- Highmark Health (Trenton, NJ)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Trenton, NJ)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Trenton, NJ)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- CVS Health (Union, NJ)
- …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, ... program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for...modules, and field mentoring component. Are you a licensed registered nurse who is passionate about making… more
- Public Consulting Group (Trenton, NJ)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Trenton, NJ)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- CVS Health (Garfield, NJ)
- …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, ... candidates who possess NJ Choice Certification_** **This is a remote Case Manager opportunity with** **50 to...program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for… more
- CVS Health (Kearny, NJ)
- …skills to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, ... each and every day. **Position Summary** This is a Field/ Remote Case Manager opportunity with 50 to...cost-effective manner within the MLTSS/ FIDE benefit. + The care manager is responsible for documenting accurately… more
- Highmark Health (Trenton, NJ)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… 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 ... to 75% required.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high… more
- Centene Corporation (Trenton, NJ)
- …a Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** RN - Registered Nurse - State Licensure and/or Compact State ... to 75% required.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high… more
- Highmark Health (Trenton, NJ)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Gentiva (Trenton, NJ)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager ** to join our team. ** RN Clinical Manager - Hospice - FT ... not remote .** **- 2 years of Hospice RN Case Manager exp required** **- 1...of nursing; bachelor's degree in nursing preferred + Current Registered Nurse licensure in state of residence… more
- Alight (NJ)
- …serving as a critical link between all parties involved in disability cases. The RN Nurse Team Manager will have team management responsibility, including ... of Be Alight. Learn more at careers.alight.com (https://careers.alight.com/us/en) . ** RN - Nurse Team Manager ** (hybrid...+ Minimum of 2 years as a Clinical Case Manager . + Registered Nurse , … more
- Sedgwick (Newark, NJ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this ... time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… more
- Nestle (Bridgewater, NJ)
- …Education Requirements:** * Professional credential in nutrition or clinical related field (RDN, RN , RPh, MD) * Advanced degree preferred * 5+ years combination of ... clinical (patient care ) and industry experience * Expertise in nutrition support...environment * Influence without authority * Expertise in critical care nutrition * Research experience: experience designing & conducting… more
- Healthfirst (NJ)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... **This position is 100% Remote **Duties and Responsibilities:** + Advocates, informs, and...to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans… more
- Zelis (NJ)
- …gained, and the personal interests that shape who you are. Position Overview The Manager , Itemized Bill Review will collaborate closely with the Sr. Manager and ... and procedures to ensure best practices. In addition, The Manager , IBR will research and stay abreast of inpatient...Certified Professional Coder (CPC), Certified Coding Specialist (CCS)) + RN preferred, but not required + 5+ years of… more
- Healthfirst (NJ)
- …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for...+ Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
- RWJBarnabas Health (NJ)
- …Cardiology, RWJMS Cardiology, NJ 08901 Job Overview: Reporting to the Practice Manager , the Cardiac Device Specialist is responsible for providing technical and ... High School graduate or GED + CDRMS (Cardiac Device Remote Monitoring Specialist) or CCDS (Certified Cardiac Device Specialist)...well as technical and diagnostic information relevant to patients care . + Triage inbound patient calls to the device… more