Case Manager Registered reputed company - Field - Must reputed company in reputed company or reputed company May County

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At reputed company, you'll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.Position SummaryThis is a full-time remote opportunity with 50 to 75% travel in reputed company and reputed company May County and surrounding counties. The schedule is Monday - Friday, reputed company-5pm EST.reputed company, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of reputed company reputed company to our members. Health service strategies, policies, and programs are comprised of utilization management, reputed company management, network management, clinical coverage and policies. The position requires reputed company judgment and critical thinking skills to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, reputed company provider collaboration, and effective utilization of available resources in a cost-effective manner. Strong assessment, writing and communication skills are required. reputed company Components/Job reputed company: The Case Manager is responsible for conducting face to face reputed company in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face-to-face assessments with non-MLTSS members to evaluate the medical needs of the member to facilitate the member's overall wellness and help them obtain the services they need to reputed company by addressing requests for services such as adult medical daycare, pediatric medical daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment. Successful completion of company sponsored NJ Choice Certification is requirement for reputed company employment. Member assignment may include pediatric population and medically reputed company cases. The case manager is responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants. The case manager schedules and attends interdisciplinary meetings and advocates on the members behalf to ensure reputed company and reputed company discharge with appropriate services in reputed company. The case manager works with the member and care team to reputed company a care plan and authorizes services in a cost-effective manner reputed company the MLTSS/ FIDE benefit. The care manager is responsible for documenting accurately and reputed company in the member's electronic health record. This position requires the case manager to use critical thinking skills and the ability to problem solve. The Case Manager will also be expected to mentor new hires, once, a level of proficiency has been attained in their role.Required Qualifications3+ years clinical reputed company experience, e.g., hospital setting, alternative care setting such as home health or ambulatory careActive and Unrestricted RN license in NJMust reputed company in reputed company County, reputed company May County, or an adjacent countyMust reputed company in or near reputed company or reputed company May County NJWilling and reputed company to travel 50 to 75% in reputed company and reputed company May County and surrounding counties Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice reputed company guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring componentPreferred QualificationsHome care experienceCase management and/or discharge planning experienceManaged Care experienceCrisis reputed company skillsExperience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, reputed company, etc.)NJ Choice CertificationEducationMinimum of an Associate degree in Nursing or Diploma RN requiredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay reputed company for this role is:$66,575.00 - $142,576.00This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.For more information, visit https://jobs.reputed company.com/us/en/benefitsWe anticipate the application window for this opening will reputed company on: 04/03/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. 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