• Telephonic Nurse Case

    Elevance Health (Woodbridge, NJ)
    ** Telephonic Nurse Case Manager II** **Location: This is a virtual position. Prefer candidates reside within 50 miles of an Elevance Health Pulse Point ... complete the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management… more
    Elevance Health (10/30/24)
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  • Nurse Medical Mgmt II

    Elevance Health (Woodbridge, NJ)
    …interpreting appropriateness of care and accurate claims payment. This role involves telephonic duties, with a hybrid schedule that requires in-office work in ... once per quarter or as directed by the UM Manager . **Primary duties may include, but are not limited...minimum of 5 years acute care clinical experience or case management, utilization management or managed care experience; or… more
    Elevance Health (10/23/24)
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  • Clinical Evaluation Manager -mostly remote

    VNS Health (Manhattan, NY)
    …an Occupational Therapist in New York State required Certified Case Manager preferred For SelectHealth ETE Only: Nurse Practitioner (NP) certification with ... needs. Promotes quality and cost-effective outcomes at all times. * Provides telephonic case management to members, balancing clinical, social, and environmental… more
    VNS Health (10/25/24)
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  • Clinical Care Manager (RN) -- CMO

    VNS Health (Manhattan, NY)
    …+ New York State License and current registration in Occupational Therapy required + Certified Case Manager - Commission for Case Manager Certification ... OverviewProvides telephonic clinical care management services using evidence-based practices...and current registration to practice as a Registered Professional Nurse in NYS required or + New York State… more
    VNS Health (10/15/24)
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  • ACO Value Based Program Coordinator (Part-Time)

    RWJBarnabas Health (Somerset, NJ)
    ACO Value Based Program Coordinator (Part-Time) - Somerset, NJReq #:0000173345 Category: Nurse Case Manager Status:Part-Time Shift:Day Facility:RWJBarnabas ... accredited school, required + Experience in either Utilization Management, Case Management, Disease Management, Care Coordination, or Discharge Planning Preferred:… more
    RWJBarnabas Health (10/25/24)
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