- Highmark Health (Trenton, NJ)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Molina Healthcare (New York, NY)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) BILINGUAL SPANISH PREFERRED** To all… more
- CVS Health (Westfield, NJ)
- …may be eligible for up to a $7,500 sign on bonus upon hire.** This is a remote Case Manager opportunity with 50 to 75% field travel in Union 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 + Willing and able to… more
- Adecco US, Inc. (New York, NY)
- …assessment skills and techniques, and provides feedback to the Regional Nurse Manager **Education and Experience Required:** + RN license in the state of ... homecare experience? Adecco has an amazing opportunity for a ** Remote RN based in Brooklyn, NY. You...assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of … more
- 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! If ... 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
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …to learn more. Please note, this link is only accessible for MSK employees. Job Description RN Case Manager , Inpatient | New York, NY Exciting Opportunity at ... appeals and acquire authorizations for treatment Key Qualifications: + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3… more
- 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 ... client care. Functions or Scope of Assigned Duties: The Nurse III Nurse Manager (NM)...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Highmark Health (Trenton, NJ)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- VNS Health (Manhattan, NY)
- …Qualifications Licenses and Certifications: + Current license to practice as a Registered Professional Nurse Education: + Associate's Degree in Nursing or ... cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in… more
- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals ( RN )to lead the daily operations of our ... behalf. * Data-Driven Decisions: Maintain the integrity of our case files and data collection systems. Prepare insightful reports...+ License and current registration to practice as a registered professional nurse in New York State… more
- Sedgwick (Trenton, NJ)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
- Sharecare (Trenton, NJ)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Humana (Trenton, NJ)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...learn about a "Day in the Life" of our remote RN Care Managers. Day In The… more
- Takeda Pharmaceuticals (Trenton, NJ)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
- Hackensack Meridian Health (Neptune, NJ)
- …and utilization management **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support ... New Jersey regulations for Nursing **.** **This is a remote , night shift position. The schedule for this role...HCP Certification. **Licenses and Certifications Preferred:** + Certified Case Manager (CCM), Certified Clinical Medical Assistant… more