- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Fresenius Medical Center (Orange, NJ)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Newark, NJ)
- …required!!_** **_ Dialysis Training Provided _** **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- CVS Health (NJ)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- CVS Health (Secaucus, 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 (Passaic, NJ)
- …Jersey Choice Certification = $10,000_** + **_External Hire = $7500_** **Position Summary: Case Manager Registered Nurse - Field in Passaic County, NJ** This ... is a remote Case Manager role with 50-75% field travel in Passaic County...development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of… more
- CVS Health (Belleville, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management ,… more
- CVS Health (Atlantic City, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration,… more
- CVS Health (Newark, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration,… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work Monday - Friday from 8 AM to 4 PM in the ... heavy caseload (up to 4 patients a day); time management skills are essential. However, it is important to...($.70) included. Internal referral bonus: $5,000 Reports to: Assistant Manager Job Qualifications/Experience: Required Current NJ RN … more