• Case Manager RN - Bergen…

    CVS Health (Ramsey, NJ)
    …health care more personal, convenient and affordable. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field travel in Bergen 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 + 50 to 75% travel… more
    CVS Health (03/04/25)
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  • Case Manager , Medicaid Long Term…

    MVP Health Care (Tarrytown, NY)
    Case Manager , Medicaid Long Term Support...New York State Licensure as a Registered Nurse required. + Certification in Case Management ... thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If you have… more
    MVP Health Care (03/04/25)
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  • Case Manager ( RN )

    Molina Healthcare (Yonkers, NY)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (03/13/25)
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  • ( Registered Dietician) Health Management…

    Molina Healthcare (Yonkers, NY)
    **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... interdisciplinary care team meetings and informal ICT collaboration. + Collaborate with RN case managers/supervisors as needed or required **Job Qualifications**… more
    Molina Healthcare (03/04/25)
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  • Registered Nurse Case

    Hackensack Meridian Health (Maywood, NJ)
    …of care .Oversees Inter facility Coordination and handoff between acute & post-acute services. RN Case Manager is for Child and Adolescent Outpatient ... and serve as a leader of positive change. The ** Registered Nurse Care Manager ** is...Support HCP Certification. **Licenses and Certifications Preferred:** + Certified Case Manager . If you feel that the… more
    Hackensack Meridian Health (01/03/25)
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  • RN Case Manager Days Full…

    Amergis (Montebello, NY)
    The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... + Days 8a - 4:30/5p Minimum Requirements: + Current RN licensure in state practicing + At least one...in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable… more
    Amergis (03/13/25)
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  • RN Case Manager

    Serenity Hospice Care (Hackensack, NJ)
    …and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support ... to provide care that is continuous and well-coordinated + RN counsels the patient and family in meeting end...and family in meeting end of life needs + Registered Nurse initiates appropriate preventative nursing procedures… more
    Serenity Hospice Care (03/13/25)
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  • Registered Nurse Case

    Northwell Health (Sleepy Hollow, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves as an in-patient liaison -… more
    Northwell Health (03/04/25)
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  • RN Case Mgr Weekend Per Diem - Days

    Hackensack Meridian Health (Hackensack, NJ)
    …and the Standards of Behavior **Qualifications** Education, Knowledge, Skills and Abilities Required: + Case Manager , Registered Nurse Graduate of a ... the department. Shift and weekend rotation as needed. The RN Case Manager is accountable...Care Life Support HCP Certification + NJ State Professional Registered Nurse License Licenses and Certifications Preferred:… more
    Hackensack Meridian Health (03/14/25)
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  • Care Manager RN - Field (Passaic…

    CVS Health (Pompton Plains, NJ)
    …mile radius from your home. Standard Working hours Monday - Friday 8-5 pm **ICM Case Manager RN ** **WFH Flexible** **Position Summary:** Help us elevate our ... available **Required Qualifications** + Must have active and unrestricted RN licensure in the state of New Jersey +...within Passaic County, New Jersey **Preferred Qualifications:** + Certified Case Manager + Minimum 2+ years Care… more
    CVS Health (03/06/25)
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  • Remote Program Manager , HCS - RN

    Molina Healthcare (Yonkers, 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 (03/04/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Yonkers, 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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  • Registered Nurse Home Care VHS-FT…

    Hackensack Meridian Health (Little Falls, NJ)
    …and Abilities Preferred: + BSN Licenses and Certifications Required: + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... as a leader of positive change. Are you a nurse who is looking for a change? Do you...a timely manner with possible solutions. Assure documentation indicates case communication. Appropriately utilize manager as a… more
    Hackensack Meridian Health (03/14/25)
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  • RN - CA Licensure - Transition of Care…

    Molina Healthcare (Yonkers, 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 CA._ ... _Case Manager RN will work in remote setting supporting our Medicare/Medicaid...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Inpatient Care Manager ( RN

    Atlantic Health System (Pompton Plains, NJ)
    …team to achieve optimal clinical and resource outcomes. Works with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor ... and evaluate services and outcomes to maximize the health of the patient. Principal Accountabilities: 1. Manages, coordinates, and facilitates the care delivered to patients through patient/family assessment and multidisciplinary collaboration. 2. Ensures… more
    Atlantic Health System (01/29/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Yonkers, 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
    Molina Healthcare (03/13/25)
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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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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Yonkers, 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
    Molina Healthcare (01/25/25)
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  • Delegation Oversight Nurse (Must Reside…

    Molina Healthcare (Yonkers, NY)
    …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
    Molina Healthcare (03/06/25)
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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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