NewCase Manager Registered Nurse - Field In Salem County NJ CVS HealthCase Manager Registered Nurse - Field In Salem County NJVineland, NJ$66,575–$142,576Comfort conducting field‑based home visits across all socioeconomic levels and community settings , including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. Your work will include care planning, collaborating directly with providers and interdisciplinary teams, coordinating services, and helping members navigate the resources that allow them to thrive.
Case Manager Long-term Care (Delaware) Highmark HealthCase Manager Long-term Care (Delaware)Dover, DE
Health/Human Service Case Manager II State of DelawareHealth/Human Service Case Manager IIDover, DEDevelops a comprehensive cost-effective service plan utilizing in-house sources, referrals, contracted providers, or institutions (Service plans may include job training and employability, housing, general public assistance, in-home services and supports or home-delivered meals, de-escalation techniques, peer services, or skill development). Within this role as a Health/Human Service Case Manager II, you will determine initial and ongoing eligibility for all needs-based benefits which includes: Food Supplement Benefits (SNAP), Medical Assistance, Delaware Healthy Childrenâs Program (CHIP), Subsidized Childcare, State Funded General Assistance (GA), and Temporary Assistance to Needy Families (TANF).
NewC/S Health/Human Service Case Manager II State of DelawareC/S Health/Human Service Case Manager IIDover, DEDevelops a comprehensive cost-effective service plan utilizing in-house sources, referrals, contracted providers, or institutions (Service plans may include job training and employability, housing, general public assistance, in-home services and supports or home-delivered meals, de-escalation techniques, peer services, or skill development). Applicants must have education, training and/or experience demonstrating competence in each of the following areas: Six months'' experience in case management which includes assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individuals human service needs.
Case Manager Long-term Care (Delaware) Highmark IncCase Manager Long-term Care (Delaware)DECoordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs. Conduct regular in-home and nursing facility visits: Travel to members' homes, nursing facilities, and other community-based settings to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols.
Case Manager Long-term Care - Delaware Highmark IncCase Manager Long-term Care - DelawareDECoordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs. Conduct regular in-home and nursing facility visits: Travel to members' homes, nursing facilities, and other community-based settings to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols.
NewCase Manager Long-term Care - Delaware (Kent and New Castle County) RN Highmark IncCase Manager Long-term Care - Delaware (Kent and New Castle County) RNDover, DECoordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs. Conduct regular in-home and nursing facility visits: Travel to members' homes, nursing facilities, and other community-based settings to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols.
Behavioral Health Case Manager III State of DelawareBehavioral Health Case Manager IIIDover, DEThe Behavioral Health Case Manager III (BHCMIII) position sits in the Child and Family Care Coordination Unit which works with children and adolescents with serious behavioral health conditions and their families to help families access treatment and other services/resources that help the child/adolescent achieve success at home, school and in their community. This class is distinguished from a licensed Social Worker as employeesâ¯do notâ¯perform the following duties: diagnose individuals for mental, emotional, behavioral, addictive, and/or developmental disorders and disabilities; perform related client assessment or evaluation; provide psychotherapeutic treatment; or develop and implement assessment-based treatment plans.
ASSISTANT CASE MANAGER, DRC The GEO GroupASSISTANT CASE MANAGER, DRCVineland, New JerseyFull timeFrom the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. This position provides case management support for a Community Resource Center checking in participants and assisting Case Managers with case coordination, case management, and documentation.
Case Manager (Parole) The Kintock GroupCase Manager (Parole)Bridgeton, NJProvide intake, assessment and case management services to Kintock clients, which include ongoing assessment for program eligibility, monitoring all aspects of care and client services, ensuring needs of clients are met; individual counseling and psycho-educational classes may be included at discretion of the Program Director. Utilize case management skills, such as brokering, advocacy, monitoring and discharge planning to link clients and their families to resources and services.
Case Manager (Parole) KINTOCK GROUP INC, THECase Manager (Parole)Bridgeton, NJGeneral Description: Provide intake, assessment and case management services to Kintock clients, which include ongoing assessment for program eligibility, monitoring all aspects of care and client services, ensuring needs of clients are met; individual counseling and psycho-educational classes may be included at discretion of the Program Director. Utilize case management skills, such as brokering, advocacy, monitoring and discharge planning to link clients and their families to resources and services.
