RN Case Manager

5 days ago


North Bergen, United States VNS Health Full time

VNS Health is seeking a RN Case Manager - Acute Care Case Management for a nursing position in North Bergen, New Jersey.

Job Description & Requirements
  • Specialty: Acute Care Case Management
  • Discipline: RN
  • Start Date: ASAP
  • Duration: Ongoing
  • Employment Type: Staff

We are seeking a dynamic and compassionate RN Case Manager to assess member needs and deliver high-quality, cost-effective healthcare services. This role involves managing providers, members, and care manager requests, as well as coordinating with various stakeholders to ensure appropriate and timely care. The position offers excellent benefits and opportunities for professional growth and development.

What We Provide
  • Referral bonus opportunities
  • Health insurance plan for you and your loved ones, including Medical, Dental, Vision, Life, and Disability coverage
  • Generous paid time off, company holidays, and retirement saving funds
  • Personal and financial wellness programs, tuition reimbursement, and career advancement opportunities

What You Will Do

  • Conduct comprehensive reviews of service requests, including clinical record reviews and interviews with relevant parties
  • Ensure compliance with healthcare policies, state, and federal regulations
  • Participate in case conferences and identify opportunities for alternative care options
  • Maintain accurate records of all care management activities
  • Stay informed about health plan changes and updates through ongoing training and education

For Care Management Only:

  • Provide telephonic case management and coordinate treatment plans with the interdisciplinary team
  • Consult with community providers to ensure effective care delivery in the home and community
  • Assess, plan, and advocate for health management options for individuals

Licenses and Certifications:

  • Current RN license required
  • Certified Case Manager preferred

Education:

  • Associate's Degree in Nursing or a Bachelor's degree preferred

Work Experience:

  • Minimum two years of relevant experience required
  • Knowledge of Medicaid and/or Medicare regulations preferred

VNS Health is committed to providing compassionate care and exceptional expertise. Join us in our mission to help people live, age, and heal at home.



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