(RN) Case Manager - Field & Telephonic Position
Job Description
Job Description
A-Line Staffing is now hiring a RN Case Manager This would be full time / 40 hours per week.
If you are interested in this RN Case Manager Opportunity, please contact Michelle at 586-422-1171 or [email protected]
Registered Nurse (RN) Case Manager – Field & Telephonic Position
- Travel Requirement: Candidates must live in one of the following counties to be considered (Sussex, Warren, Bergen, Essex, Passaic, Hudson, etc.)
- Work Type: (Field & Telephonic) – some days will be remote/some days will be in the field
- Schedule: Monday – Friday, 8:00 AM – 5:00 PM
- Pay Rate - $44.14 an hour paid weekly
- Benefits are available to full-time employees after 90 days of employment
Position Summary
The RN Case Manager utilizes a collaborative process of assessment, planning, facilitation, and advocacy to support members’ health and benefit needs. This role focuses on delivering cost-effective, high-quality outcomes through coordination of care, communication, and resource management.
Key Responsibilities
- Conduct comprehensive assessments of members’ eligibility and healthcare needs using clinical tools and data review
- Develop and implement case management plans aligned with benefit structures and clinical guidelines
- Coordinate with internal and external providers, programs, and services
- Apply regulatory standards, policies, and procedures to ensure proper benefit administration
- Utilize case and quality management processes in compliance with accreditation and regulatory guidelines
- Maintain accurate documentation and manage multiple systems efficiently
Required Qualifications
- Active, unrestricted RN license in NJ
- Experience in case management
- Minimum 3 years of clinical experience (hospital, home health, ambulatory care, or similar settings) preferred
- Case Management Certification ( CCM ) preferred
INDKS
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