NewField Nurse Case Manager National Care AdvisorsField Nurse Case ManagerDover, DelawareNCA is in search of a Nurse Case Manager based in Delaware who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and collaboration with the primary family caregivers, attorneys, financial planners and trustees that are also serving the client. Minimum of 5 years clinical Nursing experience – experience in field case management or workers’ compensation case management, preferred.
Case Manager, Registered Nurse (Oncology experience required) CVS Health CorpCase Manager, Registered Nurse (Oncology experience required)DE$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
Employment Case Manager JOBS Program The Kintock GroupEmployment Case Manager JOBS ProgramBridgeton, NJThis full-time position, under the supervision of the Program Manager, is responsible for developing employment opportunities and providing on-going employment counseling, job readiness, training and employment placement for a reentry population. One year of demonstrated effective relevant experience in a community based human service organization serving the hard-to place.
Medical Case Manager - Delaware Highmark IncMedical Case Manager - DelawareDEFor accommodation requests please contact HR Services Online at HRServiceshighmarkhealth.orgCalifornia Consumer Privacy Act Employees Contractors and Applicants Notice Apply Job DetailsJob categoryClinical ServicesPosition TypeFull TimePosted03062026LocationsDE Working at Home - DelawareLine of BusinessEntityRecruiterHiring ManagerExperience LevelJob FamilyCareCase Management-HMReq IDJ277909 Share Facebook X LinkedIn Whatsapp Email Copy URL Apply Open in new tab iconArrow left iconTwitter iconFacebook iconLinkedin iconInstagram iconYoutube iconGlassdoor icon Featured Links Competitively Sensitive Information Cyber Security Notice at Collection E-Verify English E-Verify - Employee Rights and Responsibilities Data Protection Sitemap Terms of Service Do Not SellShare E-Verify Spanish Digital Privacy Policy Highmark Health is an independent licensee of the Blue Cross Blue Shield Association. Case Management CertificationLICENSES AND CERTIFICATIONSRequiredLicensed Social Worker LSW-Non-Specific - State OR Licensed Professional Counselor LPC - Non-Specific State OR Licensed Bachelors Social Worker LBSW OR Licensed Clinical Social Worker LCSW - Non-Specific OR Licensed Master Social Worker LMSW Non-Specific OR Licensed Graduate Social Worker LGSW OR Licensed Certified Social Worker LCSW.
Case Manager Real House IncCase ManagerNewfield, NJCoordinates services with Clinical Director, Counselor (Interns), team members, primary care and specialist physicians, legal representatives/ guardians, Departments of Mental Health and Alcohol and Drugs staff, probation, parole, pre-trial services, departments of citizen services and other community services/ organizations to assure the individual’s access to services, the services, and the service delivery system. Assist clients to access medical, educational, social, prevocational, and rehabilitative or other needed community services for eligible individuals.
Employment Case Manager JOBS Program KINTOCK GROUP INC, THEEmployment Case Manager JOBS ProgramBridgeton, NJThis full-time position, under the supervision of the Program Manager, is responsible for developing employment opportunities and providing on-going employment counseling, job readiness, training and employment placement for a reentry population. One year of demonstrated effective relevant experience in a community based human service organization serving the hard-to place.
Case Manager Encompass Health CorpCase ManagerVineland, NJJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Case Manager Encompass Health Rehabilitation Hospital of VinelandCase ManagerVineland, NJJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Certified Case Manager Encompass Health Rehabilitation Hospital of MiddletownCertified Case ManagerMiddletown, DEThe CCM oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management. The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience.
Nurse Case Manager ElwynNurse Case ManagerVineland, NJProvide nursing-on-call coverage as required during evening and weekend hours, which may include travel to specific homes if the presence of an RN is needed to help resolve the presenting issue, completing on call progress notes, documenting in the site nursing note, and forwarding to administration and the treatment team to ensure timely communication. As a member of the Interdisciplinary Care Team, the Nurse Case Manager is responsible for the coordination and implementation of health care services for each individual residing in Elwyn New Jerseys community living program sites and enhanced behavior homes.
