Job Description
Our client, a Retail Pharmacy company, is looking for a RN Case Manager for their Camden, Gloucester, Atlantic or Cumberland Counties, NJ location.
Responsibilities:
Requirements:
Why Should You Apply?
Responsibilities:
- Help us elevate our patient care to a whole new level! Join our client team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in markets across the country. Our Integrated Care Management (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
- The ICM care manager develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness.
- Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.
- Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
- Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.
- Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
- Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences
- Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
- 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
- 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
- Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
- Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
- Typical office working environment with productivity and quality expectations
- 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.
Requirements:
- Minimum 3+ years of clinical practice experience
- Must have active and unrestricted RN licensure in the state of NJ
- The protection and security of our colleagues is paramount. client encourages it’s nurses to meet with members in a public place if they feel that is more appropriate. If needed, security escort is also available.
- Certified Case Manager is preferred.
- Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred
- NJ Choice Certification preferred
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
- Excellent analytical and problem-solving skills
- Effective communications, organizational, and interpersonal skills.
- Ability to work independently
- Effective computer skills including navigating multiple systems and keyboarding
- Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
- Bilingual Preferred
- Associate degree in nursing
- Verifyable High School Diploma or GED Required
- Requires an RN with unrestricted active license in the state of NJ
- RN with current unrestricted state licensure.
- Case Management Certification CCM preferred
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Numbers & Facts
| Location | Camden, NJ |
| Industry | Management Consulting Services |
| Salary | $15.92–$44.14 Per Hour |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | https://www.iconma.com/ |
Benefits
401K, Employee Referral Program, Life Insurance
About Company
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.
Skills
- Ambulatory Careunmatched
- Analysis Skillsunmatched
- Case Managementunmatched
- Certified Case Manager (CCM)unmatched
- Clinical Informationunmatched
- Communication Skillsunmatched
- Compensation and Benefitsunmatched
- Computer Skillsunmatched
- Corporate Policiesunmatched
- Cost Controlunmatched
- Discharge Plansunmatched
- Establish Prioritiesunmatched
- Health Planunmatched
- Healthcareunmatched
- High School Diplomaunmatched
- Home Careunmatched
- Hospitalunmatched
- Identify Issuesunmatched
- Interpersonal Skillsunmatched
- Interviewing Skillsunmatched
- Maintain Complianceunmatched
- Managed Careunmatched
- Medicaidunmatched
- Medicareunmatched
- Microsoft Excelunmatched
- Microsoft Outlookunmatched
- Microsoft PowerPointunmatched
- Microsoft Wordunmatched
- Multitaskingunmatched
- Needs Assessmentunmatched
- Nursingunmatched
- Organizational Skillsunmatched
- Patient Careunmatched
- Pharmacyunmatched
- Presentation/Verbal Skillsunmatched
- Problem Solving Skillsunmatched
- Quality Managementunmatched
- Registered Nurse (RN)unmatched
- Regulationsunmatched
- Regulatory Complianceunmatched
- Retailunmatched
- Risk Managementunmatched
- Team Playerunmatched
- Treatment Planunmatched
- Typingunmatched
- Work From Homeunmatched
- Writing Skillsunmatched
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