Case Manager Registered Nurse - Field - Must reside in Middlesex, Bergan or Essex County New Jersey - $1,000 New Hire Bonus

This Case Manager Registered Nurse position is with Aetna's Integrated Care Management (ICM) team and is a field-based position out of the Northern part of New Jersey, preferably Middlesex, Bergan, Essex Somerset, or Union County New Jersey. The requirements is for candidates to hold a NJ Registered Nursing License, and travel 50-75% of the time to meet with members face to face.The care manager is responsible for assessing and evaluating members with potential care management needs through telephonic and face to face assessments in various settings, including the member's private residence, hospitals, behavioral, and long term nursing facilities.The care manager establishes a cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers. The care manager monitors and evaluates the effectiveness of the care plans and adjust the care plan based on clinical judgement and member needs. Care managers coordinate and collaborate with members, authorized representatives, primary care providers, and other care team participants to coordinate services and ensure timely service delivery. The care manager will take an interdisciplinary approach to advocate for member's needs to ensure a safe discharge post hospitalization or transition from a nursing facility, including addressing social needs (e.g., housing and food insecurity). Accurate and timely documentation in the member's electronic health record is essential. The care manager role requires critical thinking, problem-solving skills, and the ability to work autonomously. Additionally, the care manager may be asked to mentor new hires once proficient in the role.

Required Qualifications

• 3+ years' work experience in Pediatric, Special Needs and/or Adult Population
• RN with current unrestricted state licensure in the State of New Jersey
• Must reside in the State of New Jersey, specifically in Middlesex, Bergan or Essex County, or Surrounding Areas
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time to meet with members face to face. Mileage is reimbursed per our company expense reimbursement policy
• Computer literacy and demonstrated proficiency in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel.

• 2+ years experience managing populations with mental health and/or substance use disorders
• Certified Case Manager Certification
• Case Management experience in an integrated model.
• Bilingual preferred.
• Effective communication skills, both verbal and written.
• Working knowledge of problem solving and decision-making skills.
• Working knowledge of medical terminology.
• Working knowledge of digital literacy skills.
• Ability to deal tactfully with customers and community.
• Ability to handle sensitive information ethically and responsibly

• Bachelor's of Science in Nursing, Social Work, or related field Required