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Managed Care Case Manager - Bordentown NJ

Bordentown, NJ 08505

Posted: 05/17/2025 Employment: Direct Hire Job Number: 4100 Pay Rate: 90,000

Job Description

Vitus Search Group has recently partnered with a massive Managed Care provider that services the 48 states 

We are seeking Case Managers in multiple areas around the country 

A great job for a RN - Registered Nurse 
  Full job description
JOB RESPONSIBILITIES:
  • Provide on-site (hospital, skilled nursing facility) and/or telephonic inpatient case management and concurrent review for identified hospitalized members.
  • Monitor medical necessity, appropriateness and efficiency of care using established inpatient guidelines, contacting Supervisor, Physician, Specialist, Hospitalist, and Medical Director as needed.
  • Coordinating and assisting with discharging patients from hospitals and SNFs.
  • Coordinating transfer of patient to in network facilities when appropriate.
  • Participate in discussion of delays / barriers / progression of care at care coordination rounds or in 1:1 meetings with physicians, specialists and/or hospital staff.
  • Be knowledgeable of patient’s available benefits / coverage / payor information.
  • Be knowledgeable of community programs and resources available to patients within their benefit plan.
The position pays $90K - Could go a bit higher depending on depth of backgrounds 

Immediate Starts 

Come join a great network 

Apply today!

Meet Your Recruiter

Chuck Stamford

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About Bordentown, NJ

Ready to take the next step in your career? Explore our job opportunities in and around Bordentown, New Jersey. Nestled in the heart of beautiful Burlington County, this charming town offers a perfect blend of history, culture, and growth opportunities. With easy access to Philadelphia and New York City, Bordentown provides a vibrant community to live and work in. From the historic grounds of the Old City Hall to the picturesque views along the Delaware River, this area boasts a unique charm that's hard to resist. Indulge in local delicacies at renowned eateries like Oliver A Bistro, catch a show at the Bordentown City Theatre, or enjoy the outdoors at the nearby Bordentown Beach or Northern Community Park. Join us in discovering all that Bordentown has to offer - your dream job could be just around the corner!