• 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 ... of our caring community and help us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds strategies for… more
    Humana (06/06/25)
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  • Utilization Management Nurse

    Humana (Trenton, NJ)
    …your skills to make an impact** **Required Qualifications** + Compact licensure + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... and help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills,...Medicare/Medicaid Experience a plus + Bilingual is a plus Travel : While this is a remote position, occasional … more
    Humana (06/05/25)
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  • Certified Home Health Aide - CHHA - Hospice - FT…

    Gentiva (Northfield, NJ)
    …Manager Senior and function under the direction, instruction and supervision of the Registered Nurse and/or Clinical Supervisor. + Help the patient to maintain ... + A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs + Telemedicine...mental or physical condition or home situation to the Registered Nurse and members of the interdisciplinary… more
    Gentiva (05/28/25)
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  • PRN Home Infusion Nurse

    Naven Health (Newark, NJ)
    …we serve. **Job Description Summary:** An Infusion Nurse I is a licensed registered nurse who provides basic direct patient care to patients in the home, ... professional licensure for demonstrated knowledge regarding the care and management of patients in the home and/or alternate care...the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and… more
    Naven Health (06/07/25)
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  • Azura CRNA - Outpatient Surgery

    Fresenius Medical Center (Union, NJ)
    …patient outcomes while delivering the best experience possible. We are hiring Certified Registered Nurse Anesthetist (CRNA) in Galloping Hill. Visit our website ... Become a CRNA at Azura Vascular Care Join our team as a Certified Registered Nurse Anesthetist (CRNA) to work autonomously and with the healthcare team… more
    Fresenius Medical Center (04/01/25)
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  • Senior Regulatory Guidance and Assurance Analyst

    Highmark Health (Trenton, NJ)
    …(CPA) + Certified Information Systems Auditor (CISA) + Juris Doctor (JD) + PharmD + Registered Nurse ( RN ) **SKILLS** + Demonstrate knowledge of business and ... **EDUCATION** **Required** + Bachelor's degree in Accounting, Finance, Business Administration/ Management , Information Technology, Pre-Law, Computer,Information Science, or related field… more
    Highmark Health (05/13/25)
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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 ... **Strategic Planning and Implementation:** + Develop and implement utilization management strategies that align with organizational goals. + Ensure...a time that is best for your schedule **.** Travel : While this is a remote position, occasional … more
    Humana (06/06/25)
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  • Home Infusion Nurse - Per Diem - Hudson…

    Option Care Health (Morris Plains, NJ)
    …healthcare. **Job Description Summary:** An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to ... supplemental order. + Provides training and mentorship to Infusion Nurse I's as needed to ensure patient safety and...professional licensure for demonstrated knowledge regarding the care and management of patients in the home and/or alternate care… more
    Option Care Health (06/07/25)
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  • Remote Accommodations Clinical Specialist-…

    Sedgwick (Trenton, NJ)
    …accredited college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse ( RN ) license required. Current license, ... or writing. + Provides clear follow-up recommendations for ongoing medical management of claims, ensuring appropriate recommendations are made. + Consistently… more
    Sedgwick (05/23/25)
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  • Managed Long-Term Services and Support Nursing…

    CVS Health (Trenton, NJ)
    …planning **Education** + Master's Degree for Licensed Social Worker + BSN for Registered Nurse **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay ... This is a telework position with up to 10% travel anywhere within the state of New Jersey on...Community Transition MFP Liaison shall be responsible for the management and supervision of the MLTSS Transition of Care… more
    CVS Health (06/04/25)
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