- CVS Health (Garwood, NJ)
- …writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face ... Member assignment may include pediatric population and medically complex cases. The case manager is responsible for coordinating and collaborating care with… more
- CVS Health (Freehold, NJ)
- …assessment, writing and communication skills are required. Fundamental Components/Job Description: The Case Manager is responsible for conducting face to face ... Member assignment may include pediatric population and medically complex cases. The case manager is responsible for coordinating and collaborating care with… more
- CVS Health (Elizabeth, NJ)
- …Certification or $7,500 for all other eligible external candidates._** **This is a remote Case Manager opportunity with** **50 to 75% field travel in Union ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- RWJBarnabas Health (Rahway, NJ)
- Per Diem Case Manager Registered Nurse (RN), Case ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway Department: ... Hospital, 865 Stone Street, Rahway, NJ 07065 Job Title: Case Manager Location: RWJ Rahway Department: ...physician and the interdisciplinary care team to promote positive clinical and financial outcomes. Performs the primary functions of… more
- CVS Health (North Plainfield, NJ)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna's Long-Term Services and ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse...school or university, or equivalent RN degree with commensurate clinical experience + Minimum of 2 3 years experience ... educational background, skills and professional experience. Job Summary: The Case Manager Registered Nurse will...patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims… more
- CVS Health (Englewood, NJ)
- …and more compassionate. And we do it all with heart, each and every day. This Case Manager , Registered Nurse position is with Aetna Assure Premium Plus - ... apply, however, requirement is for candidates to hold a Registered Nurse License in New Jersey. **Position Summary** Help...security escort is also available. **Preferred Qualifications** + Certified Case Manager + 2+ years Care Management,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …meetings' in conjunction with Nursing. **Education, Knowledge, Skills and Abilities Required:** + Case Manager , Registered Nurse Graduate of a NLN/AACN ... a leader of positive change. The **Alternate Rate RN Case Manager ** bears overall responsibility for coordinating...Abilities Preferred:** + RN with at least 2 years clinical experience in the relevant clinical specialty… more
- CVS Health (Elizabeth, NJ)
- …Certification or $7,500 for all other eligible external candidates._** **This is a remote Case Manager opportunity with** **50 to 75% field travel in Union ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- CVS Health (Jersey City, NJ)
- …candidates who possess NJ Choice Certification._** **Position Summary** This is a Field/Remote Case Manager opportunity with 50 to 75% field travel in Hudson ... writing and communication skills are required. **Fundamental Components/Job Description:** + The Case Manager is responsible for conducting face to face visits… more
- CVS Health (Ridgewood, NY)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna's Integrated Care Management ... The requirements is for candidates to hold a NJ Registered Nursing License, and travel 50-75% of the time...with mental health and/or substance use disorders + Certified Case Manager Certification + Case … more
- Northwell Health (Manhasset, NY)
- …evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves as an in-patient liaison - ... and continued length of stay; Facilitates throughput. + Conducts clinical reviews and interacts with third party payers to...federal, and third party payer regulations. + Documents the case management process in the medical record; completes and… more
- Option Care Health (Brooklyn, NY)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... the best and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …(BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager reports to the ... program. Primary Responsibilities * Adheres to regulatory regulations (eg, ERISA, HIPAA) for Case Management and self-insured clients. * Uses clinical tools for… more
- Molina Healthcare (Yonkers, NY)
- …preferred. Proficient knowledge of MS Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume environment, possess ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Northwell Health (Staten Island, NY)
- …Patient Transfer Sheet. + Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile of the patient. + Ensures case management sheet is ... Registered Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum of one (1)...of one (1) year related experience, required. Experience in case management and clinical pathways, variance analysis… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager . This job ... The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation and other… more
- BAYADA Home Health Care (North Bergen, NJ)
- …of collaboration and accountability within the clinical team **Qualifications for a Clinical Nurse Manager :** + Registered Nurse (RN) with 2or more ... environment, we offer exciting career paths for nurses like you. The **Nurse Manager ** is responsible for overseeing daily clinical operations and ensuring that… more
- FlexStaff (New York, NY)
- **Req Number** 156311 FlexStaff is seeking a qualified Clinical Manager - Integrated Care Perm position for two separate locations; Brooklyn and Bronx. This ... completion, comprehensive assessment, medication review, and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all… more
- CenterLight Health System (Flushing, NY)
- …completion, comprehensive assessment, medication review, and post-hospital discharge evaluation. The Clinical Assessment Manager will follow all Department of ... to accurate and timely completion of UAS assessments. The Clinical Assessment Manager serves as a valuable...Schedule: 8:30AM - 5:30PM Weekly Hours: 40 QUALIFICATIONS: Education: Registered Nurse NY State License, BS in Nursing or… more