Medical Case Manager

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    "ExternalDescriptionStr": "<p>🚨 Now Hiring: RN Case Manager – New Jersey Region 🚨</p><p>💻 Work from home + local field travel<br>💰 Salary: Competitive &amp; commensurate with experience<br>🎉 Quarterly Bonus Opportunities<br>📚 Free CEUs for licenses &amp; certificates<br>💳 License &amp; Certification Reimbursement</p><p>We’re looking for an RN with a passion for case management to join our team!<br>✨ RN degree required<br>✨ National Certification preferred (CCM, CRC, COHN, CRRN)<br>✨ Workers’ Comp Case Management experience a plus</p><p>📍 Location Requirement &nbsp;<br>Candidates must be based in one of these New Jersey areas:<br>Wayne, Clifton, Jersey City, Hoboken or Newark.</p><p>✅ Your Impact: You’ll provide effective case management services in a cost‑effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You’ll support patients/employees receiving benefits under insurance lines including Workers’ Compensation, Group Health, Liability, Disability, and Care Management.</p><p>This is your chance to grow your career, earn great rewards, and enjoy true work-life balance.</p><p>👉 Apply today and make an impact in the community!</p>",
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    "CorporateDescriptionStr": "<span>Why Crawford?</span>\n<br><span>&nbsp;</span>\n<br><span>Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.</span>\n<br>\n<br><span>At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.</span>\n<br>\n<br><span>We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at <a href=\"https://www.crawco.com/\" target=\"_blank\" rel=\"nofollow\">www.crawco.com</a>.</span>\n<br>\n<br><span>When you accept a job with Crawford, you become a part of the One Crawford family.</span>\n<br>\n<br><span>Our total compensation plans provide each of our employees with far more than just a great salary</span>\n<br>\n<ul>\n <li>Pay and incentive plans that recognize performance excellence</li>\n <li>Benefit programs that empower financial, physical, and mental wellness</li>\n <li>Training programs that promote continuous learning and career progression while enhancing job performance</li>\n <li>Sustainability programs that give back to the communities in which we live and work</li>\n <li>A culture of respect, collaboration, entrepreneurial spirit and inclusion</li>\n</ul><i>Crawford &amp; Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford &amp; Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.</i>",
    "ExternalPostedStartDate": "2026-03-17T19:16:46+00:00",
    "ExternalQualificationsStr": "<ul><li>Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred.</li><li>Minimum of 1-3 years diverse clinical experience and one of the below:</li><li>Certification as a case manager from the URAC-approved list of certifications (preferred);</li><li>A registered nurse (RN) license.</li><li>Must be compliant with state requirements regarding national certifications.</li><li>General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.</li><li>Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.</li><li>Excellent analytical and customer service skills to facilitate the resolution of case management problems.</li><li>Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.</li><li>Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.</li><li>Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.</li><li>Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.</li><li><p>Demonstrated leadership ability with a basic understanding of supervisory and management principles.</p><p>&nbsp;</p></li><li>Active RN home state licensure in good standing without restrictions with the State Board of Nursing.</li><li>Must meet specific requirements to provide medical case management services.</li><li>Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.</li><li>National certification must be obtained in order to reach Senior Medical Case Management status.</li><li>Travel may entail approximately 70% of work time.</li><li>Must maintain a valid driver's license in state of residence.</li></ul><p>#LI-RG1</p>",
    "InternalQualificationsStr": "<ul><li>Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred.</li><li>Minimum of 1-3 years diverse clinical experience and one of the below:</li><li>Certification as a case manager from the URAC-approved list of certifications (preferred);</li><li>A registered nurse (RN) license.</li><li>Must be compliant with state requirements regarding national certifications.</li><li>General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.</li><li>Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.</li><li>Excellent analytical and customer service skills to facilitate the resolution of case management problems.</li><li>Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.</li><li>Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.</li><li>Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.</li><li>Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.</li><li><p>Demonstrated leadership ability with a basic understanding of supervisory and management principles.</p><p>&nbsp;</p></li><li>Active RN home state licensure in good standing without restrictions with the State Board of Nursing.</li><li>Must meet specific requirements to provide medical case management services.</li><li>Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.</li><li>National certification must be obtained in order to reach Senior Medical Case Management status.</li><li>Travel may entail approximately 70% of work time.</li><li>Must maintain a valid driver's license in state of residence.</li></ul><p>#LI-RG1</p>",
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