Manager, Case Management

  • Title: Manager, Case Management
  • Type: Full-Time
  • Location: Piscataway, NJ
  • Salary Range: Negotiable
  • Post Date: 06/02/2014

Healthcare-StaffingWork in a satisfying and rewarding field as a Manager in Case Management! This is a Full Time, Direct Hire opportunity in Piscataway, NJ. This position will work within a Managed Care Organization. Contact us today to experience our staff’s endless commitment to enhancing your career and let us help you get the work YOU WANT!

Job Description:
A progressive and successful Managed Care Organization, is currently seeking a Manager of Case Management in our Utilization Management Department. This position is responsible for overseeing the Case Management area in the Population Health Management department. This position’s focus is on the delivery of cost-effective, appropriate healthcare services for members with complex and chronic care needs, as well as evaluation of over and under utilization of services, guiding and facilitating staff to obtain realistic treatment goals and reduce inappropriate utilization. Additional responsibilities for this position include involvement in the hiring process of qualified staff, ongoing management and development of staff performance, coordination of the activities of the Case Management team including determining work procedures ensuring overall departmental effectiveness.

Job Requirements:

  • Current RN or LPN License
  • 3-5 years Managed care experience as a Supervisor/Team Leader doing concurrent case management
  • 1-2 years progressive supervisory experience in Utilization Management Managed Care
  • Thorough knowledge of all utilization management processes, expectations, requirements, medical terminology
  • ICD-9 and CPT coding, medical management criteria, reporting and benefits plan designs
  • Proficiency in MS Word and Excel
  • Excellent communication skills
  • Reliable transportation to commute to Piscataway, NJ

Pay rate: Negotiable

If you meet the above requirements we want to hear from you! Interested candidates please email a current resume to jenniferg@protocallgroup.com

The Protocall Group is an Equal Opportunity Employer.

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