Case Manager | Hybrid | Hopewell, NJ | Contract

Remote Full-time
Case Manager | 2+ years | Hybrid | Hopewell, NJ | Contract

Walker Healthforce is seeking a Case Manager with 2+ years of experience to support a healthcare client located in Hopewell, NJ. This is a 6-month contract opportunity.

START DATE: 6/23/2025
WORKER TYPE: W2

CORE REQUIREMENTS:
• Minimum of two years’ business experience, preferably in a medical support-related position or health insurance environment
• Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes
• Knowledgeable in the use of intranet and internet applications
• Knowledge of medical terminology
• Strong typing, data entry and numeric keypad skills

WE CONSIDER IT A BONUS IF YOU ALSO HAVE:
• Bachelor’s degree
• Understanding of case management, philosophy and process

JOB RESPONSIBILITIES:
• Performs selected medical appropriateness protocol procedure activities including telephone interviews and collection of information from claimants, providers and the client.
• Performs three-point contact, directs care into the network, follows up on status of treatment, corresponds with providers and documents the file consistently.
• Evaluates and coordinates the treatment plans proposed by providers, in accordance with established HCS protocols.
• Authorizes medical treatment and associated diagnostic testing on assigned claims.
• Acts as liaison with client to identify issues and problems relating to medical care, treatment plans, and claim processing and forwards concerns to appropriate parties, when necessary.
• Initiates calls and correspondence to claimants, providers, and the client to coordinate courses of treatment.
• Reviews and identifies claims involving complex injuries/treatment plans and refers them to a nurse case manager.

WHAT WE OFFER:
• Competitive compensation package
• Weekly pay via Direct Deposit
• Medical, Dental & Vision available
• 401k options

WHY WORK WITH WALKER?
• Access to our top ranked team of recruiting and placement specialists
• Continuous, one-on-one support from a dedicated engagement manager
• Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US:
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

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