- Highmark Health (Trenton, NJ)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Trenton, NJ)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Trenton, NJ)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Virtua Health (Moorestown, NJ)
- …the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing ... care , or something in-between - we are your partner...over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and… more
- CVS Health (Elizabeth, NJ)
- …it all with heart, each and every day. **Position Summary** This Case Manager RN position is with Aetna's Integrate Care Management (ICM) team and is a ... The requirements is for candidates to hold a NJ RN License, and travel 50-75% of the time to...time to meet with members face to face. The care manager is responsible for assessing and… more
- CVS Health (East Orange, NJ)
- …Jersey-Preference to residents of Essex and Mercer Counties._** **Position Summary** The care manager is responsible for assessing and evaluating members with ... the member's private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member centric … more
- Intermountain Health (Trenton, NJ)
- …measures. **Job Essentials** + Work collaboratively with Select Health's HEDIS Manager , Quality Consultants, and Data Analyst + Responsible for performing accurate ... software on an assigned laptop + Reviewer will perform remote or offsite medical record reviews with charts collected...when and where the member received are and verify care was received. + Reviewer must pass a medical… more
- Centene Corporation (Trenton, NJ)
- …a Bachelor's degree in Nursing and 2 - 4 years of related experience. License/Certification: RN - Registered Nurse - State Licensure and/or Compact State ... Passiac** Counties. Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to...Licensure required License/Certification: RN - Registered Nurse -… more
- Highmark Health (Trenton, NJ)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Centene Corporation (Trenton, NJ)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... of 10% travel.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high… more