New Jersey Licensed Case Manager RN

To support patient care and transition planning, the full-time New Jersey Licensed Case Manager RN will assess clinical needs, coordinate care plans, and mentor new staff in a remote environment. Key responsibilities: Assess patients' clinical needs against established guidelines to ensure appropriate care levels Coordinate and implement care plans while monitoring services and advocating for members and families Document care activities comprehensively and participate in quality improvement initiatives Required qualifications: Active Unrestricted NJ RN License or active Compact License required Minimum of two (2) years clinical experience and healthcare payer experience High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree Proficiency in MS Office and knowledge of case/care/disease management principles CCM certification preferred for Horizon Clinical Advocate roles