• A-Line Staffing Solutions (New York, NY)
    Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed ... Inbound Calls, Outbound Calls, URAC, CCM, BSN, ADN, ASN, Case Manager , Case Management, InterQual,...InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse , MCO, RN , … more
    JobGet (09/15/24)
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  • Case Manager RN

    CVS Health (Somerset, NJ)
    …policy + Must reside in Somerset County, NJ ​ **Preferred Qualifications:** + Certified Case Manager is preferred. + Minimum 2+ years Care Management, Discharge ... themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of… more
    CVS Health (08/30/24)
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  • Registered Nurse - Home Care-…

    Hackensack Meridian Health (Wall, NJ)
    …and Abilities Preferred: + BSN Licenses and Certifications Required: + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... as a leader of positive change. Are you a nurse who is looking for a change? Do you...a timely manner with possible solutions. Assure documentation indicates case communication. Appropriately utilize manager as a… more
    Hackensack Meridian Health (08/23/24)
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  • Registered Nurse Infusion-Per Diem

    VNS Health (Manhattan, NY)
    …preferred Work Experience: Minimum of two years in a clinical background as a Registered Nurse and one-year clinical practice in specialty where appropriate (eg, ... - $51.19 Hourly * Performs initial and ongoing supervisory field visits to patients' homes to provide assessment, training...Certifications: License and current registration to practice as a registered professional nurse in New York State… more
    VNS Health (09/15/24)
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  • RN Case Manager - PDN

    BAYADA Home Health Care (Iselin, NJ)
    …new hire orientation. + Conduct competencies on new and tenured staff. **If you're a Registered Nurse ( RN ) with the following skills, this could be your ... you do?! BAYADA Home Health Care is seeking a ** Case ** ** Manager ( RN )** to work...dream job!** + Registered Nurse ( RN ) with 2...dream job!** + Registered Nurse ( RN ) with 2 or more years… more
    BAYADA Home Health Care (09/14/24)
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  • Nursing Clinical Manager / RN

    The Mount Sinai Health System (New York, NY)
    … Managers on accuracy and completeness of avoidable days. + Oversees Case Manager 's interactions with physicians, nurses, social workers, payors, patients, ... **JOB DESCRIPTION** **The Nursing Clinical Manager (NCM) for Case Management -...an acute care hospital setting. + Licensed as a registered nurse with current registration in New… more
    The Mount Sinai Health System (07/27/24)
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  • Case Manager RN - Full Time

    Penn Medicine (Plainsboro, NJ)
    …potential denials in order to avoid non-appealable denials; Credentials: + Registered Nurse - NJ (Required) + Certified Case Manager (Required) + ... conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical...Are you living your life's work? Summary: + The Case Manager supports the interdisciplinary team in… more
    Penn Medicine (06/28/24)
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  • Nursing Clinical Manager , RN

    The Mount Sinai Health System (New York, NY)
    **JOB DESCRIPTION** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This includes, ... staffing, employee performance evaluation, performance improvement, and staff education. The NCM Manager serves as a resource/mentor for Case Managers, Social… more
    The Mount Sinai Health System (08/20/24)
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  • Case Manager , RN

    Northwell Health (Staten Island, NY)
    …Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum ... patient care outcomes. + Submits data to management regarding case management and/or quality initiatives. + Participates in data...planning, preferred. + Keeps abreast of developments in the field and serves as a resource to other staff.… more
    Northwell Health (09/10/24)
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  • RN - Care Delivery Manager

    FlexStaff (Ridgewood, NY)
    …+ Responsible for running necessary Clinical Delivery reports. + Participates and represents the Field RN in all IDT meetings, when required. + Balance and ... the Virtual IDT as needed. + Serve as a manager on call during non-operational hours of the physical...license and registration in New York State as a Registered Nurse required. Additional Requirements: + Be… more
    FlexStaff (08/30/24)
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  • Nurse Manager , RN

