Nurse Case Manager II - New Jersey

Job Description

Job Description

Here are the job details for your review:

Job Title: Nurse Case Manager II -  New Jersey

Duration: 3+ Months Contract (Potential for extension)
Location: Field Trenton NJ 08608

Pay Rate:$44.12/ HR on W2
Shift Hours: M-F 8am-5pm

County: Needs to be in the surrounding area of Camden (includes Burlington, Atlantic, Gloucester)

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

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 member's 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

Required Qualifications

3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment

Education

RN with current unrestricted state licensure.
Case Management Certification CCM preferred