(RN) Case Manager - Field & Telephonic Position

A-Line Staffing is now hiring a RN Case Manager This would be full time / 40 hours per week. If you are interested in this RN Case Manager Opportunity, please contact Michelle at 586-422-1171 or Mmansoor@alinestaffing.com Registered Nurse (RN) Case Manager – Field & Telephonic Position Travel Requirement: Candidates must live in one of the following counties to be considered (Sussex, Warren, Bergen, Essex, Passaic, Hudson, etc.) Work Type: (Field & Telephonic) – some days will be remote/some days will be in the field Schedule: Monday – Friday, 8:00 AM – 5:00 PM Pay Rate - $44.14 an hour paid weekly Benefits are available to full-time employees after 90 days of employment Position Summary The RN Case Manager utilizes a collaborative process of assessment, planning, facilitation, and advocacy to support members’ health and benefit needs. This role focuses on delivering cost-effective, high-quality outcomes through coordination of care, communication, and resource management. Key Responsibilities Conduct comprehensive assessments of members’ eligibility and healthcare needs using clinical tools and data review Develop and implement case management plans aligned with benefit structures and clinical guidelines Coordinate with internal and external providers, programs, and services Apply regulatory standards, policies, and procedures to ensure proper benefit administration Utilize case and quality management processes in compliance with accreditation and regulatory guidelines Maintain accurate documentation and manage multiple systems efficiently Required Qualifications Active, unrestricted RN license in NJ Experience in case management Minimum 3 years of clinical experience (hospital, home health, ambulatory care, or similar settings) preferred Case Management Certification ( CCM ) preferred INDKS Integrate nursing case management with social work case management Identifying patient/family care needs Handle case intake and daily case management Provide telephonic medical case management strategy Serving in a case/care manager role Designated as the case manager for hospice patients Apply effective case management interventions Perform initial case management assessment to determine care coordination and discharge planning needs Evaluate outcomes of patient care Assuming nursing case management responsibilities for designated patients Identify members for case management Provide case management services to geriatrics patients Assume responsibility to coordinate patient care for assigned case load Manage the patient case from pre-admission through discharge Facilitating appropriate health care services throughout the continuum of care Identifying appropriate patients for care management Coordinate the overall interdisciplinary care plans for home health/hospice patients from admission to discharge Evaluate outcomes of care with the interdisciplinary team and medical case managers Providing patient case management services to assigned populations Performing ongoing telephonic case management and treatment planning