Notes:

Temp to Perm potential

"" role; The role is considered a Field role and does not involve going into the office, rather traveling for assessments in the North NJ area (Union and Hudson Counties)

A Valid Driver License is needed

Worker will do first two weeks of training at the Hopewell

Reimbursement for mileage is available

Hours are (8-5/9-5) and the worker will be visiting on average 3/4 members a day for assessments

This is a very independent role, the worker will need to be a self starter, that is very organized, Tech and Computer fluent, and great at taking detailed notes.

This role is only available for RNs please do not submit LPNs for this opportunity

Job Summary:

• This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care.
• Performs duties and types of care management as assigned by management.

This is a Field Based position. This position will cover Hudson, Union and Bergan counties.

Responsibilities:

• Assesses patient's clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay.
• Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided.
• Coordinates and assists in implementation of plan for members.
• Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
• Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.
• Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.
• Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.

Core Individual Contributor Competencies. Personal and professional attributes that are critical to successful performance for Individual Contributors:

• Customer Focus, Accountable, Learn, Communicate.

Qualifications:

Additional licensing, certifications, registrations:

• Requires an active New Jersey Registered Nurse License.

Knowledge:

• Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; prefers knowledge in the use of intranet and internet applications.
• Prefers working knowledge of case/care management principles.

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