Case Manager RN, Compact License

Work from home Full-time role Hiring

Job Description:

Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities
Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work
Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate
Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care
Communicates with member/client and other stakeholders as appropriate
Prepares all required documentation of case work activities as appropriate
Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes
Provides educational and prevention information for best medical outcomes
Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes

Requirements:

Active and unrestricted NJ/Compact License
Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
Minimum 2+ years CM, discharge planning and/or home health care coordination experience
Bilingual preferred - Spanish
Certified Case Manager is preferred
Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required
Associates Degree or Nursing Diploma Required
Bachelors Degree Preferred

Benefits:

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