• Clinical Case Manager

    CVS Health (Manalapan, NJ)
    …critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will be ... work in geriatric case management **Education** + Master's Degree in a Behavioral Health field required **Anticipated Weekly Hours** 40 **Time Type** Full… more
    CVS Health (03/06/25)
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  • Clinical Case Manager

    CVS Health (Plainfield, NJ)
    …critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will be ... communication skills are required. **Fundamental Components/Job Description:** The Clinical Case Manager BH is responsible for conducting...or Licensed Social Worker in NJ + 2+ years Behavioral Health experience + Must be willing… more
    CVS Health (03/04/25)
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  • Manager , Utilization Management…

    Humana (Trenton, NJ)
    …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within… more
    Humana (03/12/25)
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  • Case Manager RN - Middlesex County

    CVS Health (Monroe Township, NJ)
    …critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will be ... electronic health record. This position requires the case manager to use critical thinking skills...in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager more
    CVS Health (03/04/25)
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  • Case Manager RN - Union

    CVS Health (Plainfield, NJ)
    …critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will be ... electronic health record. This position requires the case manager to use critical thinking skills...in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager more
    CVS Health (03/04/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Trenton, NJ)
    …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
    Highmark Health (03/13/25)
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  • Case Manager , RN

    CAI (Trenton, NJ)
    …including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health , and Complex Case Management + ... Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...Care Plans + Experience collaborating with PCP's, Occupational Therapists, Behavioral Health , and Providers + Experience with… more
    CAI (02/01/25)
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  • Case Manager (Trenton, NJ)

    Rescue Mission of Trenton (Trenton, NJ)
    Case Manager (Trenton, NJ) Can you...situations. Our dedicated staff in the Shelter and our Behavioral Health Unit offer care, support and ... live with dignity, experience hope and see new opportunities. Case Manager The Rescue Mission of Trenton...treatment options, medical help, job placement, financial planning, education, case management and mental health treatment. This… more
    Rescue Mission of Trenton (02/10/25)
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  • Case Manager

    Legacy Treatment Services (Hainesport, NJ)
    …services to individuals with gambling disorder and co-occurring substance use and/or mental health disorders. The Case Manager will work collaboratively with ... Case Manager Job Details Job Location Co-Occurring...+ Experience: At least one year of experience in behavioral health , addiction services, or case more
    Legacy Treatment Services (02/24/25)
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  • House Supervisor - Carrier Clinic-…

    Hackensack Meridian Health (Belle Mead, NJ)
    …Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another ... and maintains a coordinated team approach with physicians, nurses and allied health personnel. Participates in the orientation of new staff. Facilitates and monitors… more
    Hackensack Meridian Health (03/11/25)
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  • Senior Product Manager - Customer…

    Highmark Health (Trenton, NJ)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Customer Navigation and Service Senior Product Manager defines the vision, strategy and ... optimizing channel connectivity, and enhancing agent tools. The Senior Product Manager will define the product's value proposition, develop a compelling business… more
    Highmark Health (03/05/25)
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  • Product Manager - Billing

    Highmark Health (Trenton, NJ)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
    Highmark Health (03/20/25)
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  • Social Work Care Manager

    Intermountain Health (Trenton, NJ)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… more
    Intermountain Health (03/15/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Trenton, NJ)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
    Highmark Health (03/06/25)
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  • $5,000 Sign On Bonus: Pediatric Community Care…

    AmeriHealth Caritas (Bensalem, PA)
    …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... determinants of health and supportive needs.; + ;Coordinates physical, behavioral health and social services. + ;Provides medication management, including… more
    AmeriHealth Caritas (01/10/25)
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  • Navigator, Transitions of Care

    Hackensack Meridian Health (Edison, NJ)
    …quality metrics. Confirms the patient has a primary care provider, OB-Gyn or Behavioral Health providers upon discharge and refers appropriately to an FQHC ... Review Nurses. + Referrals: a. Primary Care Physicians b. Behavioral Health Providers c. HUMG Internal Medicine...Master's degree. **Licenses and Certifications Preferred** : + Certified Case Manager or Accredited Case more
    Hackensack Meridian Health (03/14/25)
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  • Strategic Sourcing Manager

    Aston Carter (Morrisville, PA)
    …Comprehensive benefits package including physical wellness (dental, vision, medical, behavioral health , and stress management), wellness reimbursements, paid ... Job Title: Strategic Sourcing ManagerJob Description The Strategic Sourcing Manager is responsible for developing, managing, and executing sourcing category… more
    Aston Carter (03/19/25)
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  • LTSS Service Coordinator - Clinician

    Elevance Health (Trenton, NJ)
    …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... of an RN, with overall responsibility for the member's case . As required by applicable state law and contract,...and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient… more
    Elevance Health (01/24/25)
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  • Coding Auditor Educator

    Highmark Health (Trenton, NJ)
    **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
    Highmark Health (02/07/25)
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  • Licensed Substance Abuse Counselor (LCADC)…

    Rescue Mission of Trenton (Trenton, NJ)
    …rebuild their lives? The Rescue Mission of Trenton is seeking anLCADC Counselorfor our Behavioral Health Unit. The LCADC Counselor will work under supervision of ... situations. Our dedicated staff in the Shelter and our Behavioral Health Unit offer care, support and...arrange treatment and services for residents + Serves as case manager for assigned cases; provides client… more
    Rescue Mission of Trenton (03/04/25)
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