- Highmark Health (Trenton, NJ)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... and regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned or requested. **REQUIRED EDUCATION** +… more
- Highmark Health (Trenton, NJ)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… more
- CVS Health (Trenton, NJ)
- …requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... health care more personal, convenient and affordable. **Position Summary:** This is a remote Case Manager opportunity with 50 to 75% field travel in Passaic… more
- RWJBarnabas Health (Hamilton, NJ)
- … Case Manager Status:Per Diem Shift:Day Facility:RWJ Hamilton Department: Case Management Location: RWJUH Hamilton Hospital, One Hamilton Health Place, ... RN Case manager will be responsible for all aspects of Case Management for Inpatients to determine appropriateness of continued stay, care planning,… more
- CVS Health (Trenton, NJ)
- …from applicant's home). Standard working hours Monday - Friday 8-5 pm EST. **ICM Case Manager RN** **WFH Flexible** **Position Summary:** Help us elevate our ... themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical… more
- CVS Health (Trenton, NJ)
- …NJ RN or compact license** **Preferred Qualifications:** Certified Case Manager is preferred.** Minimum 3+ years Care Management , Discharge Planning ... in new markets across the country.** **The Transition of Care- Case Manager is responsible for care coordination...review prior claims to address potential impact on current case management and eligibility status. Assessments and/or… more
- Sevita (Bethlehem, PA)
- …us all every day. Join us today, and experience a career well lived. **Intensive Case Manager (ICM)** **Salary - $45,000 (plus over time pay) and incentive ... impact in the lives of others? As an Intensive Case Manager , you will provide essential services...team -** **_Apply Today!_** **_Key words: Social Work, Psychology, Case Management , Education_** **_\#LI-DF1_** **Join Our Team**… 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 successful return to work through… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The SW Care Manager is responsible for coordinating the complex discharge planning needs of patients, ... of desired patient, quality, and financial outcomes. In general, case managers are assigned to a specific campus. However,...Works as a team with other members of care management , including but not limited to: RN care managers,… more
- Guardian Life (Bethlehem, PA)
- …seeking a dynamic and knowledgeable individual to join our team as an **Annuity Operations Case Manager ** . As an integral part of our organization, you will ... central point of contact for our consumers. + Partner with product management , compliance, and various departments across the organization to orchestrate successful… more
- CVS Health (Trenton, NJ)
- …Crisis intervention skills preferred Managed care/utilization review experience preferred + Case management and discharge planning experience preferred + Managed ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- Guardian Life (Bethlehem, PA)
- …Group Disability claims experience to join our dynamic Appeals Team. The **Appeals Case Manager II** (ACM 2) is responsible for adjudicating assigned appeals ... Life claims experience. + 3+ years of experience handling appeals or complex claims (preferred). + Demonstrated verbal and written communication skills. +… more
- Cardinal Health (Trenton, NJ)
- …+ Track any payer/plan issues and report any changes, updates, or trends to management + Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works… more
- Cardinal Health (Trenton, NJ)
- …* Track any payer/plan issues and report any changes, updates, or trends to management * Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area * Applies advanced skills to resolve complex problems independently * May modify process to resolve situations * Works… more
- Sevita (Delran, NJ)
- …identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program participant's incentive account + Organize ... of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a variety...for infants, children, adolescents, Military Service Members and Veterans. ** Case Coordinator - Delran Day Program - No weekends!**… more
- TD Bank (Mount Laurel, NJ)
- …+ Proficiency in using AML software and tools for data analysis and case management + Relevant certifications (eg, CAMS, CFE). **Customer Accountabilities:** + ... more specific details for this role. **Line of Business:** Financial Crime Risk Management **Job Description:** The Senior Manager , AML Financial Crime Risk… more
- Deloitte (Philadelphia, PA)
- …, you will lead and deliver small engagements, or components of large, complex engagements leadership for Enterprise Asset Management (EAM) implementation and ... Health Care & Life Sciences, Digital Banking & Payments, Investment & Wealth Management , Insurance, Telecom, Media and Energy & Resources. Our OTT team brings… more
- Spectrum Health Services (Philadelphia, PA)
- …meeting patient needs. + In collaboration with manager , develop tools to enhance care/ case management program. + Participate in measurement of care/ case ... and home-based visits and telephonic support on a care management or case management basis...appropriate to the needs of the individual. The care manager develops and implements a person-centered care management… more
- PPL Corporation (Allentown, PA)
- …monthly status meetings, ensuring enhanced business acumen and team awareness. + Regulatory Case Management : The Project Manager Leads regulatory case ... monthly status meetings, ensuring enhanced business acumen and team awareness. + Regulatory Case Management : The Project Manager Leads regulatory case… more
- Cardinal Health (Trenton, NJ)
- …to Cardinal Health** Transformation enables the organization to drive complex and transformational programs through disciplined project/program management ... in related field, or equivalent work experience, preferred + Extensive project management experience leading cross-functional teams with complex projects and… more