About this opportunity
Healthcare Support Staffing lists this RN Field Case Manager opportunity in newark, New Jersey. Review the employer’s description below for duties, qualifications and application requirements.
Job description
One of the fastest growing managed care companies in the U.S.
Job Description
In conjunction with the PCP member member’s family and other pertinent members of the Interdisciplinary Care Team (IDT) CM completes a comprehensive assessment and develops a Person Centered Service Care Plan utilizing clinical expertise to evaluate the member’s need for alternative services.
Assesses short-term and long-term needs and establishes case management objectives.
Manages 75 to 100 active cases based on case intensity and acuity.
Responsible for Utilization Management and uses prescribed criteria to provide timely appropriate and medically necessary service authorizations.
Interacts continuously with member family physician(s) IDT members and other providers utilizing clinical knowledge and expertise to determine medical history and current status.
Qualifications
Must have clear and active RN license in the state of NJ-BSN
At least 1 year of care/case management experience
Ability to work in a fast paced environment with changing priorities and prioritize workload
Ability to create review and interpret treatment plans Ability to create review and interpret treatment plans
Ability to implement process improvements
Proficient with computers and MS apps
Additional Information
All your information will be kept confidential according to EEO guidelines.
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Worksite address
newark, NJ, 07175, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.