New Jersey Licensed RN

To support patient care management, the full-time New Jersey Licensed RN will assess clinical needs, coordinate care plans, and advocate for members while working remotely. Key responsibilities Assess patients' clinical needs against established guidelines to ensure appropriate care levels Coordinate and implement care plans, monitoring services and negotiating fees as necessary Document patient care activities accurately and interact with multidisciplinary teams to ensure continuity of care Required qualifications Active Unrestricted NJ RN License or active Compact License required High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree Minimum of two (2) years clinical experience required Preferred knowledge of case/care management principles and utilization management Proficiency in MS Office products and familiarity with healthcare contracts and benefit eligibility requirements preferred