- CVS Health (Bloomfield, NJ)
- …daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment . Successful completion ... Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also...personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment .… more
- Conduent (Hamilton, NJ)
- …state and local agencies to improve health outcomes and optimize program performance through technology-enabled services and platforms. Our solutions support ... Medicaid, Medicare , and other public health initiatives with a focus on program integrity, member engagement, and operational efficiency. With decades of… more
- CVS Health (Vernon, NJ)
- …And we do it all with heart, each and every day. **Position Summary: Case Manager Registered Nurse - Field in Sussex County, NJ** This is a remote Case ... Manager role with 50-75% field travel in Sussex County...daycare, personal care assistance, nursing facility placement, and MLTSS enrollment . + Collaborate with members, caregivers, primary care providers,… more
- CVS Health (Secaucus, NJ)
- …+ **External = $7500** **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in **Hudson County and surrounding ... 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
- Evolent (Trenton, NJ)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow,… more
- Virtua Health (Marlton, NJ)
- …into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, ... the CAQH (Council for Affordable Quality Healthcare) and PECOS (Provider Enrollment Chain and Ownership System) databases to ensure accurate clinician information… more