- CVS Health (West New York, NJ)
- …new hires upon achieving proficiency in the role. **Required Qualifications** + Active, unrestricted ** Registered Nurse ( RN ) license in New Jersey** . + ... high-quality, cost-effective care for our members. These strategies encompass utilization management , quality improvement, network coordination, and clinical… more
- CVS Health (Monroe Township, NJ)
- …And we do it all with heart, each and every day. **Position Summary: Case Manager Registered Nurse - Field in Middlesex County, NJ** This is a remote ... the development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of physical,… more
- CVS Health (East Orange, 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 (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
- US Tech Solutions (Hopewell, NJ)
- …the transition to the continuum of care. Performs duties and responsibilities assigned by management . Serves as mentor/trainer to new RN 's and other staff as ... management principles. + Requires working knowledge of operations of utilization , case and/or disease management processes. - Requires knowledge of… more
- Highmark Health (Trenton, NJ)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… 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
- Alight (NJ)
- …management are met and driving return to work process. **Requirements** + Be a Registered Nurse , Nurse Practitioner, or possess a comparable license with ... experience in occupational health, worker compensation, disability, health case management , or utilization review. + 2+ years...in the flexible workspace and "Top 100 Company for Remote Jobs" 5 years in a row. **Benefits** We… more
- Somatus (Newark, NJ)
- …utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management ... telephonically as the need arises. **This is a fully remote role where compact licensure is strongly preferred.** **The...Uses protocols and pathways in line with established disease management and care management programs and approved… more
- Humana (Trenton, NJ)
- …DSNP program **Use your skills to make an impact** **REQUIRED QUALIFICATIONS:** + Registered nurse ( RN ) with unrestricted licensed **OR** independent ... **Key Functions:** **Strategic Planning and Implementation:** + Develop and implement utilization management strategies that align with organizational goals. +… more
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