- CVS Health (Linden, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... for all other eligible external candidates._** **This is a remote Case Manager opportunity with** **50 to 75% field...modules, and field mentoring component. Are you a licensed registered nurse who is passionate about making… more
- CVS Health (Union, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... County and surrounding counties. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field...Health service strategies, policies, and programs are comprised of utilization management , quality management , network… more
- CVS Health (Hoboken, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... do it all with heart, each and every day. **Position Summary** This is a Field/ Remote Case Manager opportunity with 50 to 75% field travel in Hudson County and… more
- CVS Health (Trenton, NJ)
- …Qualifications** + Must reside in EST zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active ... reside in EST time zone.** This is a full-time remote position. + Utilizes clinical experience and skills in...able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work… more
- Highmark Health (Trenton, NJ)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... required depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case … more
- Alight (NJ)
- …link between all parties involved in disability cases. The RN Nurse Team Manager will have team management responsibility, including coaching, guiding ... medical advisory experience in occupational health, disability, health case management , or utilization review. + Minimum of...of 2 years as a Clinical Case Manager. + Registered Nurse , Nurse Practitioner, or… more
- Healthfirst (NJ)
- …Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management /case management . ... This position is 100% Remote . We are hiring for the following schedules...process + Additional duties as assigned Minimum Qualifications: + RN , LPN OR Dental Hygienist Preferred Qualifications: + Bachelors… more
- Sharecare (Trenton, NJ)
- …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....will follow company policy to transfer call to an RN or appropriate colleague when member needs are outside… more
- Lincoln Financial (Trenton, NJ)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee residing outside...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more