- 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 a care plan, encouraging behavior… more
- CVS Health (East Brunswick, NJ)
- …**Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...and Monmouth Counties, New Jersey. **Preferred Qualifications** + Certified Case Manager is preferred. + Minimum 2+… 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
- 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 ... term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or...or a minimum of 3-5 years experience as a RN in an acute care setting. Licensing and Certification… more
- CVS Health (Trenton, NJ)
- …close to or within Passaic County, New Jersey **Preferred Qualifications:** + Certified Case Manager is preferred. + Minimum 2+ years Care Management, Discharge ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… more
- Elevance Health (Woodbridge, NJ)
- **Telephonic RN Nurse Case Manager I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... (TPA) of medical benefits, including medical management. The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Intermountain Health (Trenton, NJ)
- …of Intermountain Health, and abide by service behavior standards. **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of practice. + ... **Job Description:** The RN Ambulatory Care Manager I delivers...**Education and Advocacy** : Educates healthcare team members about case management processes, appropriate referrals, and advocate for patient… more
- Elevance Health (Woodbridge, NJ)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... 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 (Woodbridge, NJ)
- **Telephonic Nurse Case Manager I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic** ** Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Trenton, NJ)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance 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 advocacy,… more
- Mount Sinai Health System (New York, NY)
- …preferred) + New York State License with current registration as a registered professional nurse . Certification in specialty area preferred. + Progressive ... **Job Description** The Clinical Program Manager is responsible for the implementation and conduct...is required. Master's Degree preferred; or Advanced Oncology Certified Nurse Practitioner (AOCNP). + 5 years directly related experience… more
- Hologic (Princeton, NJ)
- …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... Radiology Clinical Account Manager - New Jersey Newark, NJ, United States Atlantic...National Accounts to optimize customer experience. + Educate through case coverage, in-services and office calls to drive account… more
- New York State Civil Service (New York, NY)
- …State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Albany office. ... of the unit's mission. Minimum Qualifications Qualifications: * A current New York State Registered Professional Nurse 's license; * A minimum of seven (7) years… more