- Magellan Health Services (Newtown, PA)
- …- Care MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...quality of care . General Job Information Title Care Manager , BH, Remote PA… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- 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 (Manville, NJ)
- …And we do it all with heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with potential care ... the member's private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member centric … 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 ... benefits including a fresh perspective on workplace flexibility. **This is a field/ remote position with 50% travel in the following counties: Bergen, Hudson, Passaic… 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
- Trinity Health (Newtown, PA)
- …technology and 24/7 access to our Virtual Care Center RNs. **Contingent Hospice RN Case Manager position summary** Our Hospice RN Case Managers provides ... care and outcomes, is designated as the case manager for hospice patients. The Hospice RN ...an approved nursing education program + Licensure as a Registered Nurse in the State of Pennsylvania… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 within the Clinical Access Grievance Team ... an impact** **Required Qualifications** + Associate's degree + Licensed Registered Nurse ( RN ) in the...education for adult acute care + Managed care experience + Certified Case Manager (CCM)… 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
- Humana (Trenton, NJ)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … 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
- Intermountain Health (Trenton, NJ)
- …and organizational policies, procedures, and protocols. At times, functions in the role of Care Manager as a working supervisor to support the team. Responsible ... **Job Description:** The Trinsic Care Management Supervisor will be responsible for providing...field from accredited institution. Degree will be verified. + RN or Social Work license + 1 year of… 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)
- …(matrix leadership) + Co-Leads study team meetings in partnership with GDO protocol manager ; and collaborate with cross functional study team members + May support ... clinical narratives + Provision of information required by Protocol Manager for development of trial budget, CRO scope of...Degree in Life Sciences (MD, PhD, Pharm D, MS, RN or other scientific field preferred) **Experience Requirements** +… more