• Coordinator - Full Time - Mountainside

    RWJBarnabas Health (Mountainside, NJ)
    …#:0000205028 Category:Social Work Status:Full-Time Shift:Day Facility:Childrens Specialized Hosp Department: Case Management Pay Range:$49,920.00 - $62,421.00 per ... Rd, Mountainside, NJ 07092 Job Title:Coordinator Location:Mountainside (MTN) Department Name: Case Management Req #:0000205028 Status:Salaried Shift:Day Pay… more
    RWJBarnabas Health (08/15/25)
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  • Outcomes Manager - RN or LSW/MSW, Part Time, Mt.

    Virtua Health (Mount Holly, NJ)
    …Appropriate and complete documentation of individual plan of care in EMR and case management documentation system. Metrics- Accountable to job specific goals, ... clinical nursing (RN) experience or Social Work Minimum of 1 year Case Management or other interdisciplinary experience including Homecare Coordination in an… more
    Virtua Health (08/08/25)
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  • Social Worker (MSW) Care Coordination, Full Time,…

    Atlantic Health System (Morristown, NJ)
    …standing with the NJ Board of Social Work Examiners. Behavioral Health or Case Management background preferred. Experience 3-5 years in health-related field, ... and evidence-based theories to guide patients toward healthy coping, self- management , and overall wellness. Maintain accurate and timely referral response,… more
    Atlantic Health System (07/11/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Trenton, NJ)
    …guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and files, ... Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and… more
    Highmark Health (07/04/25)
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  • HCare Compliance Invest 2

    Public Consulting Group (Trenton, NJ)
    …all investigative activities, including discovery of all elements of the incident in the case tracking management system. + Prepare case mailings, ie record ... strong ability to use templates and spreadsheets to document case review findings. + Demonstrate ability to foster teamwork...Demonstrate ability to foster teamwork with all levels of management and staff + Demonstrate ability to work well… more
    Public Consulting Group (09/06/25)
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  • Worklife Resource Consultant - Medicare

    CVS Health (Trenton, NJ)
    …programs). + 1+ year(s) experience in social work, social services, or case management field. + Private, confidential workspace free from ... various life and work situations. + Appropriately documents member interactions and research/ case fulfillment in the system. + Works in an inbound and outbound… more
    CVS Health (09/02/25)
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  • Health Services Administrator (O-5 Billet)…

    Immigration and Customs Enforcement (Elizabeth, NJ)
    …dental, and mental health care, and public health services. IHSC provides medical case management and oversight for an additional 22,600 detainees housed at ... of all programs established by IHSC to include: staffing, training, records management , clinical services, nursing services, mental health services, pharmacy… more
    Immigration and Customs Enforcement (07/25/25)
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  • Prior Authorization Specialist - Inpatient Rehab

    Select Medical (West Orange, NJ)
    …Medical to include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow relationships and impact results. 4. ... Maintains profiles on each payer to include case managers and medical directors, P2P and appeal info....requested. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/LPN is required + 2 years of… more
    Select Medical (08/23/25)
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  • Staff Psychologist Eating Disorders

    Penn Medicine (Plainsboro, NJ)
    …of an interdisciplinary treatment team in a general hospital setting, providing case management and primary psychotherapy with inpatients and outpatients ... timeframes + Communicate effectively the essential clinical features of each case with utilization reviewers and monitors patient attendance in scheduled program… more
    Penn Medicine (08/21/25)
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  • Family Health Advocate - Remote

    Sharecare (Trenton, NJ)
    …to Clinical Advocates ( Nurse ) for conditions that require clinical care and case management assistance + Primary duties include but are not limited to: ... new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and… more
    Sharecare (09/03/25)
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