- CVS Health (Manville, NJ)
- …Mileage is reimbursed per our company expense reimbursement_** **Position Summary** The Case Manager for Managed Long-Term Services and Supports (MLTSS) plays ... promote independence, and manage Medicaid expenditures effectively. In this role, the Case Manager works closely with members, their families, and healthcare… more
- AmeriHealth Caritas (Robbinsville, NJ)
- **Role Overview** The Care Manager facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ... time as part of an integrated service plan. The Manager makes the timely intensity of service determinations based...degree from an accredited educational program in Social Work, Clinical /Counseling Psychology * Minimum of two (2) years experience… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, ... case management throughout the continuum of care. The case manager will offer guidance, support, and...beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.… more
- CVS Health (Huntingdon Valley, PA)
- …or Surrounding Areas. Monday-Friday Standard Business Hours. **Roles and Responsibilities** Nurse Case Manager is responsible for telephonically and/or face to ... face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical...policies and programs are comprised of network management and clinical coverage policies. Through the use of clinical… 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Trenton, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN Required ... assessments in various settings, including the member's private residence, hospitals, behavioral , and long-term nursing facilities. The care manager establishes… more
- Prime Healthcare (Bristol, PA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a...least one year experience in case management, discharge planning or nursing management, preferred. +… more
- Highmark Health (Trenton, NJ)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- SERV Behavioral Health System (Trenton, NJ)
- SERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental illness and/or intellectual/developmental disabilities as they ... a wide range of services. JOB SUMMARY: A competent graduate level ( behavioral ) professional who delivers care to SMI clients. ESSENTIAL DUTIES & RESPONSIBILITIES:… more
- Rescue Mission of Trenton (Trenton, NJ)
- …as appropriate, to arrange treatment and services for residents + Serves as case manager for assigned cases; provides client support + Supervises resident ... Unit. The LCADC Counselor will work under supervision of the Director of Behavioral Health Services or Clinical Supervisor, the Counselor coordinates and… more
- Highmark Health (Trenton, NJ)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical , case /utilization management and/or disease/condition management experience, or… more
- Penn Medicine (Princeton, NJ)
- …day. Are you living your life's work? Summary: + Under supervision from the Clinical Manager , support the oversight and implementation of the program including ... and the Penn Medicine Princeton Center for Eating Disorders. Responsibilities: + Clinical Leadership:In collaboration with Clinical Manager , provide senior… more
- Sharecare (Trenton, NJ)
- …helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Elevance Health (Trenton, NJ)
- …the direction/supervision of an RN, with overall responsibility for the member's case . As required by applicable state law and contract, the Clinician contributes ... evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. **How… more
- Sevita (Delran, NJ)
- …program participants, and PT/PTA students + Write service summaries as requested by case manager /program director and maintain daily billing summaries and turn ... of information, and other appropriate meetings/conferences as needed + Attend clinical meetings to exchange, discuss, and evaluate program participant treatment… more