Travel Nurse RN - Case Manager - $43 to $44 per hour in Keyport, NJ

Registered Nurse (RN) | Case Manager
Location: Keyport, NJ
Agency: Conflux Systems Inc
Pay: $43 to $44 per hour
Shift Information: Days - 5 days x 8 hours
Contract Duration: 6 Months
Start Date: ASAP

About the Position

Position Summary: 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 an unrestricted active license in NJ (compact licensure). Northern or Central Counties considered (Monmouth, Morris, Somerset, Union, Passaic, Bergen, Essex) Duties

• 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.

Requirements

Experience

• 3 years of clinical practice experience required (e.g., hospital setting, alternative care setting such as home health or ambulatory care).
• Healthcare and/or managed care industry experience required.
• Case management experience preferred.
• Proficiency with computer skills, including navigating multiple systems and keyboarding.
• Effective communication skills, both verbal and written.
• Ability to multitask, prioritize, and adapt effectively to a fast-paced, changing environment.
• Sedentary work involving extended periods of sitting, talking, and listening.
• Ability to work on the telephone and computer for extended periods.
• Ability to perform close inspection of handwritten and computer-generated documents, as well as PC monitors.
• Typical office working environment with productivity and quality expectations.

Education

• Requires an RN with an unrestricted active license (no history) in NJ (compact licensure).
• Case Management Certification (CCM) preferred.