• Senior Clinical Strategy Consultant

    Highmark Health (Trenton, NJ)
    …+ Master's degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse ( RN ) or Pharmacist (Pharm D) or Physician ... ​ **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a… more
    Highmark Health (05/10/25)
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  • Consultant, Nurse Disability

    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 **Relocation assistance:**...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
    Lincoln Financial (04/30/25)
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  • UM Case Manager

    Healthfirst (NJ)
    **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification ... Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community resources to… more
    Healthfirst (05/08/25)
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