• Complex Case Manager

    Highmark Health (Trenton, NJ)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (03/13/25)
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  • Case Manager RN - Middlesex…

    CVS Health (Monroe Township, NJ)
    …requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... employment. Member assignment may include pediatric population and medically complex cases. The case manager ...and surrounding counties. **Required Qualifications** + Active and unrestricted RN license in NJ + 3+ years clinical practice… more
    CVS Health (03/04/25)
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  • Case Manager RN - Union

    CVS Health (Plainfield, NJ)
    …requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... employment. Member assignment may include pediatric population and medically complex cases. The case manager ...and surrounding counties. **Required Qualifications** + Active and unrestricted RN license in NJ + 3+ years clinical practice… more
    CVS Health (03/04/25)
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  • Per Diem Case Manager

    RWJBarnabas Health (Rahway, NJ)
    Per Diem Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway ... informed healthcare decisions to the highest degree possible. The Case Manager RN will work...all Orientation Programs Certifications and Licenses Required: + Current Registered Nurse License in the state of… more
    RWJBarnabas Health (01/16/25)
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  • Registered Nurse Case

    Molina Healthcare (Manhattan, NY)
    …will be supporting our Senior Whole Health NY DSNP program. We are seeking a Registered Nurse with previous Case Management, DSNP, or LTSS experience. The ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (03/15/25)
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  • Manager , Utilization Management…

    Humana (Trenton, NJ)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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  • Care Manager , Registered

    Sharecare (Trenton, NJ)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (02/17/25)
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  • Registered Nurse

    Constructive Partnerships Unlimited (Staten Island, NY)
    Registered Nurse Type of Position Full time Search Location(s) Staten Island, NY Apply Now ... policies, procedures and forms; and establishing working systems. REQUIREMENTS: + NYS Registered Nurse . Bachelors Degree preferred. + Prior nursing experience… more
    Constructive Partnerships Unlimited (02/24/25)
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  • Case Manager , RN

    CAI (Trenton, NJ)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • RN Case Manager (Patient Care…

    RWJBarnabas Health (Hamilton, NJ)
    RN Case Manager (Patient Care...Certifications and Licenses Required: + Current license as a registered Nurse in the State of NJ Essential ... Coordinator) - Hamilton, NJReq #:0000157940 Category: Nurse Case Manager Status:Per Diem Shift:Day Facility:RWJ Hamilton...Hamilton Health Place, Hamilton, NJ 08619 Job Overview: The RN Case manager will be… more
    RWJBarnabas Health (01/06/25)
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  • Case Manager RN

    RWJBarnabas Health (Rahway, NJ)
    …Location: RWJUH Rahway Hospital, 865 Stone Street, Rahway, NJ 07065 Job Overview: The RN Case Manager works collaboratively with the interprofessional team, ... EPIC a plus Certifications and Licenses Required: + Current Registered Nurse License in the state of...Day shift + 40 hrs. weekly Essential Functions: The Case Manager RN works collaboratively… more
    RWJBarnabas Health (03/04/25)
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  • RN / Case Manager -MSH-…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** RN / Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...or a minimum of 3-5 years experience as a RN in an acute care setting. **Licensing and Certification… more
    Mount Sinai Health System (03/04/25)
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  • Manager , RN - In-Patient Hospital…

    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
    Mount Sinai Health System (02/18/25)
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  • ED Case Manager RN - Mount…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Case Manager (CM) will be responsible for...or a minimum of 3-5 years? experience as a RN in an acute care setting. + Current NYS ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...RN nursing license. + CCM certification preferred. Re-credentialing of… more
    Mount Sinai Health System (03/04/25)
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  • Case Manager RN - Field…

    CVS Health (Trenton, NJ)
    …radius from applicants' home). Standard Working hours Monday - Friday 8-5 pm **ICM Case Manager RN ** **WFH Flexible** **Position Summary:** Help us elevate ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...within 50 miles of Essex. **Preferred Qualifications:** + Certified Case Manager is preferred. + Minimum 2+… more
    CVS Health (03/08/25)
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  • RN - Nurse Manager (PCTC)…

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …a full-time Nurse Manager / Patient Care Team Coordinator. Responsibilities The Registered Nurse - MICU PCTC Manager is accountable for a 12 bed ... RN experience and MSN and leadership/Supervisory as a Nurse Manager in a major medical Center...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (02/16/25)
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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 ... calls based on risk level. + Resolves and coordinates complex issues and member complaints impacting the delivery of...+ License and current registration to practice as a Registered Professional Nurse in NYS required or… more
    VNS Health (01/14/25)
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  • Behavioral Health Case Manager I

    Elevance Health (New York, NY)
    …Elevance Pulse Point location. Hours: Monday - Friday, 10-6:30pm EST The **Behavioral Health Case Manager I** is responsible for performing case management ... social work, counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder...equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… more
    Elevance Health (03/06/25)
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  • Nurse Coordinator RN

    RWJBarnabas Health (Somerset, NJ)
    Nurse Coordinator RNReq #:0000191833 Category:ICU/Critical Care Nursing Status:Per Diem Shift:Evening Facility:RWJBH Mobile Health (EMS) Department:MH Patient ... Room?Top skills; Triage, Critical Thinking, Multitasking? Then the PTC RN Coordinator Role is for you! This position provides...served, as well as experience in clinical care operations, case management and/or patient throughput + Must have a… more
    RWJBarnabas Health (03/08/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (New York, NY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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