Medical Case Manager - Pediatric (Private Duty Nursing) Kent County, Delaware Highmark IncMedical Case Manager - Pediatric (Private Duty Nursing) Kent County, DelawareDELicensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Bachelor's degree in nursing or RN certification in lieu of bachelor"s degree or Master's degree in Social Work, Counseling, Education, or related field and 3 years" experience in Acute or Managed Care/ experience with Medicaid or Medicare populations.
NewCase Manager JEVS Human ServicesCase ManagerDelawareDiversity, inclusion, and equity are core principles that guide how we cultivate leaders, build our teams, and create an environment that is the right fit for JEVS Human Services’ employees, our community partners, and the individuals we serve. For more information about what it’s like to be a part of the JEVS team, visit our careers page at https://www.jevshumanservices.org/careers/ .
Case Manager Registered Nurse - Field Based CVS Health CorpCase Manager Registered Nurse - Field BasedVineland, NJ$66,575–$142,576 / yearComplete assessments for non-MLTSS members to evaluate medical needs and support requests such as: • Adult or pediatric medical day care • Personal care assistant services • Nursing facility custodial care • Personal Preference Program • MLTSS program enrollment. Benefit solutions that address the different needs and preferences of our colleagues, including: • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access, and many other benefits depending on eligibility.
Nurse Case Manager- RN ElwynNurse Case Manager- RNVineland, New JerseyFull timeProvide nursing-on-call coverage as required during evening and weekend hours, which may include travel to specific homes if the presence of an RN is needed to help resolve the presenting issue, completing on call progress notes, documenting in the site nursing note, and forwarding to administration and the treatment team to ensure timely communication. Responsibilities: POSITION SUMMARY : As a member of the Interdisciplinary Care Team, the Nurse Case Manager is responsible for the coordination and implementation of health care services for each individual residing in Elwyn New Jersey's community living program sites and enhanced behavior homes.
Targeted Case Management Assessor Community Behavorial HealthTargeted Case Management AssessorEaston, MD$40,000–$70,000The Targeted Case Management Community Support Specialist conducts comprehensive TCM assessments and develops individualized care plans for new referrals and required six-month reassessments. Active Maryland clinical license in good standing, one of the following: • LCSW-C (Licensed Certified Social Worker – Clinical).
NewCare Manager AcendaCare ManagerBridgeton, New JerseyThe Case Manager will provide comprehensive case management and supportive services to families experiencing homelessness or housing instability, helping them build stability and achieve long-term self-sufficiency. To keep families together by providing safe, permanent housing, and ongoing accessibility to evidence-based trauma informed support services to Child Protection and Permanency families throughout our region.
Clinical - LTSS Service Care Manager - J01031 MindlanceClinical - LTSS Service Care Manager - J01031Remote-DE, DERemoteLicense/Certification: For Iowa Only: Bachelor's degree with 30 semester hours or equivalent quarter hours in a human services field (including, but not limited to, psychology, social work, mental health counseling, marriage and family therapy, nursing, education, occupational therapy, and recreational therapy) and at least two years of experience in the delivery of services to the population groups or current state's Registered Nurse (RN) license and at least four years of experience required. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
NewCare Manager Acenda HealthCare ManagerBridgeton, New JerseyThe Case Manager will provide comprehensive case management and supportive services to families experiencing homelessness or housing instability, helping them build stability and achieve long-term self-sufficiency. To keep families together by providing safe, permanent housing, and ongoing accessibility to evidence-based trauma informed support services to Child Protection and Permanency families throughout our region.
ASSISTANT PROGRAM MANAGER, DRC The GEO GroupASSISTANT PROGRAM MANAGER, DRCVineland, New JerseyFull timeFrom the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Monitors the progress of program participants, suggests intervention techniques to Case Managers, communicates with representatives of the agency responsible for supervision, and informs participants when corrective measures are necessary.
