RN Case Manager-167889
Job Description
Location: Saddle Brook, NJ 07663 (Covering Bergen County) Pay: $56.19 per hour (Mileage reimbursement provided at $0.43 per mile) Schedule: Monday – Friday | 8:00 AM – 5:00 PM Weekend: On-Call Rotation Overview We are seeking an experienced Registered Nurse (RN) Case Manager to support care coordination for high-risk patients in Bergen County, NJ.
In this role, you will perform comprehensive patient assessments, develop individualized care plans, and collaborate with providers and care teams to ensure members receive appropriate, cost-effective care.
The RN Case Manager plays a key role in supporting patient transitions, coordinating services, and advocating for patient needs while ensuring compliance with treatment plans and promoting positive health outcomes.
Key Responsibilities Perform comprehensive assessments of high-risk patients to evaluate clinical and social care needs.
Develop and implement individualized care plans in collaboration with primary care providers and healthcare teams.
Coordinate care transitions between providers, facilities, and community resources.
Collaborate with physicians, social workers, discharge planners, and claims professionals to ensure appropriate levels of care.
Identify and coordinate non-medical support services such as housing or transportation to support treatment compliance.
Engage specialty resources and community services as needed to improve patient outcomes.
Maintain detailed documentation of clinical, functional, and financial outcomes throughout the case management process.
Identify opportunities for health promotion and illness prevention.
Prevent adverse patient events whenever possible and intervene quickly to minimize negative outcomes.
Performance Expectations Case management benchmark of 30 cases per week (Monday-Friday).
Required Qualifications Current, unrestricted Registered Nurse (RN) license.
Associate’s or Bachelor’s Degree in Nursing or related field.
Experience with Home Care Home Base (HCHB), PointCare, or PointClickCare systems.
Case Management Certification preferred.
Proficiency with Microsoft Teams and other technology platforms.
Keywords: RN case manager, nurse case manager, care coordination, patient advocacy, discharge planning, care transitions, population health, home health case management, utilization management, HCHB, PointClickCare, PointCare, clinical case management, healthcare coordination
In this role, you will perform comprehensive patient assessments, develop individualized care plans, and collaborate with providers and care teams to ensure members receive appropriate, cost-effective care.
The RN Case Manager plays a key role in supporting patient transitions, coordinating services, and advocating for patient needs while ensuring compliance with treatment plans and promoting positive health outcomes.
Key Responsibilities Perform comprehensive assessments of high-risk patients to evaluate clinical and social care needs.
Develop and implement individualized care plans in collaboration with primary care providers and healthcare teams.
Coordinate care transitions between providers, facilities, and community resources.
Collaborate with physicians, social workers, discharge planners, and claims professionals to ensure appropriate levels of care.
Identify and coordinate non-medical support services such as housing or transportation to support treatment compliance.
Engage specialty resources and community services as needed to improve patient outcomes.
Maintain detailed documentation of clinical, functional, and financial outcomes throughout the case management process.
Identify opportunities for health promotion and illness prevention.
Prevent adverse patient events whenever possible and intervene quickly to minimize negative outcomes.
Performance Expectations Case management benchmark of 30 cases per week (Monday-Friday).
Required Qualifications Current, unrestricted Registered Nurse (RN) license.
Associate’s or Bachelor’s Degree in Nursing or related field.
Experience with Home Care Home Base (HCHB), PointCare, or PointClickCare systems.
Case Management Certification preferred.
Proficiency with Microsoft Teams and other technology platforms.
Keywords: RN case manager, nurse case manager, care coordination, patient advocacy, discharge planning, care transitions, population health, home health case management, utilization management, HCHB, PointClickCare, PointCare, clinical case management, healthcare coordination
