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Nurse Case Manager

2 months ago


Ridgefield, Connecticut, United States VNS Health Full time

VNS Health is seeking a skilled Nurse Case Manager to join their team.

**Job Summary:**

We are looking for a dedicated and compassionate individual to coordinate care for our members.

**Key Responsibilities:**

* Assess member needs and identify solutions that promote high-quality and cost-effective healthcare services
* Collaborate with management, subject matter experts, physicians, members, and discharge planners to ensure timely and appropriate care
* Review requests for services and conduct clinical record reviews to ensure medical necessity
* Participate in case conferences and identify opportunities for alternative care options
* Maintain accurate records of care management and participate in approval for out-of-network services when necessary

**Requirements:**

* Current RN license
* Certified Case Manager preferred
* Associate's Degree in Nursing or a Master's degree in Occupational Therapy required
* Minimum two years of experience in case management or acute inpatient hospital care
* Knowledge of Medicare and Medicaid regulations required
* Experience working with community-based organizations preferred

**What We Offer:**

* A dynamic and supportive work environment
* Opportunities for professional growth and development
* A competitive salary and benefits package

**How to Apply:**

If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, please submit your application.