- 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)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Trenton, NJ)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Trinity Health (Newtown, PA)
- …, a member of Trinity Health at Home, has an immediate need for a Full-time Registered Nurse Case Manager for the greater Bucks County in the Morrisville ... monitoring technology and 24/7 access to our Virtual Care Center RNs. **Home Care RN...an approved nursing education program + Licensure as a Registered Nurse in the state of PA… more
- CVS Health (Trenton, NJ)
- …Jersey-Preference to residents of Essex and Mercer Counties._** **Position Summary** The care manager is responsible for assessing and evaluating members with ... the member's private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member centric … more
- Intermountain Health (Trenton, NJ)
- …measures. **Job Essentials** + Work collaboratively with Select Health's HEDIS Manager , Quality Consultants, and Data Analyst + Responsible for performing accurate ... software on an assigned laptop + Reviewer will perform remote or offsite medical record reviews with charts collected...when and where the member received are and verify care was received. + Reviewer must pass a medical… 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 ... Passiac** Counties. Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to...Licensure required License/Certification: RN - Registered Nurse -… more
- Trinity Health (Newtown, PA)
- …Home care & Hospice is seeking a full time Hospice RN Case Manager ** **** St. Mary's Home Care and Hospice located in Bucks County, PA. provides ... to our Virtual Care Center RNs. **Hospice RN Case Manager position summary** Our Hospice...an approved nursing education program + Licensure as a Registered Nurse in the State of Pennsylvania… 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 ... of 10% travel.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high… 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
- Sharecare (Trenton, NJ)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Humana (Trenton, NJ)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… 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
- Sedgwick (Trenton, NJ)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover the Trenton, ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Trenton, NJ)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Medtronic (Edison, NJ)
- …+ Bachelor's degree in a health care related field + Master's degree + Registered nurse or HCP with experience in a sterile environment + Clinical experience ... professional to join our team. While this is a remote position not located at a physical Medtronic site,...with implantable neurological products and patient care + Experience in servicing medical personnel on product… more
- RWJBarnabas Health (New Brunswick, NJ)
- …skills and professional experience. 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
- Bristol Myers Squibb (Princeton, NJ)
- …+ May co-lead study team meetings in partnership with GDO protocol manager and collaborate with cross-functional study team members **Position Responsibilities** + ... with instruction + Provide regular and timely updates to manager /management as requested + Develop Protocol and ICF documents...Degree in Life Sciences (MD, PhD, Pharm D, MS, RN or other scientific field preferred). Appropriate for new… more
- CenterWell (Trenton, NJ)
- …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more