Nurse Case Manager III

SGS Consulting
New Jersey

Job Responsibilities:

  • The care manager is responsible for assessing and evaluating members with potential care management needs through telephonic and face to face assessments in various settings, including the member’s private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers. The care manager monitors and evaluates the effectiveness of the care plans and adjusts the care plan based on clinical judgement and member needs. Care managers coordinate and collaborate with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery. The care manager will take an interdisciplinary approach to advocate for members’ needs to ensure a safe discharge post hospitalization or transition from a nursing facility, including addressing social needs (e.g., housing and food insecurity). Accurate and timely documentation in the member’s electronic health record is essential. The care manager role requires critical thinking, problem-solving skills, and the ability to work autonomously. Additionally, the care manager may be asked to mentor new hires once proficient in the role.

Skills:

  • Bilingual preferred (Spanish)
  • 3+ years’ work experience in pediatric, Special Needs and/or Adult Population
  • RN with current unrestricted state licensure in the State of New Jersey
  • Registered Nurse (RN) licensure required.
  • Reliable transportation required to complete F2F visits (Mileage is reimbursed by our company expense reimbursement policy)
  • Computer literacy and demonstrated proficiency to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel.
  • Working knowledge of medical terminology.
  • Working knowledge of digital literacy skills.
  • CCM (Certified Case Manager)

Education/Experience:

  • Associate and RN with current unrestricted state licensure in the State of New Jersey
Posted 2025-11-14

Recommended Jobs

Server

Chit Chat Diner
West Orange, NJ

About the Job: Are you ready for a dynamic, fast-paced environment that pleases and grabs patrons from every sense? Where you are transported to a luxurious dining experience like no other around? T…

View Details
Posted 2026-02-09

Security Compliance Assistant Director

Ernst & Young
Hoboken, NJ

At EY, we’re all in to shape your future with confidence.  We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go.  Join EY and…

View Details
Posted 2026-01-26

SOCIAL WORKER-PER DIEM WEEKEND

Hampton Behavioral Health Center
Rancocas, NJ

Responsibilities Hampton Behavioral Health Center is a private behavioral healthcare center and offers the most advanced behavioral health, diagnostic treatment services for adults, adolescent…

View Details
Posted 2025-09-24

CNC Programmer

Intra Management Solutions
Short Hills, NJ

CNC Programmer – Precision Manufacturing (Aerospace & Defense)   About the Company Join a globally recognized engineering and manufacturing organization that specializes in high-performanc…

View Details
Posted 2026-02-22

Marketing Manager (Strategy & Execution)

Restaurant Media Group
Fairfield, Essex County, NJ

**About Restaurant Media Group (RMG)** Restaurant Media Group is a U.S.-based hospitality marketing agency helping restaurants, bars, and multi-location brands grow through modern digital strategy. W…

View Details
Posted 2026-02-20

Business Development Manager

American Family Care
Union City, NJ

Benefits/Perks Great small business work environment Flexible scheduling Paid time off, health insurance, dental insurance, retirement benefit, and more! Company Overview American Famil…

View Details
Posted 2026-02-18

Driver

The Arbor Company
Middletown, NJ

SUNDAYS & MONDAYS Are you ready to love your job again? Join The Arbor Company and discover a work family where you are treated with respect. We are recognized by our team members as a Great Pl…

View Details
Posted 2026-02-18

MSL/CML Field Trainer

Bridgewater, NJ

At Syneos Health, we thrive on challenges, and our fast-paced environment keeps you engaged and inspired. When you join our  team, you gain the support, resources, and autonomy needed to drive succes…

View Details
Posted 2026-01-26

Physical Therapist

SportsMed Physical Therapy
Toms River, NJ

SportsMed Physical Therapy is seeking a Physical Therapist to join our growing team. Whether you are a new grad or an experienced physical therapist, we'd love to speak with you! our regional leadersh…

View Details
Posted 2026-02-11

Content Designer

Royal Bank of Canada
Jersey City, NJ

Job Description What is the Opportunity? We’re seeking a Content Designer to join our Product Design team. The successful candidate will directly impact how clients interact with RBC Clear™, h…

View Details
Posted 2026-01-23