Operations Manager, CLP ElwynOperations Manager, CLPVineland, New JerseyFull timeHigh school diploma with six (6) years' experience in the field of Intellectual and Developmental Disabilities (IDD); OR associate degree in the field of human services or related field AND four (4) years of experience working directly with individuals with intellectual disabilities; OR bachelor's degree in the field of human services or related field AND two (2) years of experience working directly with individuals with intellectual disabilities; OR Master's Degree AND one (1) year of experience working directly with individuals with intellectual disabilities. Ensure that the Program Coordinator (PC) and staff comply with implementing and/or overseeing the following, including but not limited to a system of safe practice; fire preparedness; inspection readiness at all times; vehicle maintenance; Health Insurance Portability and Accountability Act (HIPAA) compliance; adherence to individual finance policies and protocols; operational processes including use of petty cash and other policies, procedures and protocols established for the program by a continuous review of program operations, daily guidance, and work with the team for the benefit of individuals supported.
NewFamily Services Program Manager State of DelawareFamily Services Program ManagerDover, DEThree years experience in health or human services work such as applying theories, principles, laws and practices of health or human services programs and services that assist with and improve life for individuals, families, or communities such as financial support, employment, unemployment, housing, health care, disease prevention, substance abuse, child protective services, physical/mental health treatment and prevention or rehabilitation. Provides technical assistance, policy interpretation, and consultation of program and funding issues through verbal/written communication, training workshops, on-site visits to County Directors and their staff, other Department staff and private organizations; reviews, coordinates and critiques legislation related to program areas.
Field Reimbursement Manager - Kidney (NJ-MD-DE) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (NJ-MD-DE)DE$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Developmental Disabilities Residential Unit Manager State of DelawareDevelopmental Disabilities Residential Unit ManagerDover, DESix months experience in health or human services work such as applying theories, principles, laws and practices of health or human services programs and services that assist with and improve life for individuals, families, or communities such as financial support, employment, unemployment, housing, health care, disease prevention, substance abuse, child protective services, physical/mental health treatment and prevention or rehabilitation. Knowledge of staff supervision acquired through course work, academic training, training provided through an employer, or performing as a lead worker overseeing the work of others; OR supervising staff which may include planning, assigning, reviewing, and evaluating the work of others; OR supervising through subordinate supervisors a group of professional, technical, and clerical employees.
Environmental Sustainability Manager Balfour Beatty PlcEnvironmental Sustainability ManagerLewes, DEAGM Share Dealing Services Shareholders' Enquiries Unsolicited Telephone Calls Identity Theft Preference Shareholders American Depositary Receipts Analysts Company Advisers FAQs Share Purchase Transactions Major Shareholders. Balfour Beatty Balfour Beatty Ground Engineering Balfour Beatty Kilpatrick Balfour Beatty Homes Balvac Balfour Beatty Investments Balfour Beatty Living Places BPH Equipment Painter Brothers.
Industrial Relations Manager Annapurna HR LtdIndustrial Relations ManagerKent, Kent£45,000–£50,000Our organisation supports hundreds of member companies and thousands of employees and apprentices, while providing nationally recognised services that contribute to the development, safety and sustainability of the industry. We are seeking an experienced and motivated Industrial Relations Manager (or Employment Relations Manager) to join our team and help shape positive employment relations across the sector.
NewLTSS Service Care Manager AxelonLTSS Service Care ManagerVarious, DEExperience in Level of Care Redetermination, Transition of Care, and Case Management. Experience evaluating the level of functioning of older adults/disabled individuals.
Judicial Operations Manager State of DelawareJudicial Operations ManagerDover, DEThis is the first line manager of a unit of a 24/7 court''s operations, responsible for program/administrative responsibilities such as implementing policies/procedures, representing the courts'' operations in the testing of pilot programs as the subject matter experts and implementing new programs as a result of legislation. Positions typically report to an administrative superior. Tracks case events/statuses, anticipates case flow problems/causes for delay and initiates appropriate action to expedite cases effectively and efficiently including contacting participants to resolve issues that inhibit case flow.Â.
NewHome Health RN Clinical Manager Aveanna Healthcare Holdings IncHome Health RN Clinical ManagerMilford, DE$85,000–$95,000 / yearPosition Overview: The RN Clinical Manager - Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all clinical staff working with high medical acuity clients and/or clients receiving extended non‐licensed support services. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
NewLTSS Service Care Manager Axelon Services CorporationLTSS Service Care ManagerVarious, DE$40.40 / hourExperience in Level of Care Redetermination, Transition of Care, and Case Management. Experience evaluating the level of functioning of older adults/disabled individuals.
