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RN Case Manager

Bb661c48 7edc 400c Adfb 40f8f7743374 19000101 000001 · Secaucus, NJ, US, Secaucus, NJ · Active · $90,000–$100,000 / year · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyBb661c48 7edc 400c Adfb 40f8f7743374 19000101 000001
TitleRN Case Manager
Normalized title-
Department / team-
LocationSecaucus, NJ, United States
Work model-
Employment typeFull Time
Salary$90,000–$100,000 / year
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-01-21 / 2026-05-31
Changed / last seen2026-06-19 / 2026-06-19

Related slices

PageWhat it containsOpen
Company jobsActive postings from Bb661c48 7edc 400c Adfb 40f8f7743374 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Secaucus.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyBb661c48 7edc 400c Adfb 40f8f7743374 19000101 000001
Source5d77133d-be7d-42ab-9f81-faaefc8cd7db
ATS providerADP Workforce Now Recruiting

Description

Position Summary Provides case management as well as routine discharge planning services to patients and their families, to facilitate safe and timely discharges, to enhance the benefits of medical care, to ensure hospital reimbursement, to provide cost effective acute care and to ensure continuity of care. Job Duties Reviews all patient charts within 24 to 48 hours of admission to assess appropriateness of admission, intensity of service and potential discharge needs in accordance with the utilization/contractual requirements. All questionable cases (i.e. inappropriate admission, level of care changes, quality issues) will be communicated to the Attending Physician. If no resolution, CM will refer the cases to the Physician Advisor. Communicates with insurance providers for admission and continued stay reviews as stipulated by contract in order to certify the patients' stays. Contacts the Attending Physician to obtain additional clinical information on the case to minimize denials and to assist with reimbursement of care and/or appeals. Denied day cases will automatically be referred to the Physician Advisor. Participants in Interdisciplinary D/C Rounds to concurrently and collaboratively review and facilitate the patient's plan of care. Acts as liaison to assist in identifying opportunities to improve care. Keeps Director of Case Management abreast of problem areas and seeks guidance in a timely manner. Effectively coordinates care with ancillary departments and attending physician (i.e. rehabilitation, laboratory, radiology, etc.) to ensure timely provision of care and to decrease length of stay and appropriate treatment and discharge. Performs other job duties and responsibilities as assigned. Qualifications and Skills Knowledge of Utilization Review criteria to include Interqual and/or Milliman preferred . Knowledge in Medicaid, Medicare, Managed Care review and documentation requirements. Is knowledgeable of state and federal regulations, DNV standards and practices for acute care facilities. Excellent written and verbal communication skills. Knowledge in discharge planning and length of stay initiatives. Knowledge of home care and referral process. Expert critical thinking and problem solving skills. Education, Experience and Certification/Licensure Requirements Current RN license in the state of NJ. Minimum 1- 2 years direct patient care experience in an acute care hospital Previous case management experience preferred.

