• 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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  • Case Manager RN - Union

    CVS Health (Elizabeth, NJ)
    …50 to 75% travel in Union County and surrounding counties. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field travel in ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
    CVS Health (03/04/25)
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  • Case Manager RN - Bergen…

    CVS Health (Westwood, NJ)
    …**_$10,000_** _for eligible external candidates who possess NJ Choice Certification_ This is a remote Case Manager opportunity with 50 to 75% field travel ... 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 + 50 to 75% travel… more
    CVS Health (03/04/25)
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  • RN Case Manager , Inpatient

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …who go on to pursue our mission at MSK and around the globe. Job Description RN Case Manager , Inpatient | New York, NY Exciting Opportunity at MSK:Are ... appeals and acquire authorizations for treatment Key Qualifications: + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3… more
    Memorial Sloan-Kettering Cancer Center (03/04/25)
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  • Program Manager , HCS RN , LMSW,…

    Molina Healthcare (New York, NY)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/21/25)
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  • RN Field Case Manager

    Sedgwick (Newark, NJ)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** **Workers Comp ... RN Field Case Manager Nurses across multiple cities in...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (03/13/25)
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  • BH Case Manager Complex Adult Care…

    Molina Healthcare (Bronx, 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
    Molina Healthcare (03/21/25)
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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 Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Yonkers, NY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (02/09/25)
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  • Capacity Management RN - P/T with benefits…

    Hackensack Meridian Health (Hackensack, NJ)
    …Capacity Management **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License **Job ID** _2025-159787_ **Department** _Patient ... with case management staff, ETC, Administrative Supervisor, or charge nurse to ensure appropriate placement for required services + Tracks bed availability,… more
    Hackensack Meridian Health (01/23/25)
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  • RN Uniform System Assessor field travel…

    Molina Healthcare (Manhattan, NY)
    …* UAS experience * Experience conducting home visits Required Licensure or Certification: * Registered Nurse ( RN ) State Specific Requirements: * Must reside ... for Medicaid and Medicare. We are looking for a RN candidate with a Uniform System Assessor (USA) background....Qualifications:** * Bachelor's degree in Nursing * CCM- Certified Case Manager , CCP - Chronic Care Professional.… more
    Molina Healthcare (03/19/25)
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  • Manager , Grievance and Appeals, RN

    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
    VNS Health (03/05/25)
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  • Manager , Healthcare Services…

    Molina Healthcare (New York, NY)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (New York, NY)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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  • Care Manager

    LIFEPlan CCO NY (Chappaqua, NY)
    Care Manager Job Details Job Location Chappaqua - Chappaqua,...years of relevant experience, or a license as a Registered Nurse with two years of relevant ... NY Salary Range $29.00 - $31.00 Hourly Description Job Summary: The Care Manager provides services within the Care Management programs, including Health Home Care… more
    LIFEPlan CCO NY (01/15/25)
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  • Medical Affairs Manager Advanced Access…

    BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
    **Job Description Summary** As Medical Affairs Manager , Advanced Access Devices, you will be responsible for providing medical, scientific, technical, and ... in HRA developmentand in crisis-management teams for marketed products, ie, in case of field corrective actions. + Ensures relevant responses to customer inquiries… more
    BD (Becton, Dickinson and Company) (03/13/25)
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