Regional Case Manager
Summary:
The Case Management plays a critical role in centralizing and coordinating insurance authorization and case management functions across our multi-facility skilled nursing and long-term care network in Virginia. This position ensures timely authorization and continuation of care for residents under Medicare, Managed Care, Medicaid Managed Care, and commercial insurance plans. Working from our corporate office, the Case Management serves as a liaison between facility clinical teams, payers, and external partners to optimize reimbursement, reduce denials, and ensure compliance with payer requirements and CMS regulations.
Essential Duties & Responsibilities:
Job Requirements:
About Eastern Healthcare Group:
Eastern Health Group is a family of skilled nursing facilities and rehabilitation centers. We are resident-centered and quality-focused! Our workplace culture is all about uplifting people. We are committed to creating a nurturing, family-like atmosphere where staff develop meaningful relationships with residents and where exceptional patient outcomes are the standard.
Regional Case Manager • Clifton, NJ
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