- Zurich NA (Trenton, NJ)
- …+ Experience in development and implementation of cost containment programs + Case management , utilization review, catastrophic or disability experience ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is...recruiting and retaining team members. + Drive the performance management process by communicating job expectations, monitoring and evaluating… more
- Sevita (Hamilton Township, NJ)
- …from accounting staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program participant's incentive ... for infants, children, adolescents, Military Service Members and Veterans. ** Case Coordinator - Hamilton/Lawrenceville area** **This is not a...minivan/ wheelchair van !** + -Must be ok to travel between Delran Day Program and 3 sites (which… more
- CVS Health (Union, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... Case Manager opportunity with** **50 to 75% field travel in Union County and surrounding counties. The working...Union County New Jersey area. Key Responsibilities: Coordinates all case management activities with members to evaluate… more
- CVS Health (Manville, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... to hold a New Jersey Registered Nurse License, and travel 50-75% of the time to meet with members...and/or Hospice Experience a plus! + LTSS experience + Case management and/or discharge planning experience +… more
- CVS Health (Garfield, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... Case Manager opportunity with** **50 to 75% field travel in Bergen County and surrounding counties. The working...Home Health and/or Hospice Experience + LTSS experience + Case management and/or discharge planning experience +… more
- CVS Health (Kearny, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... Case Manager opportunity with 50 to 75% field travel in Hudson County and surrounding counties. The working...Health and/or Home Hospice Experience + LTSS experience + Case management and/or discharge planning experience +… more
- CVS Health (Toms River, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... + Candidates residing in Toms River, Brick, Whitesville, or Jackson + Case management and/or discharge planning experience + Managed Care experience… more
- CVS Health (Fort Lee, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... the State training modules, and field mentoring component. **Preferred Qualifications** + Case management and/or discharge planning experience + Managed Care… more
- Highmark Health (Trenton, NJ)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition management experience,… more
- Humana (Trenton, NJ)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more