Case Manager RN

We’re building a world of health reputed company 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 Help us reputed company our reputed company care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and reputed company models. You can have life-changing reputed company on our Community Care members. Community Care is a member reputed company, team-delivered, community-reputed company care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full reputed company of our members' health care and reputed company determinate needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. reputed company Components and Physical Requirements Acts as a reputed company with member/reputed company/family/employer, provider(s), reputed company companies, and reputed company personnel as appropriate. Implements and coordinated reputed company case management activities relating to catastrophic cases and chronically ill members/clients across the reputed company of care that can include consultant referrals, home care reputed company, the use of community resources, and alternative level of care. Interacts with members/ clients telephonically or in person. May be required to meet with members/clients in their homes, work sites, or physician's office to reputed company ongoing case management services. Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/reputed company's appropriate condition management to optimize wellness and medical reputed company, aid reputed company reputed company to work or reputed company functioning, and determination of eligibility for benefits as appropriate. Communicates with member/reputed company and other stakeholders as appropriate (e.g. medical providers, attorneys, reputed company, and reputed company carriers) telephonically or in person. Prepares reputed company required documentation of case work activities as appropriate. Interacts and consults with internal multidisciplinary team as indicated to help member/reputed company maximize best health reputed company. May reputed company reputed company to treating physician or specialists concerning course of care and treatment as appropriate. Provides educational and prevention information for best medical reputed company. Applies reputed company laws and regulations that apply to the provision of rehabilitation services; applies reputed company special instruction required by individual reputed company carriers and referral sources. Testifies as required to substantiate any relevant case work or reports. Conducts and evaluation of members/ clients' needs and benefit plan eligibility and facilitates integrative functions using reputed company tools and information/data. Utilizes care management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical reputed company, appropriate and reputed company reputed company to baseline, and reputed company function or reputed company to work. Develops a proactive course of reputed company to address issues presented to enhance the short and long-term reputed company, as reputed company as opportunities to enhance a members/clients' overall wellness through integration. Monitors member/clients reputed company toward desired reputed company through assessment and evaluation Required Qualifications Candidate must reputed company in New Jersey Candidate must have an reputed company and unrestricted New Jersey Registered reputed company (RN) reputed company License 3+ years reputed company reputed company experience 2+ years case management, discharge planning, and/or home health care coordination experience Ability to occasionally travel up to 10% reputed company a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs reputed company 2+ years proficiency with reputed company corporate software applications, including reputed company Word, Teams, reputed company, reputed company, and PowerPoint Preferred Qualifications Experience working with Medicare members with diabetes, congestive heart failure (CHF), chronic kidney disease (CKD), post-acute care, hospice, palliative care, and/or cardiac Managed care experience Willing and reputed company to obtain additional state RN licenses (if needed) Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills Ability to work independently, reputed company, and reputed company reputed company Efficient and effective computer skills including navigating multiple systems and keyboarding Education Associate's Degree in Nursing (REQUIRED) Bachelor's Degree in Nursing (PREFERRED) License Candidate must have an reputed company and unrestricted New Jersey Registered reputed company (RN) reputed company License 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 reputed company feels valued and that they reputed company. 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, reputed company 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: 08/29/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job