    The Mount Sinai Health System (New York, NY)
    **JOB DESCRIPTION** The Nurse Manager is responsible for the management of nursing practice and operations on a designated unit/service. This includes, but is ... and internal and external regulatory and survey requirements. The Nurse Manager collaborates with multiple professionals to...area of nursing practice assigned + Licensed as a registered nurse with current registration in New… more
    The Mount Sinai Health System (07/05/24)
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  • Home Infusion RN Clinical Services Liaison;…

    The Mount Sinai Health System (New York, NY)
    …+ 3. CRNI, preferred Licensing and Certification Requirements (if applicable) Name: Registered Nurse Issuing Agency: Board of Registered Nursing ... **JOB DESCRIPTION** The Home Infusion Clinical Services Liaison - RN , is responsible for: + Positive and effective representation of Mount Sinai Home Infusion and… more
    The Mount Sinai Health System (09/10/24)
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  • Behavioral Health Case Manager I

    Elevance Health (New York, NY)
    …are encouraged to apply. Hours: Monday - Friday 10am-6:30pm EST The **Behavioral Health Case Manager I** is responsible for performing case management ... in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of...equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… more
    Elevance Health (09/06/24)
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  • Clinical Care Manager ( RN ) - Per…

    VNS Health (Manhattan, NY)
    …+ New York State License and current registration in Occupational Therapy required + Certified Case Manager - Commission for Case Manager Certification ... + License and current registration to practice as a Registered Professional Nurse in NYS required or...+ Minimum two years of experience in health related field required + Care management and/or managed care experience… more
    VNS Health (09/11/24)
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  • LTSS Service Coordinator - RN

    Elevance Health (Middletown, NJ)
    **LTSS Service Coordinator - RN ** _Location:_ This is a field based position. Based on candidate's location, will require travel to Passaic, Bergen, Essex, ... RN ** is responsible for overall management of member's case within the scope of licensure; provides supervision and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/11/24)
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  • Clinical Program Manager ( RN or NP…

    The Mount Sinai Health System (New York, NY)
    …supervisory preferred) + New York State License with current registration as a registered professional nurse . + Certification in specialty area preferred. + ... **JOB DESCRIPTION** We are seeking a Clinical Program Manager (CPM) to join a team of investigators...ready. + Responsible for coordinating study enrollment, establishing a database/ case load of patients, protocol treatment and follow-up care… more
    The Mount Sinai Health System (07/02/24)
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  • RN Education Manager - WOCN

    VNS Health (Manhattan, NY)
    …and Certifications: + Current license and registration to practice as a Registered Professional Nurse , Physical Therapist, Occupational Therapist, or Speech ... to ensure effective clinical education and training support for field operations. Partners with peers across the enterprise to...Therapy from a college or university whose program is registered by the State education department or accredited by… more
    VNS Health (09/04/24)
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  • Nurse Coordinator RN

    RWJBarnabas Health (Somerset, NJ)
    Nurse Coordinator RNReq #:0000153920 Category:ICU/Critical Care Nursing Status:Part-Time Shift:Night Facility:RWJBH Mobile Health (EMS) Department:MH Patient ... liaison role. Qualifications: Required: + Requires an active BSN RN license in state of practice, temporary RN...served, as well as experience in clinical care operations, case management and/or patient throughput + Must have a… more
    RWJBarnabas Health (08/28/24)
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  • Nurse Case Mgr I

    Elevance Health (Woodbridge, NJ)
    …with providers, claims or service issues. **Requirements:** + BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of ... and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required… more
    Elevance Health (09/17/24)
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  • Care Delivery Manager

    CenterLight Health System (Ridgewood, NY)
    …unrestricted license and registration in New York State required as a Registered Nurse . Language: Bilingual preferred. Physical Requirements Individuals must be ... the Virtual IDT as needed. + Serve as a manager on call during non-operational hours of the physical...Delivery reports. + Participates and represents the Community Health Nurse (CHN) in IDT meetings, when required. + Balance… more
    CenterLight Health System (09/11/24)
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