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Oklahoma Complete Health
Newark, NJ, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in Essex and/or Hudson County NJ Develop, assess and adju
Job Source: Oklahoma Complete HealthPyramid Consulting, Inc
, NY, United States
Immediate need for a talented Care Manager I RN . This is a 03+ Months contract opportunity with long-term potential and is located in EST, but Must have NY licensure (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 24-19306 Pay Range: $38 - $42/hour. Employee benefits include, but are not
Job Source: Pyramid Consulting, IncANS Home Health Services, Inc.
, ID, United States
Chose ANS as Your Next Employerto be aRNCare Manager for My Choice Family Care What’s different about a career in Nursing (RN) Care Management? It gives you the ability to serve a wide variety of clients It’s a departure from traditional nursing with opportunity to help others understand their diagnoses, manage their health, and improve their liv
Job Source: ANS Home Health Services, Inc.MJHS
New York City, NY, United States
Job Description Job Description The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to h
Job Source: MJHSWellcare New Jersey
Newark, NJ, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in Morris and/or Essex County NJ Responsibilities: Devel
Job Source: Wellcare New JerseyAtlantiCare
Atlantic City, NJ, United States
Job Description POSITION SUMMARY The Nurse Care Manager utilizes expert clinical skills and a disease specific knowledge base to assist identified patients through the continuum of care in an effort to provide appropriate, quality care in a cost-effective manner. The Nurse Care Manager conducts daily assessments to identify high risk patients and
Job Source: AtlantiCareCentene Corp.
Newark, NJ, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in Morris and/or Essex County NJ Develop, assess and adju
Job Source: Centene Corp.VNS Health
New York, NY, United States
Overview Provides telephonic clinical care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to the patients allowing them to remain safely in their home/community. Compensation: $93,400.00 - $116,800.00 Annual Coordinates and/or oversees the coordination of benefits and
Job Source: VNS HealthNewark, NJ, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Must reside in Essex and/or Hudson County NJ
Develop, assess and adjust, as necessary, the care plan and promote desired outcome
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
Provide patient and provider education
Facilitate member access to community based services
Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these scenarios to the appropriate resources
Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
For LTSS - 30% travel to perform home visits to members
Must reside in Essex and/or Hudson County NJ
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
Licenses/Certifications: Current state’s RN license.
Pay Range: $54,000.00 - $97,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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Care Manager I (RN) jobs in Newark, NJ, United States
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