• Operations Manager (Cardiac Cath Lab)

    RWJBarnabas Health (New Brunswick, NJ)
    …nursing units, Works in coordination with Director for staffing, budgets, fiscal management , and quality improvement, Human Resources Financial Management ... care runs efficiently in accordance with policies and procedures, Prioritizes ancillary resources housekeeping, Clinical Care Technicians, etc, Is able to… more
    RWJBarnabas Health (06/26/25)
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  • Outcomes Manager

    Virtua Health (Mount Holly, NJ)
    …Appropriate and complete documentation of individual plan of care in EMR and case management documentation system.* Metrics - Accountable to job specific goals, ... the length of stay and promotes efficient utilization of resources . Acts as a clinical expert and...State of New Jersey as a MSW or Registered Nurse. Case Management Certification (requirement within one year… more
    Virtua Health (09/03/25)
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  • Assistant Vice President

    Sedgwick (Trenton, NJ)
    …equivalent combination of education and experience required to include five (5) years medical case management , two (2) years clinical experience, two (2) ... policy and procedures to assure compliance to best practices, clinical management services standards, state regulations, and...Knowledge of multiple business line medical case management environments + Knowledge of resources available… more
    Sedgwick (09/05/25)
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  • Medical Director - Care Plus - Florida

    Humana (Trenton, NJ)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
    Humana (09/04/25)
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  • Infusion Referral Nurse Sr- REMOTE/Oncology exp…

    Prime Therapeutics (Trenton, NJ)
    …teams. + Comprehensive clinical knowledge of medical specialty drugs and the management of those drugs. + Understanding of the clinical aspect of the ... for drug infusion services versus the hospital outpatient facility.Discusses financial and clinical considerations with members who are considering care at a higher… more
    Prime Therapeutics (09/04/25)
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  • Outcomes Manager - RN or LSW/MSW, Part Time, Mt.

    Virtua Health (Mount Holly, NJ)
    …Appropriate and complete documentation of individual plan of care in EMR and case management documentation system. Metrics- Accountable to job specific goals, ... the length of stay and promotes efficient utilization of resources . Acts as a clinical expert and...(RN) experience or Social Work Minimum of 1 year Case Management or other interdisciplinary experience including… more
    Virtua Health (08/08/25)
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  • Care Manager Registered Nurse - Field (Middlesex…

    CVS Health (Trenton, NJ)
    …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... approach to assess the need for a referral to clinical resources and other interdisciplinary team members....in meeting goals and objectives, presents cases at interdisciplinary case conferences * Utilizes case management more
    CVS Health (07/31/25)
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  • Social Worker MSW

    RWJBarnabas Health (Newark, NJ)
    …Category:Social Work Status:Full-Time Shift:Day Facility:Newark Beth Israel Medical Center Department: Case Management Pay Range:$37.12 - $47.01 per year ... Job Title: Social Worker MSW Location: Newark Beth Israel Medical Ctr Department Name: Case Management Req #: 0000207745 Status: Salaried Shift: Day Pay Range:… more
    RWJBarnabas Health (08/22/25)
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  • Social Worker

    RWJBarnabas Health (Trenton, NJ)
    …Hamilton, NJReq #:0000205457 Category:Social Work Status:Per Diem Shift:Day Facility:RWJ Hamilton Department: Case Management Pay Range:$37.50 - $47.21 per hour ... NJ 08619 Job Title:Social Worker LCSW Location:RWJUH Hamilton Hospital Department Name: Case Management Req #:0000205457 Status:per hour Shift:Day Pay Range:… more
    RWJBarnabas Health (06/26/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Trenton, NJ)
    …guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and files, ... + Other duties as assigned or requested **PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities… more
    Highmark Health (07/04/25)
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