• Utilization Management

    CVS Health (Trenton, NJ)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
    CVS Health (10/21/25)
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  • Behavioral Health Clinician (LCSW…

    Atlantic Health System (Morristown, NJ)
    …and families on diagnoses, treatment options, relapse prevention, and self- management strategies. 04. Provides brief, evidence-based behavioral interventions ... Collaborates with patients nearing discharge to create relapse prevention and self- management plans. 12. Completes accurate, timely, and legible documentation of… more
    Atlantic Health System (10/04/25)
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  • LTSS Service Coordinator - Clinician

    Elevance Health (Middlesex, NJ)
    …telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... **LTSS Service Coordinator - Clinician ** **Location:** The location for this position is...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
    Elevance Health (09/20/25)
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  • Clinician - Psych Individual/Group Therapy

    Prime Healthcare (Boonton Township, NJ)
    …and education. Develops interventions based on youth needs and practices utilization management . Qualifications EDUCATION, EXPERIENCE, TRAINING 1. LCSW ... of hospitals and healthcare facilities include Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging… more
    Prime Healthcare (10/24/25)
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  • Outpatient Clinician

    Prime Healthcare (Boonton Township, NJ)
    …clients, families, and community partners. + Monitor treatment progress and practice utilization management to ensure quality and efficiency of services. ... of hospitals and healthcare facilities include Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging… more
    Prime Healthcare (10/10/25)
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  • LTSS Service Coordinator - Community RN (UAS)

    Elevance Health (New York, NY)
    …accommodation is granted as required by law._ The **LTSS Service Coordinator - RN Clinician ** is responsible for overall management of member's case within the ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral more
    Elevance Health (10/04/25)
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