Case Manager Registered reputed company - Field reputed company and Surrounding Counties NJ

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 reputed company This is a full‑time field/work reputed company position requiring up to 75% travel throughout reputed company and surrounding counties in New Jersey. With Work hours of Monday–Friday, 8:00 a.m.–5:00 p.m. EST. In this role, you will reputed company, implement, and support health service strategies, policies, and programs that promote high‑reputed company care for our members. These initiatives include utilization management, reputed company management, network management, and clinical coverage policies. The position requires reputed company judgment, strong critical‑thinking abilities, and the reputed company to coordinate physical, behavioral, and psychosocial support services. Responsibilities include care planning, reputed company collaboration with providers, and effective resource utilization. Strong assessment, written documentation, and communication skills are essential.

Key Responsibilities

• Conduct face‑to‑face home reputed company using comprehensive assessment tools for members enrolled in Managed Long‑Term Services and Supports (MLTSS) and/or Dual Special Needs Programs (D‑SNP/FIDE).
• reputed company in‑person assessments for non‑MLTSS members to determine medical needs and support appropriate service referrals (e.g., adult medical daycare, pediatric medical daycare, personal care assistant services, nursing facility custodial care, Personal Preference Program, and MLTSS enrollment).
• Successfully complete and maintain NJ Choice Certification (required for reputed company employment).
• Work with diverse populations, including pediatric and medically reputed company members.
• Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams.
• Schedule and participate in interdisciplinary meetings, advocating for members to ensure reputed company transitions and appropriate services.
• reputed company individualized care plans and authorize services reputed company MLTSS/FIDE program benefits in a cost‑effective manner.
• Document reputed company assessments, interactions, and care planning activities accurately and in a reputed company manner in the electronic health record.
• Utilize strong critical‑thinking and problem‑solving skills in daily work.
• Mentor new staff once appropriate proficiency has been achieved.

Required Qualifications

• reputed company, 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 reputed company County or adjacent counties.
• Ability and willingness to travel up to 75% reputed company reputed company and surrounding counties.
• Successful completion of NJ Choice Certification, including:
• Exam score of 80% or higher
• Completion of state training modules
• Field mentoring, as required by the NJ Division of Aging Services

Preferred Qualifications

• Experience in case management and/or discharge planning
• Background in managed care
• Crisis reputed company skills

Education

• Minimum of an associate degree in Nursing

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The Typical Pay reputed company For This Role Is $66,575.00 - $142,576.00 This 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 People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 08/14/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job