Case Manager, Registered Nurse (Field-Based) – Passaic and surrounding counties, New Jersey

Position Summary

We’re seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. This is a remote role with up to 75% field travel, Monday–Friday from 8:00 AM–5:00 PM EST.

In this position, you will play a key role in delivering high-quality, cost‑effective care. You’ll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.

Key Responsibilities

• Conduct in-home, face-to-face assessments for members enrolled in:
  • Managed Long-Term Services and Supports (MLTSS)
  • Dual Special Needs Programs (D-SNP/FIDE)
• Evaluate member needs and coordinate services such as:
  • Adult/pediatric medical day care
  • Personal care assistant services
  • Nursing facility placement
  • MLTSS program enrollment
• Partner with members, caregivers, PCPs, and interdisciplinary teams to develop and implement individualized care plans.
• Authorize services in alignment with program guidelines and support safe transitions of care.
• Document all case activity accurately and promptly in the electronic health record.
• Apply strong clinical judgment and critical thinking to manage complex care needs.
• Mentor new team members once proficiency is achieved.

Required Qualifications

• Active, unrestricted RN license in New Jersey

• Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.

• 3+ years of clinical practice experience

• 3+ years of experience in home health, hospice, or a similar setting

• Ability to manage pediatric and medically complex cases

• Residency in Passaic County NJ

• Successful completion of the NJ Choice Certification, including:

  o Minimum exam score of 80%

  o Completion of state training modules

  o Field mentoring component

• Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy

Preferred Qualifications

• Experience with LTSS
• Case management and/or discharge planning background
• Managed care experience
• Familiarity with Medicaid and Medicare
• Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams)

Education

• Minimum of an Associate Degree in nursing