- 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 (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
- CVS Health (Trenton, NJ)
- …requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- CVS Health (Freehold, NJ)
- …requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... assessment, writing and communication skills are required. Fundamental Components/Job Description: The Case Manager is responsible for conducting face to face… more
- CVS Health (Trenton, NJ)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Trenton, NJ)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … 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 ... 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** ** RN / Case Manager Mount Sinai West FT Days 8a-4p Inpatient** 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. + Current NYS… more
- Elevance Health (Hamilton Township, NJ)
- RN Utilization Management - Case Management (Medicaid Long Term Care) JR155671 **Location** : New York or New Jersey. **Virtual:** This role enables associates ... **Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic… more
- RWJBarnabas Health (New Brunswick, NJ)
- Clinical Manager ( RN ) - Renal TransplantReq #:47591...Heart Association (AHA) required + Must be a licensed Registered Nurse in the state of New ... our Renal (Kidney/Pancreas) Transplant Center at our New Brunswick campus. Clinical Manager ( RN )- Renal Transplant Job Summary: RWJBarnabas Health s transplant… 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager ... Case Management. Responsible for developing and managing the case management program and providing case management...Diabetes educator, Pediatric Nursing, Gerontological Nursing. * Current licensed Registered Nurse ( RN ) with state… more
- Centene Corporation (Trenton, NJ)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to… more
- Sedgwick (Trenton, NJ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **This Field Case Manager ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… 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
- 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 ... will drive the future of health care 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
- St. Luke's University Health Network (Quakertown, PA)
- …and oral communications in the roles of supervisor, professional nurse and RN case manager in the following manner: Demonstrates competent utilization ... pay for health care. The Clinical Coordinator is a Registered Nurse responsible for the operation of...a Physician and a HBO Tech or HBO trained RN whenever a treatment takes place. Provides direct care… more
- FlexStaff (New York, NY)
- …systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: Be legally authorized (for example, ... **Req Number** 156311 FlexStaff is seeking a qualified Clinical Manager - Integrated Care Perm position for two separate locations; Brooklyn and Bronx. This position… more