• Utilization Management

    CVS Health (Trenton, NJ)
    …all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
    CVS Health (10/26/25)
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  • Utilization Management

    CVS Health (Trenton, NJ)
    …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
    CVS Health (10/26/25)
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  • Utilization Management Nurse…

    CVS Health (Trenton, NJ)
    …(UM) Nurse Consultant . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... clinical records. **Key Responsibilities of the UM Nurse Consultant ** (Includes but is not limited to) + Reviews...practice experience as an RN required. + 2+ Years Utilization Management experience. + Must be willing… more
    CVS Health (10/25/25)
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  • Clinical Research Operational…

    Vitalief (New Brunswick, NJ)
    …and achieve sustainable growth. The Role We are seeking a highly experienced Clinical Research Operational Management Consultant to lead a short-term ... and accelerate breakthroughs that improve patient care. We bring deep clinical research expertise together with practical, results-driven consulting to help… more
    Vitalief (08/17/25)
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  • Consultant - Commercial Solutions…

    IQVIA (Parsippany, NJ)
    …position, you must reside in the same country where the job is located._ ** Consultant - Commercial Solutions & Insights Hub (CSIH), Analytics Pillar** IQVIA CSIH is ... trends in complex data sets. + Provide Business Consulting and Project Management : The candidate will apply consulting methodologies to deliver engagements, create… more
    IQVIA (10/14/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Trenton, NJ)
    …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
    Highmark Health (08/26/25)
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  • Clinical Nurse-Wound Care-WOCN-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …Patient screening 2) Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research d. Maintains clinical expertise in area of ... as a consultant by: Serves as a consultant by: 1) Assisting clinical nurses and...of nursing the application of theory and research in clinical practice. i. Participates in development and utilization more
    Mount Sinai Health System (08/16/25)
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  • Director of Nursing Professional Practice, RN…

    Mount Sinai Health System (New York, NY)
    …CENP) or similar preferred Non-Bargaining Unit, 700 - Nursing Operations Management - MSH, Mount Sinai Hospital **Responsibilities** ** Clinical Leadership** ... Daily Management Board process/practice improvement activities to facilitate the utilization of evidence and data related to Nurse Sensitive Indicators and… more
    Mount Sinai Health System (10/13/25)
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  • Behavioral Health Clinician (LCSW or LPC) Full…

    Atlantic Health System (Morristown, NJ)
    …and revises treatment goals in collaboration with medical providers and psychiatric consultant , using clinical data and validated screening measures during ... and families on diagnoses, treatment options, relapse prevention, and self- management strategies. 04. Provides brief, evidence-based behavioral interventions such as… more
    Atlantic Health System (10/04/25)
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  • Community Linkage & Referral Liaison, Bureau…

    City of New York (New York, NY)
    …linkage referrals. - Build and maintain relationships with Bronx hospital, clinical , mental health and social service providers which oversee services/programs ... priority for Bronx FWS clients. - Lead in the management and facilitation of the Birth Equity Advisory Board,...or soon to be CLC, provide support in increasing utilization of the FWS lactation room and other lactation… more
    City of New York (09/20/25)
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