- CVS Health (Trenton, NJ)
- …strategic initiatives, along with a team of medical coders/nurses supporting Aetna 's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a team ... of coding/ nursing professionals who conduct reviews of medical records and...prioritization. + Quality Control and Compliance: Maintains oversight of coder/ nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS… more
- CVS Health (East Rutherford, NJ)
- …And we do it all with heart, each and every day. This Case Manager, Registered Nurse position is with Aetna Assure Premium Plus - New Jersey FIDE team and ... patient care to a whole new level! Join our Aetna team as an industry leader in serving dual...Nursing (PREFERRED) **License** + Active and unrestricted Registered Nurse License in New Jersey **Anticipated Weekly Hours** 40… more
- CVS Health (Burlington, NJ)
- …all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna 's Integrated Care Management (ICM) team and is ... requirements is for candidates to hold a NJ Registered Nurse License, and travel 50-75% of the time to...the member's private residence, hospitals, behavioral, and long term nursing facilities. The care manager establishes a cost effective… more
- CVS Health (Manville, NJ)
- …all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna 's Long-Term Services and Supports (LTSS) team ... County New Jersey. The requirements is for candidates to hold a New Jersey Registered Nurse License, and travel 50-75% of the time to meet with members face to face.… more
- CVS Health (Trenton, NJ)
- …Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class ... is also available **Required Qualifications** - Must have active and unrestricted Registered Nurse (RN) licensure in the state of New Jersey - 3 years clinical… more
- CVS Health (Galloway, NJ)
- …pm Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class ... special proprietary applications + Bilingual Preferred **Education:** Associate degree in nursing required **Anticipated Weekly Hours** 40 **Time Type** Full time… more
- Virtua Health (Marlton, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... Gloucester counties. Our caring and experienced staff provide hospital-level nursing care in the home and are accredited by...the National Reimbursement Rate (70 cents per mile) + Aetna Medical Benefits, Vision, and Dental for FT and… more
- BriteLife Recovery (Englewood, NJ)
- …principles, insurance authorizations, and payer requirements. + Bachelor's degree in Nursing , Social Work, Psychology, or a related field required; advanced degree ... portals, and Microsoft Office tools. + Bachelor's degree in Nursing , Social Work, Psychology, or a related field required;...+ Knowledge of major insurance provider platforms (eg, Optum, Aetna , BCBS, Cigna). + Strong clinical writing skills and… more
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