• Case Manager RN - Bergen…

    CVS Health (Westwood, NJ)
    …_for eligible external candidates who possess NJ Choice Certification_ This is a remote Case Manager opportunity with 50 to 75% field travel in Bergen County ... and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face...home health or ambulatory care + Active and Unrestricted RN license in NJ + 50 to 75% travel… more
    CVS Health (03/04/25)
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  • Case Manager , Medicaid Long Term…

    MVP Health Care (Tarrytown, NY)
    Case Manager , Medicaid Long Term Support...New York State Licensure as a Registered Nurse required. + Certification in Case Management ... continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program**...members, act as a proactive partner, and provide appropriate education , coordination of care and resource allocation. + The… more
    MVP Health Care (03/04/25)
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  • ( Registered Dietician) Health Management…

    Molina Healthcare (Yonkers, NY)
    **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... interdisciplinary care team meetings and informal ICT collaboration. + Collaborate with RN case managers/supervisors as needed or required **Job Qualifications**… more
    Molina Healthcare (03/04/25)
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  • RN Case Manager - New…

    Nuvance Health (Danbury, CT)
    …care practitioners as appropriate related to the current home health plan of care. New Grad RN Case Manager on interim basis until fully independent within 6 ... orientation program. Summary: Under the guidance of the Clinical Nurse Manager , provides nursing services to assist...Company: Western CT Home Care Inc Org Unit: 607 Department : Registered Nurse Exempt: Yes… more
    Nuvance Health (03/12/25)
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  • RN Case Manager

    Nuvance Health (Norwalk, CT)
    *Description* * RN Case Manager * *...Salary Range: $39.21 - $72.83 Hourly Credentials: Essential: * Registered Nurse Education : Essential: * ... education of Associate Degree in Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with minimum of one year as… more
    Nuvance Health (03/12/25)
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  • Registered Nurse Case

    Northwell Health (Mount Kisco, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves as an in-patient liaison -… more
    Northwell Health (03/04/25)
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  • RN Case Manager

    Nuvance Health (Danbury, CT)
    …Day 8 Work Shift: Mon-Fri 8:30AM - 5PM and weekend rotation Org Unit: 607 Department : Registered Nurse Exempt: Yes Salary Range: $32.6400 - $65.0100 Hourly ... Dental, 401k, etc. * Full-Time 40 hours per week. Credentials: Essential: * Registered Nurse Working conditions: Essential: * Significant manual skills / motor… more
    Nuvance Health (03/12/25)
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  • RN Case Manager

    Nuvance Health (Danbury, CT)
    …Nursing; Experienced in qualified home health agency Company: Western CT Home Care Inc Department : Registered Nurse Exempt: Yes Salary Range: $32.64 - $65.01 ... notes and attending in-sevrice training. 10. Performs other duties as assigned. Education : ASSOCIATE'S LVL DGRE Other Information: Required: RN diploma with… more
    Nuvance Health (03/12/25)
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  • Nurse Case Manager

    Nuvance Health (Carmel, NY)
    Education : BSN / BSW preferred 1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management certification ... setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred. Location: Carmel-PHC 670 Stoneleigh Avenue… more
    Nuvance Health (03/12/25)
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  • Program Manager , HCS RN , LMSW,…

    Molina Healthcare (Yonkers, NY)
    …matrix, user training materials and other related documentations. **JOB QUALIFICATIONS** **Required Education ** + Registered Nurse or equivalent combination ... Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/21/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Yonkers, NY)
    …as appropriate, while identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education ** + Registered Nurse or equivalent combination ... Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Registered Nurse

    CP Unlimited (Carmel, NY)
    Registered Nurse Type of Position Full...basis or as indicated. + Coordinate with the Medical Case Manager Counselors (MCMC) to ensure medical, ... NY, Yonkers, NY Apply Now (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=45&rid=6353) Job Brief The Registered Nurse shall provide health related services… more
    CP Unlimited (12/30/24)
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  • Registered Nurse RN Home…

    Elara Caring (Ridgefield, CT)
    …Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** **Coverage: Bethel, Bridgewater Danbury, Newtown, Brookfield, ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...package + Tuition reimbursement for full-time staff and continuing education opportunities for all employees + Comprehensive insurance plans… more
    Elara Caring (03/06/25)
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  • Registered Nurse RN Psych…

    Elara Caring (Norwalk, CT)
    …Care, at the Right Time, in the Right Place. **Job Description:** **ID# JR-115949** ** Registered Nurse Behavioral Health- Home visits** **Days - ​Full Time with ... have countless ways to make a difference as a Registered Nurse Behavioral Health. Being a part...package + Tuition reimbursement for full-time staff and continuing education opportunities for all employees + Comprehensive insurance plans… more
    Elara Caring (02/19/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Yonkers, NY)
    …on the job. Job Qualifications **REQUIRED EDUCATION ** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's Degree ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • Clinical Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Yonkers, NY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (02/09/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Yonkers, NY)
    …LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED EDUCATION :** Bachelors's ... ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified… more
    Molina Healthcare (01/25/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Yonkers, NY)
    …as appropriate, while identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION ** : Registered Nurse or equivalent combination ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical...Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN more
    Molina Healthcare (02/14/25)
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  • Care Manager

    LIFEPlan CCO NY (Chappaqua, NY)
    Care Manager Job Details Job Location Chappaqua - Chappaqua,...years of relevant experience, or a license as a Registered Nurse with two years of relevant ... NY Salary Range $29.00 - $31.00 Hourly Description Job Summary: The Care Manager provides services within the Care Management programs, including Health Home Care… more
    LIFEPlan CCO NY (01/15/25)
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  • Licensed Practical Nurse (LPN) / Wound Care…

    Hartford HealthCare (Trumbull, CT)
    …is the system's second-largest hospital. *Job Summary:* Under the supervision of a Registered Nurse , and within the context of the Nursing Professional Practice ... patients in achieving established outcomes of care. Reports to Nurse Manager . *Essential Functions/Responsibilities: . Under the...with intake and discharge. . May provide assistance with case management under the direction of RN ,… more
    Hartford HealthCare (03/17/25)
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