NYU Langone Health is seeking a Care Manager (RN) to join their team. This role involves coordinating, negotiating, and managing patient care across the acute care continuum, ensuring appropriate clinical resource utilization, and assessing patients for transition to the next appropriate level of care. The successful candidate will work closely with the healthcare team to ensure quality outcomes for patients and families, and will also be involved in quality improvement initiatives, care management software system documentation, and the development of new strategies to improve care coordination.

Care Manager (RN)

As a Care Manager at Fidelis Care - New Jersey, you will evaluate the needs of members via phone or in-home visits, recommend and/or facilitate care plans for the best outcome, which may include behavioral health and social determinant needs. This role involves developing care plans for members with high acuity, coordinating between members, caregivers, and providers, and ensuring compliance with regulators. The position requires a Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing, with 2-4 years of related experience.

Care Manager

The Care Manager at Meridian Illinois is responsible for developing, assessing, and facilitating complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families related to mental health and substance use disorder. The role involves telephonic, digital, home, and/or other site visits outreach to assess member needs and collaborate with resources to ensure access to needed care or services.

As a Care Manager (RN) at Fidelis Care - New Jersey, you will evaluate the needs of members, address barriers to accessing appropriate care, and develop care plans in collaboration with providers to ensure the best outcomes. This role involves coordinating care between members, their families/caregivers, and the care provider team, providing resource support, and ensuring compliance with regulators. The position requires residing in Bergen and/or Passaic County, NJ, and offers a comprehensive benefits package.

Care Manager (RN) Bergen and/or Passaic County NJ

The Manager, Care Management (RN) at Fidelis Care is responsible for managing the LTSS Nurses team to develop and assess high quality, cost-effective healthcare outcomes. This role involves overseeing intake issues, ensuring compliance with regulations, contributing to policy development, managing escalations, and providing leadership to the Intake team. The position requires a graduate from an accredited school of nursing or a bachelor's degree with 5+ years of related experience, and offers a comprehensive benefits package.

Manager, Care Management (RN)

As a Long Term Care Enrollment Specialist at Fidelis Care - New Jersey, you will be part of the Medical Management/Health Services team, focusing on educating applicants and newly enrolled members on program benefits, conducting medical assessments, and developing personalized care plans. This role involves direct communication with healthcare providers, negotiation of care plans, and adherence to HIPAA standards. The position requires residing in Hudson County, NJ, and offers competitive benefits including a flexible workplace.

Long Term Care  Enrollment Specialist Hudson County NJ

Long Term Care Enrollment Specialist

The Program Manager - Rehab Therapy, Acute Care at NYU Langone Health is responsible for the daily operations and management of all projects/programs of the assigned Rehabilitation Therapy Units. This role involves supervising all direct patient care of specialist staff including Physical Therapy, Occupational Therapy, Speech-Language Pathology, Psychology, Horticultural Therapy, and Rehabilitation Therapy Aides. The successful candidate will also participate in special projects, ensure compliance with prescribed treatment, and function as a liaison with physicians and other disciplines regarding patient care.

Program Manager - Rehab Therapy, Acute Care

The Care Manager role at ProKatchers involves care coordination, utilization review, and discharge planning. This position requires a Bachelor’s Degree and is nonclinical, within the healthcare industry.

The Director of Care Management at MetroPlusHealth, under the direction of the Medical Director for Partnership in Care, provides clinical and administrative direction to care management staff focused on providing high-quality clinical support and health education to members with HIV and those at risk of HIV infection. This role coordinates program functions across various departments to ensure optimal health and wellness for members, supervises care management staff, and leads quality improvement initiatives.

Director of Care Management (PIC)

Director of Care Management

As a Managed Care Enrollment Specialist I at Burrell Behavioral Health, you will work remotely to enroll and revalidate providers with various managed-care payers, ensuring they are properly credentialed to deliver high-quality care. This role involves acting as a liaison between external organizations and providers, streamlining communication, and simplifying processes. The position offers a comprehensive benefits package, telemedicine, an employee assistance program, paid time off, and promotes a workplace culture that values employee wellbeing.

Managed Care Enrollment Specialist I (Remote)

Managed Care Enrollment Specialist I

Software Guidance & Assistance, Inc. is seeking a Managed Care Analyst for a contract assignment with a healthcare client in Los Angeles, CA. This role involves troubleshooting, maintenance, and optimization of existing software applications, as well as designing, building, testing, and supporting new applications within a portfolio or service line. The analyst will work closely with business owners, vendors, and other team members to evaluate and recommend solutions to complex problems, ensuring in-depth knowledge of the software application and operational workflows.

Tapestry Managed Care Analyst

Managed Care Analyst

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Managed Care Specialist Jobs in Oradell, NJ Hiring Now

Care Manager (RN)

Care Manager

Care Manager

Care Manager (RN) Bergen and/or Passaic County NJ

Care Manager

Manager, Care Management (RN)

Long Term Care Enrollment Specialist Hudson County NJ

Program Manager - Rehab Therapy, Acute Care

Care Manager

Long Term Care Enrollment Specialist Hudson County NJ

Care Manager

Director of Care Management (PIC)

Managed Care Enrollment Specialist I (Remote)

Long Term Care Enrollment Specialist Hudson County NJ

Tapestry Managed Care Analyst