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RN Case Manager

2 months ago

Cliffside Park, New Jersey, United States VNS Health Full time
About the Role

VNS Health is seeking a dedicated Registered Nurse (RN) Case Manager to assess member needs and manage requests for medical services.

Key Responsibilities
  • Conduct comprehensive reviews of requests for services and clinical records
  • Ensure compliance with state and federal regulatory standards
  • Participate in case conferences and identify opportunities for alternative care options
  • Maintain accurate records of all care management
  • Participate in special projects and perform other duties as assigned
Requirements
  • Current license as a Registered Professional Nurse in New York State
  • Certified Case Manager preferred
  • Minimum two years of experience in cost containment/case management or acute inpatient hospital experience in chronic or complex care
  • Excellent organizational and time management skills
  • Knowledge of Medicaid and/or Medicare regulations
What We Offer
  • Referral bonus opportunities
  • Generous paid time off (PTO) and company holidays
  • Health insurance for you and your loved ones
  • Employer-matched retirement saving funds
  • Personal and financial wellness programs
  • Tuition reimbursement and career advancement opportunities