Case Manager for Skilled Nursing Facility

Case Manager for Skilled Nursing Facility

Full Time 9:00 am to 5:00 pm Monday – Friday
Englewood Cliffs, NJ 

We are looking for motivated people that are willing to learn and grow with our company.

Essential Duties and Responsibilities:

  • Understand the insurance process including prior authorizations, length of stay & discharge planning
  • Review daily censuses for admissions, payer changes & discharges
  • Review & submit clinical updates to the insurance daily via fax & portal
  • Handle a high volume of incoming & outgoing calls
  • Respond to multiple emails & voicemails daily
  • Participate in virtual Utilization Review Meetings
  • Request highest level of reimbursement 
  • Monitor & communicate insurance denials such as NOMNC & end of service to patients
  • Request prior authorizations from the insurance
  • Send appeal on denials
  • Document all communications thoroughly throughout the day
  • Navigate through preparatory software’s & other web-based medical software’s


  • Strong written and verbal communication skills
  • Friendly & good customer service skills
  • Knowledge in insurance verification & eligibility a plus
  • Basic Medical Terminology a plus
  • Healthcare experience a plus
  • Organized & strong attention to details
  • Punctual & good time management


Compensation and Benefits:

Case Management Solutions offers a competitive salary & excellent benefits, including a substantial medical/dental/vision, 401k, monthly attendance bonus, generous holiday pay & PTO policy.

Finalist candidate(s) for this position will be subject to a pre-employment background check as a condition of employment

Ready to Apply?