- Cognizant (Trenton, NJ)
- …member onboarding for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA), ensuring compliance with CMS, ACA, and other regulatory ... enrollment processes for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA). . Strong understanding of CMS, ACA, and other regulatory… more
- CVS Health (Trenton, NJ)
- …applicant's home). Standard working hours Monday - Friday 8-5 pm **ICM Case Manager RN** **WFH Flexible** **Position Summary:** Help us elevate our patient care to ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...to facilitate the member's overall wellness. The ICM care manager develops a proactive plan of care to address… more
- CVS Health (Moorestown, NJ)
- …heart, each and every day. **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in **New Jersey.** This role ... and follows a **Monday-Friday, 8:00 AM-5:00 PM EST** schedule. The Case Manager will develop, implement, and support health service strategies, policies, and… more
- Atlantic Health System (Morristown, NJ)
- …join the energetic and innovative team of healthcare professionals as a Inpatient Care Manager on the Care Management Team at Morristown Medical Center. This is a ... team to achieve optimal clinical and resource outcomes, work with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor and… more
- Care Plus NJ (Rochelle Park, NJ)
- Case Manager - Rapid Rehousing Location:Hackensack Homeless Shelter; 365 W Passaic St, Rochelle Park, NJ On-site & community-based M-F 8am-4pm, 8:30am-4:30pm or ... Plan and Tuition Reimbursement + Employee Discount and Rewards Program + Licensure Exam Prep Resources (guarantee to pass)...criteria of each plan. Job Summary: As a Case Manager for our Rapid Rehousing for Families and Individuals,… more
- Cardinal Health (Trenton, NJ)
- …conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position supervises and ... annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **Responsibilities** +… more
- Sevita (Delran, NJ)
- …services for infants, children, adolescents, Military Service Members and Veterans. **Case Manager ** **M-F; no weekends** **Must have Bachelors Degree** The Case ... Manager meets and works with individuals to gather information;...individuals with related matters including eligibility for benefits through Medicaid , Medicare, Social Security, and private insurance. + Maintain… more
- Humana (Trenton, NJ)
- …licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare Sales Field ... and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- Atlantic Health System (Morristown, NJ)
- The Customer Service Manager will lead and oversee the customer service team to ensure exceptional service delivery for patients, caregivers, and referral sources. ... in compliance with regulatory requirements. Ensure adherence to Medicare, Medicaid , and private insurance guidelines. Monitor key performance indicators (KPIs),… more
- Atlantic Health System (Morristown, NJ)
- …2. Maintains nursing operations by initiating, coordinating, and enforcing program , operational, and personnel policies and procedures. 3. Assures quality ... as assigned. Required: 1. Graduate of an accredited Nursing Program . 2. Current state licensure as a Registered Nurse....twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more