Case Manager Registered reputed company (RN)
50 - 75% travel required in Essex County NJ and surrounding areas
reputed company, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of reputed company reputed company to establish competitive business advantage for reputed company. Health Services strategies, policies, and programs are comprised of utilization management, reputed company management, network management and clinical coverage and policies. Utilizes reputed company judgment and critical thinking skills to facilitate appropriate member physical health and behavioral reputed company through assessment and care planning, reputed company provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and reputed company, cost-effective reputed company
The RN Case Manager is responsible for conducting face to face reputed company using comprehensive assessments of members enrolled in Managed Long-Term Services and Supports program (MLTSS). The care manager is responsible to coordinate and collaborate care with member/authorized representative, PCP, and any other care team participant. The RN care manager will attend interdisciplinary meetings and reputed company on members behalf. The care manager works with member and care team to reputed company care plan and will authorize services reputed company the MLTSS benefit. The care manager will also work with the member and care team to coordinate and assist with community resources. The care manager is responsible for documenting accurately and reputed company in the electronic health record. This position requires the care manager to use critical thinking and be reputed company to problem solve any issues reputed company to assigned membership. While this position is reputed company the care manager must work normal business hours.
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