- CareAbout (Florham Park, NJ)
- …outcomes. Role Title: Care Manager, LPN-Hybrid FLSA Category: Non-exempt Role Location: Remote Reporting Relationships: This position reports to the Director of Care ... Management . Role Summary and Responsibilities: The Care Manager, LPN...behaviors, close gaps in care, and reduce unnecessary ER utilization and hospital admissions/readmissions. Key Responsibilities / Essential Functions:… more
- Veterans Health Administration (East Orange, NJ)
- …management of programs including accreditation and regulatory affairs, patient safety, risk management , utilization management , bed management , system ... of the NJ VA Healthcare System. Videos Duties The Nurse IV QSV Chief functions as an advisor, administrator,...redesign, high reliability organization (HRO), quality data management and overall quality systems. In the role, the… more
- CVS Health (Trenton, NJ)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... and every day. **Position Summary** This is a fully remote role open to candidates with an active RN...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking… more
- CVS Health (Trenton, NJ)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... reside in EST time zone.** This is a full-time remote position. + Utilizes clinical experience and skills in...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
- US Tech Solutions (Hopewell, NJ)
- … management principles. + Requires working knowledge of operations of utilization , case and/or disease management processes. - Requires knowledge of ... PTO ideally First and Last day in office, otherwise remote Hours 8-5, 5 days a week 2 weeks...requirements. + Requires mentoring knowledge on the operations of utilization /case/disease management . **Education:** + Requires an associate… more
- Sharecare (Trenton, NJ)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing ... Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… 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
- Sharecare (Trenton, NJ)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to...+ Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex… more
- CVS Health (Monroe Township, NJ)
- …the development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of physical, ... each and every day. **Position Summary: Case Manager Registered Nurse - Field in Middlesex County, NJ** This is...- Field in Middlesex County, NJ** This is a remote Case Manager role with 50-75% field travel in… more
