- CVS Health (Scotch Plains, NJ)
- …+ Case management and/or discharge planning experience preferred. + Managed Care experience preferred + Crisis intervention skills preferred **Education** ... all with heart, each and every day. **Position Summary: Case Manager (MLTSS/D-SNP Programs)** The Case...for developing and implementing healthcare strategies to ensure quality care for members, particularly those in Managed … more
- CVS Health (Wenonah, NJ)
- …+ Case management and/or discharge planning experience preferred. + Managed Care experience preferred + Crisis intervention skills preferred **Education ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. **Position Summary: Clinical Case Manager - Behavioral Health** The Clinical… more
- Cardinal Health (Trenton, NJ)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Humana (Trenton, NJ)
- …+ Minimum of 3 years of clinical nursing experience + Minimum of 1 year of managed care and case management experience + An active designation as a ... caring community and help us put health first** The Care Manager , Telephonic Behavioral Health in a... care + Minimum of 1 year of managed care experience **OR** A current, valid,… more
- Highmark Health (Trenton, NJ)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Virtua Health (Moorestown, NJ)
- …in billing and health insurance guidelines and practices, including commercial, Medicare and managed care payers. Solid knowledge of and ability to use, ... matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced...lieu of a degree may be considered on a case by case basis. Annual Salary: $65,000… more
- Virtua Health (Pennsauken, NJ)
- …experience as Clinical Social Worker.Basic understanding of Medicare, Medicaid and managed care .Discharge planning or home health background.Excellent verbal and ... Work intervention.Documentation* Appropriate and complete documentation of individual plan of care in EMR and case management documentation system.Metrics*… more
- Datavant (Trenton, NJ)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... DevEx. **You know data at scale. You've been a part of teams that have managed data infrastructure at scale and have seen where stress fractures form. Data modeling,… more
- Virtua Health (Pennsauken, NJ)
- …Coordination in an Acute Care setting; understanding of Medicare, Medicaid, managed care and discharge planning. (3-5 years preferred) Excellent verbal and ... - Appropriate and complete documentation of individual plan of care in EMR and case management documentation system. Metrics- Accountable to job specific goals,… more
- Virtua Health (Mount Holly, NJ)
- …experience as Clinical Social Worker. Basic understanding of Medicare, Medicaid and managed care . Discharge planning or home health background.Excellent verbal ... - Appropriate and complete documentation of individual plan of care in EMR and case management documentation system.* Metrics - Accountable to job specific… more
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