Nurse Case Manager

Crawford Thomas Recruiting
Springfield, NJ, United States
$68K-$70K a year
Full-time

Job Title : Nurse Case Manager

Location : Onsite for the first 90 days (probationary), then Hybrid (local)

Schedule : Monday to Friday, 9 : 00 AM - 5 : 00 PM or 8 : 30 AM - 4 : 30 PM

Salary : $68,000 - $70,000 (higher for the right candidate)

License : Active RN or LPN required

About Us

Join the benefits team of a well-established local union, providing crucial support in managing healthcare benefits for union members.

We're looking for a detail-oriented Nurse Case Manager to facilitate insurance approvals, ensuring members receive the care they need.

This desk-based role offers a stable schedule with no overtime or weekends.

Key Responsibilities :

  • Review medical info to support insurance approvals.
  • Manage healthcare benefits cases for union members.
  • Communicate with providers, insurers, and members for timely benefits processing.
  • Maintain detailed case records, ensuring compliance with regulations.
  • Help develop processes to streamline case management and approvals.
  • Educate union members on their benefits and healthcare options.

Qualifications :

  • Active RN or LPN license.
  • 2+ years of nursing experience (case management / admin preferred).
  • Strong understanding of healthcare systems and insurance processes.
  • Excellent organizational and communication skills.
  • Proficient with healthcare management software and office tools.
  • 2 days ago
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