Offer summary
Qualifications:
Associate's or bachelor's degree in nursing or related field, Minimum 2 years clinical experience, 3 years experience in healthcare delivery system preferred, Active Unrestricted RN License required; NJ License preferred, Basic knowledge of healthcare contracts and usage management.
Key responsabilities:
- Assess members' clinical needs against guidelines
- Facilitate care response for high risk members
- Develop and coordinate individualized care plans
- Monitor member care activities for appropriateness
- Document interactions based on standards of practice