- Highmark Health (Trenton, NJ)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Moorestown, NJ)
- …requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... assessment, writing and communication skills are required. Fundamental Components/Job Description: The Case Manager is responsible for conducting face to face… more
- CVS Health (Haddonfield, NJ)
- …requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and… 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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Trenton, NJ)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- St. Luke's University Health Network (Easton, PA)
- …for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
- Sharecare (Trenton, NJ)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- St. Luke's University Health Network (Allentown, PA)
- …system and phones for all work related activities. SUPERVISION: Supervised by the PAC Manager and Sr. RN Bed Coordinator. COMMUNICATIONS: Must be able to ... serve, regardless of a patient's ability to pay for health care. The RN Bed Coordinator will prioritize, triage, and coordinate patient flow activity including all… more
- ChenMed (Philadelphia, PA)
- …people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their ... a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in... case management experience highly desired + Certified Case Manager certification is preferred. Certification through… more
- Elevance Health (Hamilton Township, NJ)
- RN Utilization Management - Case Management (Medicaid Long Term Care) JR155671 **Location** : New York or New Jersey. **Virtual:** This role enables associates ... **Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic… more
- ICW Group (Philadelphia, PA)
- …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational … more
- Veterans Affairs, Veterans Health Administration (Coatesville, PA)
- Summary The Housing and Urban Development- Veterans Affairs Supportive Housing (HUDVASH) Registered Nurse ( RN ) executes position responsibilities that ... demonstrate leadership, experience, and creative approaches in providing complex patent management. Provides patient management, care coordination, and...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Sedgwick (Trenton, NJ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **This Field Case Manager ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- AmeriHealth Caritas (Philadelphia, PA)
- …. **Responsibilities:** The Care Manager ( RN ) provides support to complex members appropriate for care coordination and case management services in ... Nursing ( RN ) required + Current and unrestricted Registered Nurse licensure in Pennsylvania required +...+ Minimum of three years of experience as a case manager , preferably providing telephonic case… more
- Sysco (Philadelphia, PA)
- …application + Case Management in Workers' Compensation **Licenses/Certifications:** + Licensed Registered Nurse in State of Residence. License must be active ... **600 Packer Ave, Philadelphia, PA 19148.** **2 location site Manager with 30 to 50% travel:** **Main location- Sysco...and unencumbered. + Licensed Registered Nurse in States within the area… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of care needs. The OP CM SW also collaborates with the Outpatient Care Manager RN , Community Health Worker and extender staff as needed to address ... ability to pay for health care. The Outpatient Care Manager , Social Worker (OP CM SW) is responsible for...the social needs of the medically complex patient. JOB DUTIES AND RESPONSIBILITIES: + Provides assessment,… more
- Travelers Insurance Company (Wyomissing, PA)
- …collaboration. Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base ... claim staff. **What Will You Do?** + Interpret routine, complex or unique medical information. + Evaluate medical treatment...-- Intermediate Preferred **What is a Must Have?** + Registered Nurse ; Licensed Practical Nurse … more
- J&J Family of Companies (Horsham, PA)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments...of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. The role will… more