Nurse Case Manager

2 weeks ago


Ridgefield, New Jersey, United States VNS Health Full time
Job Title: Staff Nurse I

VNS Health is seeking a skilled Registered Nurse (RN) to join our team as a Case Manager. This role is responsible for assessing member needs and identifying solutions that promote high-quality and cost-effective healthcare services.

Key Responsibilities:
  • Assess member needs and develop comprehensive care plans to ensure timely and cost-effective healthcare services.
  • Manage provider, member, and team-generated requests for medical services, rendering clinical determinations in accordance with healthcare policies and regulations.
  • Coordinate with management, subject matter experts, physicians, member representatives, and discharge planners to ensure care is appropriate, timely, and cost-effective.
  • Work under general supervision to ensure seamless care coordination and management.
Benefits:
  • Generous paid time off (PTO) and 9 company holidays.
  • Comprehensive health insurance plan for you and your loved ones.
  • Employer-matched retirement savings funds.
  • Personal and financial wellness programs.
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care.
  • Generous tuition reimbursement for qualifying degrees.
  • Internal mobility and advancement opportunities.
Requirements:
  • Minimum two years of experience in case management or acute inpatient hospital experience in chronic or complex care.
  • Knowledge of Medicare and Medicaid regulations.
  • Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills.
  • Working knowledge of Microsoft Excel, PowerPoint, and Word, and strong typing skills.
  • Knowledge of Medicaid and/or Medicare regulations.

VNS Health is a nonprofit home and community-based healthcare organization dedicated to providing compassionate care and unparalleled expertise to our neighbors. We offer a full range of healthcare services, solutions, and health plans designed to simplify the healthcare experience and meet the diverse and complex needs of those we serve.


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