- CVS Health (Passaic, NJ)
- …Choice Certification = $10,000_** + **_External Hire = $7500_** **Position Summary: Case Manager Registered Nurse - Field in Passaic County, NJ** This is a ... remote Case Manager role with 50-75% field travel in...development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of… more
- Virtua Health (Pennsauken, NJ)
- …Training/Certifications/Licensure: Licensure from the State of New Jersey as a Registered Nurse .Case Management Certification (requirement within one ... UR Tech and AA to support UR and revenue cycle process.Position Responsibilities: Utilization Management * Utilizes Payer specific screening tools as a resource… more
- CVS Health (Belleville, 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 (Toms River, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... all with heart, each and every day. **Position Summary** This is a fulltime ** remote /FIELD Based** opportunity with 50 to 75% travel in Ocean County and surrounding… more
- Humana (Trenton, NJ)
- …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization ...business administration. **Additional Information** + **Workstyle:** This is a remote position. + **Travel:** Up to 25% travel may… more
- CVS Health (NJ)
- …for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply critical ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- Virtua Health (Pennsauken, NJ)
- …America) Total Weekly Hours: 12 Additional Locations: Job Information: Job Summary: The RN Bed Management Coordinator plays a critical role in optimizing patient ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
- Sharecare (Trenton, NJ)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Prime Therapeutics (Trenton, NJ)
- …Patient Programs. **Minimum Qualifications** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship **Additional Qualifications** + Registered Nurse ( RN ). + Oncology...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… 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
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