• Clinical Registered Nurse

    Sharecare (Trenton, NJ)
    …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and… more
    Sharecare (05/10/25)
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  • Care Manager, Registered Nurse

    Sharecare (Trenton, NJ)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (06/03/25)
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  • Clinical Case Manager Registered

    CVS Health (Freehold, NJ)
    …all with heart, each and every day. **Position Summary** This is a fulltime ** remote ** opportunity with 50 to 75% travel in Ocean County and surrounding counties. ... programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced clinical more
    CVS Health (06/06/25)
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  • NY Registered Nurse - Case Manager 2

    Public Consulting Group (Trenton, NJ)
    …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
    Public Consulting Group (04/05/25)
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  • Case Manager Registered Nurse

    CVS Health (Plainfield, NJ)
    …of the State training modules, and field mentoring component. Are you a licensed registered nurse who is passionate about making a difference? CVS Health is ... 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 County… more
    CVS Health (05/16/25)
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  • NY Registered Nurse - Case Manager 2

    Public Consulting Group (Trenton, NJ)
    …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
    Public Consulting Group (05/24/25)
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  • Case Manager Registered Nurse

    CVS Health (Plainfield, 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 County ... programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced clinical more
    CVS Health (05/16/25)
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  • Remote Accommodations Clinical

    Sedgwick (Trenton, NJ)
    …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more… more
    Sedgwick (05/23/25)
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  • Licensed Practical Nurse - Hamilton CBOC

    Veterans Affairs, Veterans Health Administration (Hamilton, NJ)
    clinical services to the Veteran under the general supervision of a professional registered nurse . These LPN positions are under the Ambulatory Care Service ... Incumbent is responsible for the day-to-day operation of the clinical video conferencing, the My HealtheVet and Telehealth clinics....work should need only a general review by a registered nurse (RN) or physician (MD/DO) for… more
    Veterans Affairs, Veterans Health Administration (03/22/25)
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  • Utilization Management Nurse

    Humana (Trenton, NJ)
    …skills to make an impact** **Required Qualifications** + Compact licensure + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and...Bilingual is a plus Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (06/05/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Trenton, NJ)
    …+ Must reside in EST zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active current and ... **Must reside in EST time zone.** This is a full-time remote position. + Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
    CVS Health (06/08/25)
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  • National Utilization Management Director,…

    Humana (Trenton, NJ)
    …and programs **Use your skills to make an impact** **Required Qualifications** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds strategies for...projects. **Additional Information** This position is open to work remote **Work at Home Criteria** ** ** To ensure… more
    Humana (06/06/25)
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  • Senior Manager, Clinical Product Quality…

    Edwards Lifesciences (Trenton, NJ)
    …industry experience is a strong plus. + Supervisory or people leadership experience. + Registered nurse with current state license in good standing **What else ... **_This position offers the flexibility of being fully remote , but the selected candidate must be residing...be part of our inspiring journey. The Senior Manager, Clinical Product Quality will plan and lead initiatives around… more
    Edwards Lifesciences (06/04/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Trenton, NJ)
    …degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… more
    Highmark Health (05/10/25)
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  • RN Clinical Manager - Hospice - FT…

    Gentiva (Trenton, NJ)
    …of accredited school of nursing; bachelor's degree in nursing preferred + Current Registered Nurse licensure in state of residence and requested employment + ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...a **Patient Care Manager** to join our team. **RN Clinical Manager - Hospice - FT - Mon-Fri -… more
    Gentiva (05/16/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Trenton, NJ)
    …Degree and 7 or more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local ... AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office....Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
    Zurich NA (05/22/25)
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  • RN Case Manager - St. Mary Home Care

    Trinity Health (Newtown, PA)
    …**Minimum qualifications** + Graduate of an approved nursing education program + Licensure as a Registered Nurse in the state of PA + One (1) year experience as ... Care has a full-time opening for a Primary Care Nurse for Home Care services for the Levittown, Bristol,...avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring… more
    Trinity Health (06/04/25)
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  • Hospice RN Case Manager

    Trinity Health (Newtown, PA)
    …Minimum qualifications + Graduate of an approved nursing education program + Licensure as a Registered Nurse in the State of Pennsylvania + 2 years experience as ... helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and… more
    Trinity Health (04/18/25)
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  • Branch Director Temporary Assignment

    CenterWell (Trenton, NJ)
    …your skills to make an impact** **Required Experience/Skills:** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred._ + ... indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ensuring the branch meets… more
    CenterWell (06/06/25)
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  • Strategy Advancement Advisor

    Humana (Trenton, NJ)
    …DSNP program **Use your skills to make an impact** **REQUIRED QUALIFICATIONS:** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... and cost containment efforts **Stakeholder Collaboration:** + Work closely with clinical teams, finance departments, and other stakeholders to ensure cohesive… more
    Humana (06/06/25)
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