Clinical Advisor/RN-New Jersey (Part-time)

MedZed is a leader in delivering value-based, technology-enabled care and social support to high-need Medicaid members. We combine community-based engagement, clinical care management, and technology to connect members with the medical, behavioral health, and social resources they need to improve outcomes and quality of life.

• This position requires a combination of field-based member visits and desk-based computer work.
• Ability to operate a computer and other office productivity equipment for documentation, communication, and care coordination.
• Ability to travel locally and safely enter community and member-home environments as required by the role.
• Ability to occasionally lift and move objects weighing up to 10 pounds, such as a laptop, files, or small office equipment.

The Clinical Advisor / Registered Nurse supports the delivery and day-to-day clinical coordination of MedZed’s New Jersey programs. This is a hands-on clinical role that combines direct case management of complex members with program coordination, client-facing responsibilities, and close collaboration with Community Health Navigators (CHNs) and the local care team. The Clinical Advisor / Registered Nurse works closely with CHNs to collaborate throughout the process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services that meet each member’s comprehensive health needs through effective communication and available resources, with a focus on quality, cost-effective outcomes. The role is also responsible for member education, follow-up, and helping ensure that clinical services meet MedZed and client contractual expectations.

• →Work closely with Community Health Navigators (CHNs) throughout assessment, planning, facilitation, care coordination, evaluation, and advocacy, supporting effective communication and use of available resources to address members’ comprehensive health needs and promote quality, cost-effective outcomes.
• →Provide ongoing support, guidance, and education to assigned Navigators, helping ensure they have the information and tools needed to effectively manage their caseloads.
• →Support the census management of MedZed’s New Jersey programs (Complete Connect (CC), Transitions of Care (TOC), REACH and CHW) by submitting Help Desk tickets to open members in the appropriate systems, enter ADT records into Salesforce. 
• →Enter and maintain ADT (Admission, Discharge, Transfer) data in the system to ensure member activity is accurately captured.
• →Review ADT records and notify the Team Manager (TM) of records requiring follow-up or additional attention.
• →Coordinate and facilitate CC client calls, including preparation, clinical updates, follow-up, and action-item tracking.
• →Coordinate and facilitate TOC client calls and support timely follow-up for members experiencing hospital, emergency department, or other care transitions.
• →Coordinate and facilitate REACH client calls and ensure appropriate clinical follow-through and coordination across the care team.
• →Partner with Navigators and leadership to support member engagement, care coordination, documentation, and program expectations across CC, TOC, REACH and CHW.
• →Maintain a caseload of complex members, approximately 10 members, consistent with client contractual expectations and program needs.[CC3] [NG4] 
• →Provide comprehensive case management and member education, including in-person visits and field-based member engagement up to 60% of the role.
• →Meet established expectations for clinical calls and member contacts each month to ensure contractual requirements and member needs are met.
• →Complete in-home visits and/or telephonic contacts, including assessments, contact notes, case management plans, and other required documentation.
• →Develop, implement, monitor, and update individualized case management plans based on member needs, priorities, clinical risks, and identified barriers to care.
• →Open and maintain communication with primary care providers, specialists, behavioral health providers, health plans, and community partners to support coordinated member care.
• →Conduct follow-up visits and member contacts according to program and client-specific guidelines.
• →Provide professional case management services within scope of RN licensure and accepted case management standards.
• →Identify medical, behavioral health, and health-related social needs that may adversely affect members and help members address barriers through education, advocacy, and connection to resources.
• →Proactively coordinate and monitor health and social services for assigned members and evaluate progress toward care plan goals and expected outcomes.
• →Participate in care transitions, escalations, case conferences, and other clinical activities as needed to support members with complex needs.
• →Meet MedZed and client-specific performance, documentation, quality, and timeliness requirements.
• →Participate in MedZed quality improvement, clinical process improvement, training, and program development activities and initiatives.
• →Partner with operational and clinical leaders to identify program risks, workflow opportunities, and member-care trends requiring follow-up.
• →Participate in scheduled staff meetings, client meetings, clinical meetings, and in-service training.
• →Maintain continuing education and licensure requirements and promptly notify MedZed of any change in licensure status.
• →Other duties as assigned.

• Active, unrestricted Registered Nurse (RN) license in New Jersey.
• Bachelor’s degree with at least 3 years of community health experience, or associate degree with at least 4 years of community health experience.
• Minimum of 4 years of nursing experience. Psychiatric nursing experience is strongly preferred.
• Experience in care coordination, community health, population health, and complex care management is strongly preferred.
• Experience working with Medicaid populations and members with complex medical, behavioral health, and health-related social needs preferred.
• Knowledge of community-based resources and services in New Jersey.

• Strong clinical judgment and ability to quickly assess and respond to complex member situations.
• Demonstrated collaboration skills and ability to build effective working relationships with CHNs, clinical colleagues, operational teams, clients, providers, and community partners.
• Excellent written, verbal, facilitation, and client-facing communication skills.
• Consistently demonstrates professionalism, sound judgment, accountability, respect, and clear communication in interactions with members, colleagues, clients, and external partners.
• Ability to manage a complex member caseload while coordinating multiple programs and client priorities.
• Strong organizational skills with the ability to establish priorities, meet deadlines, and maintain timely documentation.
• Ability to work independently in the field and collaboratively within a high-performance, interdisciplinary team.
• Proactive, creative problem-solving skills and a strong sense of accountability for members and program outcomes.
• Proficiency with Microsoft Office, Excel, Outlook, electronic health records, care management platforms, and related technology.

• A valid driver’s license.
• Access to a reliable, insured vehicle and ability to travel throughout assigned New Jersey service areas.
• Ability to conduct in-person member visits and field-based work up to 60% of the time.

• Join a mission-driven team focused on improving care for members with complex medical, behavioral health, and social needs.
• Work in a collaborative model that combines clinical expertise, community-based engagement, and technology-enabled care.
• Help shape and strengthen a growing New Jersey clinical program while maintaining meaningful direct connection with members.