• Telephonic Behavioral Health Care Manager

    Humana (Trenton, NJ)
    …of our caring community and help us put health first** The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a ... needs, treatment plan adherence, and develop coping skills. The **Telephonic Case Manager ** will assess, plan, coordinate, implement, monitor, and evaluate the care… more
    Humana (08/29/25)
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  • Lead Product Manager , Next Best Action…

    Humana (Trenton, NJ)
    …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech… more
    Humana (08/20/25)
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  • Senior Manager Clinical Health Services…

    CVS Health (Trenton, NJ)
    …experience + Knowledge of the regulations, standards, and policies which relate to Medicaid Care Management + Certified Case Manager (CCM) **Education** + **If ... heart, each and every day. **Position Summary** The Senior Manager Clinical Health Services is a key member of...to the Lead Principal Clinical Leader. This is a remote position. Eligible candidates may live anywhere in the… more
    CVS Health (08/27/25)
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  • Outcomes Manager , Utilization Review, RN,…

    Virtua Health (Pennsauken, NJ)
    …of Philadelphia for pediatrics. Location: Pennsauken - 6991 North Park Dr. Remote Type: On-Site Employment Type: Employee Employment Classification: Per Diem Time ... 3 years experience as Clinical Social Worker.Basic understanding of Medicare, Medicaid and managed care.Discharge planning or home health background.Excellent verbal… more
    Virtua Health (08/26/25)
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  • Outcomes Manager , Per Diem, Float, BSN,…

    Virtua Health (Pennsauken, NJ)
    …of Philadelphia for pediatrics. Location: Pennsauken - 6991 North Park Dr. Remote Type: On-Site Employment Type: Employee Employment Classification: Per Diem Time ... 3 years experience as Clinical Social Worker.Basic understanding of Medicare, Medicaid and managed care.Discharge planning or home health background.Excellent verbal… more
    Virtua Health (08/09/25)
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  • Outcomes Manager - RN or LSW/MSW, Part…

    Virtua Health (Mount Holly, NJ)
    …Philadelphia for pediatrics. Location: Mount Holly - 175 Madison Avenue Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: ... Homecare Coordination in an Acute Care setting; understanding of Medicare, Medicaid , managed care and discharge planning. (3-5 years preferred) Excellent verbal… more
    Virtua Health (08/08/25)
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  • Outcomes Manager

    Virtua Health (Mount Holly, NJ)
    …Philadelphia for pediatrics. Location: Mount Holly - 175 Madison Avenue Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: ... years experience as Clinical Social Worker. Basic understanding of Medicare, Medicaid and managed care. Discharge planning or home health background.Excellent verbal… more
    Virtua Health (06/05/25)
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  • VMG Credentialing Coordinator

    Virtua Health (Marlton, NJ)
    …of Philadelphia for pediatrics. Location: Lippincott - 301 Lippincott Drive Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time ... and update the 855B roster of all practices locations for Medicare and Medicaid to obtain payer recredentialing for over 550 clinicians Manages the Payer… more
    Virtua Health (08/29/25)
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