Nurse Case Manager II

Iconma

Surrounding area of Camden County, NJ

JOB DETAILS
SALARY
$15.49–$44.14 Per Hour
SKILLS
Ambulatory Care, Case Management, Certified Case Manager (CCM), Clinical Information, Communication Skills, Compensation and Benefits, Computer Skills, Corporate Policies, Cost Control, Establish Priorities, Health Plan, Home Care, Hospital, Maintain Compliance, Managed Care, Multitasking, Pharmacy, Presentation/Verbal Skills, Quality Management, Registered Nurse (RN), Regulations, Regulatory Compliance, Retail, Team Player, Willing to Travel, Writing Skills
LOCATION
Surrounding area of Camden County, NJ
POSTED
2 days ago
Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Surrounding area of Camden County, NJ (includes Burlington, Atlantic, Gloucester Counties, NJ) location.
 
Responsibilities:
  • The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
  • Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
  • Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
  • Will be expected to travel to various hospital facilities to meet with members and hospital staff.
  • Will collaborate with the assigned care manager to report visit findings.
 
Requirements:
  • Requires an RN with unrestricted active license
  • 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
  • Healthcare and/or managed care industry experience.
  • Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
  • Effective communication skills, both verbal and written.
  • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
  • Requires an RN with unrestricted active license in New Jersey or compact license in good standing and no history.
  • Education       
  • Case Management Certification CCM preferred
 
Why Should You Apply?  

About the Company

I

Iconma

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Management Consulting Services
EMPLOYEE BENEFITS
401K, Employee Referral Program, Life Insurance
FOUNDED
2000
WEBSITE
https://www.iconma.com/