Case Manager, Registered Nurse - Field

• Conduct face-to-face home visits using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS) and/or Dual Special Needs Programs (D-SNP/FIDE)
• Perform in-person assessments for non-MLTSS members to determine medical needs and support appropriate service referrals (e.g., adult medical daycare, pediatric medical daycare, personal care assistant services, nursing facility custodial care, Personal Preference Program, and MLTSS enrollment)
• Successfully complete and maintain NJ Choice Certification (required for continued employment)
• Work with diverse populations, including pediatric and medically complex members
• Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams
• Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services
• Develop individualized care plans and authorize services within MLTSS/FIDE program benefits in a cost-effective manner
• Document all assessments, interactions, and care planning activities accurately and in a timely manner in the electronic health record
• Utilize strong critical-thinking and problem-solving skills in daily work
• Mentor new staff once appropriate proficiency has been achieved

Requirements

• Active, unrestricted RN license in the state of New Jersey
• Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care
• Residency in Ocean County or adjacent counties
• Ability and willingness to travel up to 75% within Ocean and surrounding counties
• Successful completion of NJ Choice Certification, including:
• Exam score of 80% or higher
• Completion of state training modules
• Field mentoring, as required by the NJ Division of Aging Services

Core Competencies

Demonstrates expertise in conducting comprehensive assessments and developing individualized care plans for diverse populations, including pediatric and medically complex members, while ensuring compliance with NJ Choice Certification requirements.

Highest-signal resume keywords

• Active RN License in New Jersey
• NJ Choice Certification
• Clinical Experience in Home Health
• Critical-Thinking Skills
• Care Coordination

ATS Optimization Keywords

Hard Skills

• Comprehensive Assessment Tools
• Individualized Care Plans
• Service Referrals
• Electronic Health Record Documentation
• Interdisciplinary Collaboration

Soft Skills

• Problem-Solving Skills
• Mentoring

Certifications & Qualifications

• NJ Choice Certification

Industry Keywords

• Managed Long-Term Services and Supports
• Dual Special Needs Programs
• Pediatric Medical Daycare
• Personal Care Assistant Services
• Nursing Facility Custodial Care