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Managed Care Case Manager - Hoboken NJ

Hoboken, NJ 07030

Posted: 05/17/2025 Employment: Direct Hire Job Number: 4098 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 Hoboken, NJ

Ready to kickstart your career in the vibrant area around Hoboken, New Jersey? Explore our job opportunities and discover the endless possibilities for growth and success in this bustling region. Nestled along the Hudson River with stunning views of the Manhattan skyline, Hoboken offers a perfect blend of city excitement and small-town charm. From iconic landmarks like the Hoboken Historical Museum and the birthplace of Frank Sinatra, to the thriving food scene with delectable Italian cuisine and renowned bakeries, there's something here for everyone. With easy access to New York City, a variety of art galleries, theaters, and parks such as Pier A Park for unwinding, Hoboken is the ideal place to build your career while enjoying a rich cultural tapestry. Join us and take the first step towards an exciting future in this enchanting locale.