• 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. ... 14. Performs other duties as requested. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/LPN is required + 2 years of of… more
    Select Medical (11/21/25)
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  • Manager, Business Compliance

    CVS Health (Trenton, NJ)
    …clinical audit experience. + Experience in medical management , including Utilization Management (UM) and Case Management (CM). + Strong understanding ... evaluations, and readiness assessments. + Manage file universe reports and prepare multi-specialty case files (mock and regular). + Assist the Lead NCQA Manager in… more
    CVS Health (11/19/25)
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  • Care Coordinator

    Hunterdon Health Care System (Flemington, NJ)
    …Current NJ RN licensure Preferred: ? Certification in Specialty or Case Management Certification Knowledge, Skills and/or Abilities: Required: ? Strong ... Degree in nursing OR if Associates Degree or Diploma, RN must provide proof of enrollment in a BSN...based direct patient care experience and Care coordination or Case Management experience. License, Registry or Certification:… more
    Hunterdon Health Care System (11/21/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    …we need from you? + Minimum of 2-3 years of experience in utilization review, case management , or insurance coordination in a behavioral health or substance use ... outcomes in the EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up-to-date clinical information… more
    BriteLife Recovery (11/03/25)
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  • MDS Coordinator

    United Methodist Communities (Ocean City, NJ)
    …+ Experience with RAI/MDS completion, reimbursement, and clinical resource utilization and/or case management . + 3-5 years of related experience including ... Graduate of an accredited school of nursing, NJ licensed RN + Two years of long term care clinical...RAI/MDS completion, reimbursement and resource utilization/ case management preferred. + Holds a current… more
    United Methodist Communities (11/12/25)
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  • Nurse Practitioner (DOM Occupational…

    Johns Hopkins University (Piscataway, NJ)
    …pharyngitis, UTI, influenza, hyperglycemia, and hypoglycemia. + Provide support and case management for both work-related and non-work-related conditions for ... use computerized medical information systems. **Minimum Qualifications** + Master's Degree in nursing; Registered Nurse license and Certified as a Nurse more
    Johns Hopkins University (11/12/25)
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  • Part Time Clinical Nurse Consultant

    IQVIA (Freehold, NJ)
    …Some travel may be needed **Job Qualifications:** + Clinical certification required; Registered Nurse ( RN )/Advanced Practice Provider (APP) license strongly ... opportunities. This part time position will be responsible for providing case support, patient management , and education to both new and existing accounts within… more
    IQVIA (09/27/25)
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  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Neptune City, NJ)
    …Medical/Surgical experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist ... serve as a leader of positive change. The **Clinical Documentation Specialist RN ** facilitates improvement in the overall quality, completeness and accuracy of… more
    Hackensack Meridian Health (10/18/25)
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  • RN , Home Care, Infusion PD

    Hackensack Meridian Health (Eatontown, NJ)
    …and Abilities Preferred: + BSN Licenses and Certifications Required: + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... leads to fulfillment and professional growth. Are you a nurse who is looking for a change? Do you...a setting with fewer distractions. The Home Care Infusion RN is responsible for providing professional nursing care to… more
    Hackensack Meridian Health (11/22/25)
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  • Physical Therapist Assistant (PTA), Home Health

    BAYADA Home Health Care (Egg Harbor Township, NJ)
    …properly document doctors' orders + Perform client assessments as necessary + Case management and coordination + Accurately document observations, interventions, ... and evaluations pertaining to client care management and services provided, utilizing a state-of-the-art touch pad...Therapist Assistant (PTA):** + A current license as a Registered Nurse in New Jersey. + A… more
    BAYADA Home Health Care (11/11/25)
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