- CVS Health (Manville, NJ)
- …Mileage is reimbursed per our company expense reimbursement_** **Position Summary** The Case Manager for Managed Long-Term Services and Supports (MLTSS) plays ... promote independence, and manage Medicaid expenditures effectively. In this role, the Case Manager works closely with members, their families, and healthcare… more
- AmeriHealth Caritas (Robbinsville, NJ)
- **Role Overview** The Care Manager facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ... time as part of an integrated service plan. The Manager makes the timely intensity of service determinations based...degree from an accredited educational program in Social Work, Clinical /Counseling Psychology * Minimum of two (2) years experience… more
- Volunteers of America Delaware Valley (Camden, NJ)
- …of America Delaware Valley is seeking a compassionate and clinically grounded Mental Health Case Manager to join our Behavioral Health & Reentry Services ... Mental Health Case Manager (PROMISE) (CV2195-221) - Operations...backgrounds through structured, person-centered care planning, risk assessment, and behavioral health intervention. You'll be part of a treatment… 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Elevance Health (Woodbridge, NJ)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... ** Behavioral Health Medical Director- Psychiatrist- NJ Medicaid** Location:...programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor… more
- CVS Health (Montclair, NJ)
- …candidates residing in Essex, Union or Morris Counties NJ_** **Position Summary** This Case Manager RN position is with Aetna's Integrate Care Management (ICM) ... behavioral , and long term nursing facilities. The care manager establishes a cost effective and member centric care...with mental health and/or substance use disorders. + Certified Case Manager Certification + Case … more
- Prime Healthcare (Passaic, NJ)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228366/senior- case - manager ... The hospital is also a center of excellence for maternal-child health and outpatient behavioral health services. It is the only hospital in Passaic and with over 550… more
- Volunteers of America Delaware Valley (Camden, NJ)
- …staff and clients. The Director oversees the supervision of the Program Coordinator, Case Manager , Fiscal Clerk, clients, and the safety/security of the ... Behavioral Health Director (CV903-221) - Operations Division Volunteers...a Bachelor's Degree in one of the generally recognized clinical disciplines, including but not limited to psychiatry, psychology,… more
- CVS Health (Manville, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN Required ... assessments in various settings, including the member's private residence, hospitals, behavioral , and long-term nursing facilities. The care manager establishes… more
- SERV Behavioral Health System (Trenton, NJ)
- SERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental illness and/or intellectual/developmental disabilities as they ... a wide range of services. JOB SUMMARY: A competent graduate level ( behavioral ) professional who delivers care to SMI clients. ESSENTIAL DUTIES & RESPONSIBILITIES:… more
- Atlantic Health System (Summit, NJ)
- …to achieve optimal clinical and resource outcomes. Works with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor and ... utilization reviews, coordination of discharge planning activities and comprehensive clinical documentation in the electronic medical record. 3. Provides… more
- BrightSpring Health Services (Mount Laurel, NJ)
- …monitoring both skilled and non-skilled healthcare services + Directly supervises clinical personnel + Providing clinical teaching and conducting performance ... and Medicare standards, as well as state reimbursement regulations + Leading case conferences and other client-related meetings + Chairing committees as appropriate,… more
- Rescue Mission of Trenton (Trenton, NJ)
- …as appropriate, to arrange treatment and services for residents + Serves as case manager for assigned cases; provides client support + Supervises resident ... Unit. The LCADC Counselor will work under supervision of the Director of Behavioral Health Services or Clinical Supervisor, the Counselor coordinates and… more
- Highmark Health (Trenton, NJ)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical , case /utilization management and/or disease/condition management experience, or… more
- Penn Medicine (Princeton, NJ)
- …Friday, 8am - 4:30pm or 8:30am -5pm Summary: + Under supervision from the Clinical Manager , support the oversight and implementation of the program including ... treatment plans and discharge summaries in accordance with Princeton House standards. Clinical Leadership:In collaboration with Clinical Manager , provide… more
- RWJBarnabas Health (Trenton, NJ)
- … problems for implementation of treatment plans + Participates in ongoing case conferencing with focus on psychotherapeutic advocacy, clinical goals, and ... NJReq #:0000205457 Category:Social Work Status:Per Diem Shift:Day Facility:RWJ Hamilton Department: Case Management Pay Range:$37.50 - $47.21 per hour Location: One… more
- Hackensack Meridian Health (Edison, NJ)
- …Care Life Support HCP Certification. **Licenses and Certifications Preferred** : + Certified Case Manager or Accredited Case Manager Certification. ... for coordinating, communicating and facilitating the care of patients with Medical, Behavioral and Maternal Health needs. The navigator is accountable for a… more
- Sharecare (Trenton, NJ)
- …helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Elevance Health (Woodbridge, NJ)
- …The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's… more
- Elevance Health (NJ)
- …- NJ** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental health and substance use ... of 2 years of experience in health services or behavioral health field or in a peer support services...Skills, Capabilities and Experiences:** + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA… more