- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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 (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 (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
- 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
- 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
- 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
- Elevance Health (Woodbridge, NJ)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- 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
- 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
- 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
- Humana (Trenton, NJ)
- …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- Molina Healthcare (New York, NY)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more