• RN Care Manager - Trinsic

    Intermountain Health (Trenton, NJ)
    …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. Essentials...degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position… more
    Intermountain Health (09/09/25)
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  • LTSS Service Coordinator - RN Telehealth

    Elevance Health (Hackensack, NJ)
    …The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision ... and direction to non- RN clinicians participating in the member's case ...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any… more
    Elevance Health (08/17/25)
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  • Inpatient Care Manager ( RN ): Per Diem…

    Atlantic Health System (Morristown, NJ)
    Atlantic Health System is seeking a dynamic Registered Nurse to join the energetic and innovative team of healthcare professionals as a Inpatient Care Manager on ... achieve optimal clinical and resource outcomes, work with the Supervisor/Manager of Case Management to assess, plan, implement, coordinate, monitor and evaluate… more
    Atlantic Health System (07/21/25)
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  • Supervisor, Case Management

    Prime Healthcare (Passaic, NJ)
    …Health Analytics. For information, visitwww.smh-nj.com. Responsibilities The working Supervisor of Case Management is responsible for providing supervision to ... Grandfathered prior to April 1, 2015 for LCSW. Valid RN or LCSW state licensure required.2. CCM obtained within...care experience preferred.2. At least 2 years' experience in case management , discharge planning or management more
    Prime Healthcare (09/10/25)
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  • Appeals and Grievances Clinical Specialist…

    Healthfirst (NJ)
    …in appeals & grievances, claims processing, utilization review or utilization management / case management . + Demonstrated understanding of Utilization ... **8am-5pm or** **8:30am-5:30pm** **Duties and Responsibilities:** + Responsible for case development and resolution of clinical cases, such as: Pre-existing… more
    Healthfirst (09/09/25)
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  • Outcomes Manager - RN or LSW/MSW, Part…

    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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  • RN Care Manager I

    Intermountain Health (Trenton, NJ)
    …in nursing (BSN) from an accredited institution (degree will be verified). + Case Management Certification. + Three years of experience and expertise working ... SMART Goals + Verbal and Written Communication **Qualifications** Minimum Qualifications + Current RN ( Nurse ) compact license to practice in all states that are… more
    Intermountain Health (09/10/25)
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  • Labor and Delivery Care Coordinator ( RN

    Virtua Health (Voorhees, NJ)
    …the unit/department.Communicates and collaborates extensively with other caregivers, physicians, case management , patient and/or patient's families or ... unit/department as well as those of individual patients.* Interacts with physicians and case management to coordinate care and effectively problem solves to… more
    Virtua Health (08/19/25)
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  • Nurse Case Manager I

    Elevance Health (Woodbridge, NJ)
    ** Nurse Case Manager I** **Schedule:** Monday - Friday, 8am-4:30pm EST **Virtual** **:** This role enables associates to work virtually full-time, with the ... an accommodation is granted as required by law._ The ** Nurse Case Manager I** is responsible for...Case Manager I** is responsible for performing care management within the scope of licensure for members with… more
    Elevance Health (08/20/25)
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  • BH Case Manager I

    Elevance Health (Woodbridge, NJ)
    …The **Behavioral Health Case Manager I** is responsible for performing case management telephonically within the scope of licensure for members with ... laws) LMFT, LMSW (as allowed by applicable state laws) RN ( **must have experience in behavioral health** )...required. **Preferred Skills, Capabilities and Experiences:** + Experience in case management and telephonic and/or in person… more
    Elevance Health (09/03/25)
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