- CenterWell (Trenton, NJ)
- … Coordination and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Humana (Trenton, NJ)
- …achieve desired clinical outcomes and to enhance quality of medical care . The ** Telephonic Nurse Case Manager ** will collect and document data to ... caring community and help us put health first** The Telephonic Nurse Case Manager will...disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation… more
- Elevance Health (Woodbridge, NJ)
- ** Telephonic Nurse Case Manager II**...required.** The ** Telephonic Nurse Case Manager II** is responsible for performing care management ... care hospital setting, ie ER, ICU, Critical Care preferred. + Prior " telephonic " Case Management...Care Company preferred + Certification as a Case Manager . + Ability to talk and type at the… more
- Elevance Health (Woodbridge, NJ)
- ** Telephonic Nurse Case Manager II**...criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management within ... scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and...Manager . + Minimum 2 years' experience in acute care setting. + Managed Care experience. +… more
- Humana (Trenton, NJ)
- …determined based on operational needs at the discretion of department leadership. The Telephonic Nurse provides medical guidance, assists with access to care ... trained to act as a clinical concierge. The NAL Telephonic Nurse role is a remote position,...is a remote position, with oversight from the NAL Manager ; and they are expected to work independently with… 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 ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst...or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,… more
- CVS Health (Somerset, 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 ... member's private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member centric care … more
- CVS Health (Morristown, NJ)
- …Morris, Passaic, Sussex, Union and/or Warren County New Jersey** **Position Summary** The care manager is responsible for assessing and evaluating members with ... potential care management needs through telephonic and face...private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and… more
- Sharecare (Trenton, NJ)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...Care guidelines to close any existing gaps in care . + Contacts participant by telephonic dialer… more
- Centene Corporation (Trenton, NJ)
- …with appropriate providers or specialists to ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site ... Medicaid waiver team. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Centene Corporation (New York, NY)
- …regulations + Reviews referrals information and intake assessments to develop appropriate care plans/service plans + May perform telephonic , digital, home and/or ... case management experience.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health... team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and… more
- Penn Medicine (Yardley, PA)
- …from neonate to geriatric. Clerical / Other Accountabilities: + Responsive and proactive telephonic patient care - including care coordination with ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more