- Hackensack Meridian Health (Edison, NJ)
- …(BSN) or 1 year experience for non BSN HackensackUMC employees. + Knowledge of managed care principles. + Knowledge of Quality Improvement Program - New Jersey ... as a leader of positive change. The **Transitions of Care Navigator** is a member of the healthcare team...Certification. **Licenses and Certifications Preferred** : + Certified Case Manager or Accredited Case Manager Certification. If… more
- Highmark Health (Trenton, NJ)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more
- BAYADA Home Health Care (Cape May, NJ)
- **Cape Regional Home Health Care Managed by BAYADA** is looking for compassionate and dedicated **Full-Time, Part-Time, or per-diem** **Registered Nurses (RN)** ... our clients and their families deserve the highest quality home health care delivered with compassion, excellence, and reliability - our core values, affording… more
- CVS Health (Trenton, NJ)
- …internal departments. **Required Qualifications** + Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3 years Medicaid ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Sedgwick (Trenton, NJ)
- …Services Director **PRIMARY PURPOSE** : To determine account management strategies related to managed care client service plans; to be responsible for retention ... revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients...and experience required to include two (2) years account manager experience or five (5) years adjuster experience including… more
- Erickson Living (Pompton Plains, NJ)
- …balance! + Our team of medical professionals provides personalized routine and wellness care , sick visits, and specialized nursing care exclusively to residents ... at our onsite medical center, in assisted living, memory care , skilled nursing, and at home. + You'll have... conferences for designated residents as requested by Clinical Manager What we offer: + Competitive benefits packages including… more
- Erickson Living (Tinton Falls, NJ)
- …health and wellbeing by collaborating with providers, the interdisciplinary team, and care associates. The RN's primary role is to provide physical and psych-social ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of... conferences for designated residents as requested by Clinical Manager What you will need + Must have a… more
- Erickson Living (Tinton Falls, NJ)
- …role ideal for a clinical leader who is passionate about person-centered care and developing strong, cohesive teams. In this role, you'll partner closely ... Nursing and the ADON overseeing Skilled Nursing to shape high-quality resident care , mentor clinical staff, and support compliance and safety initiatives. More than… more
- CenterWell (Trenton, NJ)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director,… more
- Erickson Living (Tinton Falls, NJ)
- …us as a Program Assistant to enhance the well-being of Continuing Care residents through physical, intellectual, social, spiritual, and emotional activities. In this ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...changes in residents' needs and preferences to the Programming Manager + Manage program supplies and equipment, ensuring functionality… more