- CVS Health (Wayne, NJ)
- …**Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...within Morris County, New Jersey. **Preferred Qualifications** + Certified Case Manager is preferred. + Minimum 2+… more
- CVS Health (Newark, NJ)
- …close to or within Passaic County, New Jersey **Preferred Qualifications:** + Certified Case Manager is preferred. + Minimum 2+ years Care Management, Discharge ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical… more
- Care Plus NJ (Rochelle Park, NJ)
- Case Manager - Rapid Rehousing Location:Hackensack...to ensure their basic financial needs are met (ie Medicaid , SSI, SSD, food stamps, GA, etc.) What We ... the specific requirements and criteria of each plan. Job Summary: As a Case Manager for our Rapid Rehousing for Families and Individuals, you will provide… more
- CVS Health (Clark, NJ)
- …all with heart, each and every day. **Position Summary** We are seeking a dedicated ** Case Manager (RN)** to join our team, serving members in **New Jersey.** ... field travel** and follows a **Monday-Friday, 8:00 AM-5:00 PM EST** schedule. The Case Manager will develop, implement, and support health service strategies,… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Care Manager , Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, ... 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical… more
- Cognizant (Trenton, NJ)
- **Health Payer Business Analyst, Senior Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... a small-to-medium team of consultants through client engagement, analysis, business case development, and the development of focused and contextual solutions *… more
- Atlantic Health System (Morristown, NJ)
- …team to achieve optimal clinical and resource outcomes, work with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor ... innovative team of healthcare professionals as a Inpatient Care Manager on the Care Management Team at Morristown Medical...twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- Penn Medicine (Plainsboro, NJ)
- …Rd** Summary: Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and coordination for all commercial, ... Medicaid and Medicare cases across programs to facilitate patient...contracts with payers and the need to facilitate single case agreements to ensure accurate and timely patient coverage… more
- Hackensack Meridian Health (Edison, NJ)
- …Care Life Support HCP Certification. **Licenses and Certifications Preferred** : + Certified Case Manager or Accredited Case Manager Certification. ... Health needs. The navigator is accountable for a designated case load determined by the careful daily selection of...of Health + Good working knowledge of benefit plans; Medicaid -HMOs, etc. + Computer skills to include Google Docs… more
- Datavant (Trenton, NJ)
- …productivity and quality.** + Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and return on investment ... train other junior analysts in support of their direct manager What you will bring to the table: +...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more