- 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
- 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
- VNS Health (Manhattan, NY)
- …an Occupational Therapist in New York State required + Certified Case Manager preferred + For SelectHealth ETE Only: Nurse Practitioner (NP) certification ... cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in… 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
- Trinity Health (Newtown, PA)
- …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual...an approved nursing education program + Licensure as a Registered Nurse in the state of PA… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in ...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
- Molina Healthcare (New York, NY)
- …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... _Further details to be discussed during our interview process._ Remote position in New York A New York LMHC,...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- VNS Health (Manhattan, NY)
- …or an Occupational Therapist in New York State requiredCertified Case Manager preferredFor SelectHealth ETE Only: Nurse Practitioner (NP) certification with ... cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in… more
- Highmark Health (Trenton, NJ)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… 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
- Trinity Health (Newtown, PA)
- …**St. Mary' Home care & Hospice in Bucks County, Pa. is seeking a Contingent Hospice RN Case Manager for coverage to the Director after hours and weekends ... access to our Virtual Care Center RNs. **Contingent Hospice RN Case Manager position summary**...an approved nursing education program + Licensure as a Registered Nurse in the State of Pennsylvania… more
- VNS Health (Manhattan, NY)
- …as a Social Worker in New York State for SWs + required + Certified Case Manager preferred Education: + Associate's Degree In Nursing required or + Master's ... upon discharge. + Participates as needed in outreach team case conferences. + Participates in special projects and performs...and Certifications: + Current license to practice as a Registered Professional Nurse in New York 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)
- …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
- 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
- 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