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Wellcare 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 JerseyCentene Corporation
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: Centene CorporationOklahoma 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: MJHSCentene 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 HealthAtlantic 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 manages their care during the acute care episode.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to team work and cooperation.
QUALIFICATIONS
EDUCATION: Graduate of an accredited school of nursing required. Bachelor's in Nursing preferred.
LICENSE/CERTIFICATION: Current licensure as a Registered Nurse in the State of New Jersey and BLSHCP Certification required 6 months from date of hire or transfer required. For some specialties, a Master's degree in Nursing may be required, with an advanced practice nurse certification.
EXPERIENCE: 5-7 years clinical experience required. Prior case management/insurance management experience preferred. Excellent interpersonal, written communication skills and computer literacy required as well as analytical and delegation skills. Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.
PERFORMANCE EXPECTATIONS
Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.
WORK ENVIRONMENT
Potential for exposure to the hazards and risk of the hospital environment, blood borne pathogens, including exposure to infectious disease, hazardous substances, and potential injury. This position requires frequent walking and standing.
The essential functions for this position are listed on the Assessment and Evaluation Tool.
REPORTING RELATIONSHIP
The Nurse Case Manager at Mainland reports to the Case Management Divisional Manager and the Nurse Case Manager at City reports to the Case Management Director.
The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
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RN Care Manager jobs in Atlantic City, NJ, United States
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