Full job record

Job ID78fd888e6b3cc6900ed1ac53a0503d636e9c8728
Org IDb1bceb74-f458-408c-8b2e-6674db847335
Source ID5d77133d-be7d-42ab-9f81-faaefc8cd7db
Board ID5d77133d-be7d-42ab-9f81-faaefc8cd7db
Provideradp_workforcenow
Provider Job Key589190
TitleRN Case Manager
Normalized Title—
Statusactive
Activeyes
Location TextSecaucus, NJ, US, Secaucus, NJ
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionNJ
CitySecaucus
Salary Raw90000.00 To 100000.00 (USD) Annually
Salary Min90,000
Salary Max100,000
Salary CurrencyUSD
Salary Periodyear
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=bb661c48-7edc-400c-adfb-40f8f7743374&ccId=19000101_000001&lang=en_US&type=JS&jobId=589190&jwId=9201119087555_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=bb661c48-7edc-400c-adfb-40f8f7743374&ccId=19000101_000001&lang=en_US&type=JS&jobId=589190&jwId=9201119087555_1
First Seen At2026-05-31 18:32:28Z
Last Seen At2026-06-19 13:41:09Z
Last Checked At2026-06-19 13:41:09Z
Last Changed At2026-06-19 13:41:09Z
Inactive At—
Source Posted At2026-01-21 14:16:00Z
Source Updated At—
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Event Fields
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Parsed Structured
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Extensions
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    "requisitionDescription": "<div><div><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;' data-pasted=\"true\"><strong><u><span style='font-size:16px;font-family:\"Times New Roman\",serif;color:black;'>Position Summary</span></u></strong><strong><u><span style='font-family:\"Times New Roman\",serif;color:black;'>&nbsp;</span></u></strong><span style='font-family:\"Times New Roman\",serif;color:black;'>&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><span style='font-family:\"Times New Roman\",serif;color:black;'>&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><span style=\"font-size:16px;font-family:Calibri;color:black;\">Provides case management as well as routine discharge planning services to patients and their families, to facilitate safe and timely discharges, to enhance the benefits of medical care, to ensure hospital reimbursement, to provide cost effective acute care and to ensure continuity of care.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><span style='font-family:\"Times New Roman\",serif;color:black;'>&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><strong><u><span style='font-size:16px;font-family:\"Times New Roman\",serif;color:black;'>Job Duties</span></u></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><strong>&nbsp;</strong></p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;margin-left: 34px;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style='font-family:\"Times New Roman\";font-size:16px;color:#1A1C1C;'>Reviews all patient charts within 24 to 48 hours of admission to assess appropriateness of admission, intensity of service and potential discharge needs in accordance with the utilization/contractual requirements.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style='font-family:\"Times New Roman\";font-size:16px;color:#1D1F1F;'>All questionable cases (i.e. inappropriate admission, level of care changes, quality issues) will be communicated to the Attending Physician. If no resolution, CM will refer the cases to the Physician Advisor.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style='font-family:\"Times New Roman\";font-size:16px;color:#1D1F1F;'>Communicates with insurance providers for admission and continued stay reviews as stipulated by contract in order to certify the patients&#39; stays. &nbsp; Contacts the Attending Physician to obtain additional clinical information on the case to minimize denials and to assist with reimbursement of care and/or appeals.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style='font-family:\"Times New Roman\";font-size:16px;color:#1D1F1F;'>Denied day cases will automatically be referred to the Physician Advisor.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style='font-family:\"Times New Roman\";font-size:16px;color:#1D1F1F;'>Participants in Interdisciplinary D/C Rounds to concurrently and collaboratively review and facilitate the patient&#39;s plan of care. Acts as liaison to assist in identifying opportunities to improve care.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style='font-family:\"Times New Roman\";font-size:16px;color:#1D1F1F;'>Keeps Director of Case Management abreast of problem areas and seeks guidance in a timely manner.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style='font-family:\"Times New Roman\";font-size:16px;color:#1D1F1F;'>Effectively coordinates care with ancillary departments and attending physician (i.e. rehabilitation, laboratory, radiology, etc.) to ensure timely provision of care and to decrease length of stay and appropriate treatment and discharge.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style='font-family:\"Times New Roman\";font-size:16px;color:#1D1F1F;'>Performs other job duties and responsibilities as&nbsp;assigned.</span></li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><span style=\"font-size:16px;\">&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><strong><u><span style=\"font-size:16px;\">Qualifications and Skills</span></u></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'>&nbsp;</p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'>Knowledge of Utilization Review criteria to include Interqual and/or Milliman preferred<span style=\"font-size:16px;\">.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:16px;\">Knowledge in Medicaid, Medicare, Managed Care review and documentation requirements. Is knowledgeable of state and federal regulations, DNV standards and practices for acute care facilities.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:16px;\">Excellent written and verbal communication skills.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:16px;\">Knowledge in discharge planning and length of stay initiatives.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:16px;\">Knowledge of home care and referral process.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:16px;\">Expert critical thinking and problem solving skills.</span></li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><span style=\"font-size:16px;\">&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><strong><u><span style=\"font-size:16px;\">Education, Experience and Certification/Licensure Requirements</span></u></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;line-height:normal;'><span style=\"font-size:16px;\">&nbsp;</span></p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'>Current RN license in the state of NJ.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'>Minimum 1- 2 years direct patient care experience in an acute care hospital</li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;'>Previous case management experience preferred.</li></ul></div><p><br></p></div></div>\n",
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Rendered from the bluedoor Job Postings API. Reproduce it:

GET https://api.bluedoor.sh/job-postings/v1/jobs/78fd888e6b3cc6900ed1ac53a0503d636e9c8728?include=descriptionJSON
GET https://api.bluedoor.sh/job-postings/v1/orgs/b1bceb74-f458-408c-8b2e-6674db847335JSON
GET https://api.bluedoor.sh/job-postings/v1/sources/5d77133d-be7d-42ab-9f81-faaefc8cd7dbJSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/78fd888e6b3cc6900ed1ac53a0503d636e9c8728/eventsJSON

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