• Outcomes Manager - RN or LSW/MSW, Part Time, Mt.

    Virtua Health (Mount Holly, NJ)
    …our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health , rehabilitation, mobile screenings, paramedic programs, and ... with the latest technologies, treatments, and techniques to provide exceptional care close to home . A Magnet-recognized health system ranked by US News and World… more
    Virtua Health (08/08/25)
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  • Medication Therapy Management (MTM) Technician

    Prime Therapeutics (Trenton, NJ)
    …qualified entities across all lines of business to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs, including but ... meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid...visa or residency sponsorship. **Additional Qualifications** + Has suitable home office (ie, chair, desk, internet, etc.) that meet… more
    Prime Therapeutics (07/16/25)
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  • Case Manager RN

    RWJBarnabas Health (New Brunswick, NJ)
    …the candidate's educational background, skills and professional experience. Job Overview: RWJBarnabas Health is seeking a highly dedicated Case Manager for our Case ... with the inter-professional team, including physicians, social workers, clinical nurses, home care services and others as needed, This role actively participates… more
    RWJBarnabas Health (07/25/25)
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  • Clinical Research Scientist 2

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 (Remote). Healthcare is ... to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic… more
    Humana (08/15/25)
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  • Customer Service & Billing Rep

    Hackensack Meridian Health (Eatontown, NJ)
    …transform healthcare and serve as a leader of positive change. At Hackensack Meridian Health at Home , we recognize our full- and part-time benefit eligible team ... heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives...or by phone when required. Has current knowledge of Medicare reimbursement criteria and insurance contracts for Hackensack Meridian… more
    Hackensack Meridian Health (08/08/25)
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  • Senior Coding Educator

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation, coding ... **Preferred Qualifications** + Bachelor's Degree + Previous experience in Medicare Advantage or Value-Based Care + AAPC CRC (Certified...time that is best for your schedule. **Work At Home / Internet Guidance:** To ensure Home more
    Humana (08/08/25)
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  • Staff Utilization Management Pharmacist

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... residence + Eligibility to participate in federal prescription programs (eg, Medicare /Medicaid) + Self-directed with the ability to work effectively both… more
    Humana (08/13/25)
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  • Provider Programs Strategic Product Lead

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** The Program Delivery Lead strategically identifies, develops, and implements programs that ... demonstrate the following attributes: . Strong understanding of the Medicare Advantage payment model and value based care ....Sigma Certification also a plus **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (08/13/25)
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  • Sr Manager Market Access- National Accounts

    Nestle (Bridgewater, NJ)
    At Nestle Health Science, we believe that nutrition, science, and wellness must merge, not collide. Here, we embrace the intrinsic connections of these three ... aim to prevent, manage, and treat gastrointestinal and metabolic-related diseases. At Nestle Health Science, we bring our best for better lives. Our people are… more
    Nestle (08/09/25)
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  • Care Manager, Telephonic Nurse

    CenterWell (Trenton, NJ)
    …being highly knowledgeable regarding post-acute levels of care, and an expert regarding CenterWell Home Health services including home health , hospice, ... care. The Clinical Care Coordinator is expected to communicate with the CenterWell Home Health clinical team and help facilitate timely patient follow-up for… more
    CenterWell (08/16/25)
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