Insurance Case Manager Jobs in Hackettstown, NJ (NOW HIRING)

Provide patient care and clinical support to field team as needed. Conduct prospect client evaluations, medical condition screening, service recovery and community representation with provider partners. Develop and coordinate education programming for CHHA, LPN and RN field staff. Supervise clinical field staff and provide case management to clients.
Principal Accountabilities:
Include, but are not limited to:
• Provide clinical support services to APC S clients and case managers
• Comply with policies and procedures necessary to maintain the standards required by accrediting bodies and/or licensing agencies.
• Complete incident forms, follow up and document on staff/ client complaints and concerns
• Provide input into the development of in-service program and conduct education sessions
• Assist with private duty nursing (PDN) cases, as necessary.
• Assist Scheduling Coordinators and HR Manager, with coordinating supervisions and client monitoring visits.
• Ensure case manager visits are completed and all necessary documentation Include, but are not limited to:
• Provide Clinical support services to APCS clients and case managers
• Comply with policies and procedures necessary to maintain the standards required by accrediting bodies and/or licensing agencies.
• Complete incident forms, follow up and document on staff/ client complaints and concerns
• Provide input into the development of in-service program and conduct education sessions
• Assist with private duty nursing (PDN) cases, as necessary.
• Assist Scheduling Coordinators and HR Manager, with coordinating supervisions and client monitoring visits.
• Ensure case manager visits are completed and all necessary documentation
• Screen prospective Skilled Nursing clients
• Conduct Chart audits as assigned and participate in PI committee
• Serve as mentor for new APC S team members and monitor performance.
• Participate in investigations and service recovery.
• Secure MD orders, create, care plans, medication profiles, assessments, reassessments, admission paperwork, discharge paperwork.
• Participate in case conferences, and departmental / staff meetings.
• Provide Weekend and evening RN call coverage as needed
• Screen prospective Skilled Nursing clients
• Conduct Chart audits as assigned and participate in PI committee
• Serve as mentor for new APC S team members and monitor performance.
• Participate in investigations and service recovery.
• Secure MD orders, create, care plans, medication profiles, assessments, reassessments, admission paperwork, discharge paperwork.
• Participate in case conferences, and departmental / staff meetings.
• Provide Weekend and evening RN call coverage as needed
Qualifications
Required:
Education: Associate's degree in nursing. Bachelor's degree preferred
Experience:
At least 2 years' experience in a home health care setting or revenant clinical setting
Experience working with home health care standards and quality assurance / risk management.
One year acute care nursing
Certificates: CPR
Licenses: Current license as a Registered Nurse the state of New Jersey or RN compact license
Meets the requirements of continuing education annually for license recertification
Meets or exceeds the requirements of the competency exams. Possesses certification and/or proof of a passing grade on a written exam.
Preferred:
2-3 years of previous Clinical Specialist experience preferred.
About Us
AHS Investment Corporation (AHSIC) is the wholly owned for-profit subsidiary of Atlantic Health.
Our Business Units

• AtHome Medical - a Durable Medical Equipment Company, combining professional services and high-quality medical products.
• Atlantic Private Care Services - a private duty Nursing and Home Health Aide service provider, servicing the NJ counties of Morris, Essex, Union and Sussex.
• Real Estate Division - Commercial Property and Residential Housing ownership and management services for AHSIC and Atlantic Health.
• MSO - Management Services to a variety of healthcare enterprises, such as Atlantic Mobile Health/ Atlantic Ambulance, Primary Care Partners, Atlantic Health Partners, AHS ACO LLC, and others.
• Eagle Ambulance - a private ambulance company.
• Joint Ventures - Investment interests with various healthcare organizations.
• AHa! Innovation Center - an incubator designed to promote and commercialize innovation in the health care arena.

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:
Team Member Benefits

• Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
• Life & AD&D Insurance.
• Short-Term and Long-Term Disability (with options to supplement)
• 403(b) Retirement Plan: Employer match, additional non-elective contribution
• PTO & Paid Sick Leave
• Tuition Assistance, Advancement & Academic Advising
• Parental, Adoption, Surrogacy Leave
• Backup and On-Site Childcare
• Well-Being Rewards
• Employee Assistance Program (EAP)
• Fertility Benefits, Healthy Pregnancy Program
• Flexible Spending & Commuter Accounts
• Pet, Home & Auto, Identity Theft and Legal Insurance

Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.
EEO STATEMENT
Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.