:00PM

Note:
RN with current unrestricted state licensure in NJ. REQUIRED.
This is a hybrid role; Candidate will travel approximately 50% of the time within the County seeing members at their homes, in Assisted Living Facilities and Skilled Nursing Facilities, and rest 50% will be Remote work.

Position Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license

Duties
• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
• Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or members needs to ensure appropriate administration of benefits.
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
• Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person.
• Prepares all required documentation of case work activities as appropriate.
• Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data.

Experience
• Minimum 3-5 years clinical practical experience required
• Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred
• Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
• Excellent analytical and problem-solving skills
• Effective communications, organizational, and interpersonal skills
• Ability to work independently
• Effective computer skills including navigating multiple systems and keyboarding
• Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications

Education
Requires an RN with unrestricted active license (no history) in NJ (compact licensure)
Case Management Certification CCM preferred