Case Manager, Registered Nurse

Develop, implement, and support health service strategies, policies, and programs promoting high-quality care
Conduct face-to-face home visits using comprehensive assessment tools for MLTSS and/or D-SNP/FIDE members
Perform in-person assessments for non-MLTSS members and determine medical needs and appropriate service referrals
Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams
Schedule and participate in interdisciplinary meetings
Advocate for members to ensure safe transitions and appropriate services
Develop individualized care plans and authorize services within MLTSS/FIDE program benefits cost-effectively
Document assessments, interactions, and care planning activities in the electronic health record
Utilize critical-thinking and problem-solving skills
Mentor new staff after achieving appropriate proficiency

• Active, unrestricted RN license in the state of New Jersey
• Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care
• Residency in Mercer County, NJ
• Reliable transportation
• Willingness and ability to travel up to 75% of the time
• Successful completion of NJ Choice Certification, including an exam score of 80% or higher
• Completion of state training modules
• Field mentoring, as required by the NJ Division of Aging Services
• Minimum of an associate degree in Nursing
• Experience in case management and/or discharge planning preferred
• Background in managed care preferred
• Crisis intervention skills preferred

Demonstrates expertise in developing and implementing health service strategies and individualized care plans while effectively coordinating with interdisciplinary teams. Proficient in conducting assessments and advocating for members to ensure high-quality care and safe transitions.

• Active RN License in New Jersey
• Clinical Experience in Hospitals or Home Health
• Case Management Experience
• Crisis Intervention Skills
• NJ Choice Certification

• Comprehensive Assessment Tools
• Care Planning
• Medical Needs Assessment
• Service Referrals
• Documentation in Electronic Health Record

• Critical-Thinking
• Problem-Solving
• Mentoring

• NJ Choice Certification
• Completion of State Training Modules

• MLTSS
• D-SNP
• FIDE
• Managed Care
• Interdisciplinary Care Teams