Senior Construction Manager Kleinfelder IncSenior Construction ManagerDover, DelawareFull timeConduct regular portfolio and performance reviews of Construction Inspection projects, ensuring accountability for key financial and operational metrics including profitability, accounts receivable (AR), days sales outstanding (DSO), net revenue multiplier (NRM), work-in-progress (WIP), safety performance, and gross and net revenue goals. By providing clear direction and strong leadership, the Construction Inspection Department Manager will guide the group from strategy through execution—ensuring the right personnel are assigned, the right opportunities are pursued, and client satisfaction, compliance, and project performance remain top priorities.
NewSR Manager Finance- MFG & Operations TE Connectivity plcSR Manager Finance- MFG & OperationsMiddletown, DEAs a trusted innovation partner, our broad range of connectivity and sensor solutions enable the distribution of power, signal and data to advance next-generation transportation, energy networks, automated factories, data centers enabling artificial intelligence, and more. All legitimate job openings are posted exclusively on our official careers website at te.com/careers, and all email communications from our recruitment team will come only from actual email addresses ending in @te.com.
Associate Technical Product Manager American Red Cross Blood ServicesAssociate Technical Product ManagerDERemoteAmeriCorps, the federal agency that brings people together through service, and its partners - the Peace Corps, AmeriCorps Alums, National Peace Corps Association, and the Service Year Alliance - launched Employers of National Service to connect national service alumni with opportunities in the workforce. • Drive rapid experimentation by quickly translating ideas into user stories, UX mockups, and functional prototypes to validate desirability, feasibility, and user desirability in our Biomedical Services Test Kitchen.
Human Resources Manager Home HealthHuman Resources ManagerDelawareOur Mission The Mission of IJN Health Systems is to provide comprehensive, high-quality home care services to our patients by creating strong partnerships with their families, case managers, discharge planners, and physicians. Our commitment to our patients and families is very simple: By helping our patients or loved ones continue living at home, we help you find peace of mind by providing compassionate, excellent services.
P&C Product Manager III, Product Innovation - Remote CSAA Insurance GroupP&C Product Manager III, Product Innovation - RemoteDERemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. By partnering with cross-functional teams - including Design, Delivery, State Management, Distribution, Data Science, Technology, Actuarial, Legal, and Compliance - the Product Manager III envisions, builds, tests, and scales next-generation AI driven solutions that optimize efficiency and enhance customer and agent experiences.
Property Manager Synerfac Technical StaffingProperty ManagerMilford, DEThe Property Manager / Leasing Consultant will work with the Multifamily Group Manager to enforce company policies and procedures, implement the approved marketing plan, execute appropriate leasing strategies to achieve budgeted occupancy levels and maintain retention of current residents, enforce collection activities and assist with execution of multiple property management functions. The Property Manager / Leasing Consultant will provide superior customer service to residents and prospects and maintain a positive living environment for the residents of their community.
Academic Operations Manager Stride, Inc.Academic Operations ManagerDover, DelawareMonitor, analyze, and report on team performance, production output, quality results, backlog, SLA adherence, and support trends to identify risks, support accountability, and drive operational improvements. This position is responsible for managing team performance, resolving escalations, improving workflows, supporting operational readiness, and ensuring that academic support processes align with organizational goals and service-level expectations.
Sports Medicine Territory Manager (Easton, MD) Smith & Nephew PlcSports Medicine Territory Manager (Easton, MD)Easton, MD$60,000–$100,000 / yearAll field sales professionals who are required to gain entry into healthcare facilities to perform the basic remit of their role must successfully complete the credentialing process and comply with the requirements of those facilities they support, which can include adherence to any established vaccine protocols. Using your expertise, you will convert physicians/accounts by making sales calls and providing clinical case coverage in the operating room while also training surgeons on Smith+Nephew products through education/programs in your territory.
NewInventory Operations Manager Abacus Solution GroupInventory Operations ManagerNorth East, MDThis role ensures safe, efficient, and customer-focused execution across inbound, outbound, and returns operations while driving productivity, quality, and continuous improvement. People Leadership Lead and Develop Operations Managers, Area Managers, Supervisors, and frontline leaders.
Mgr Clinical Appeals and Grievances HealthfirstMgr Clinical Appeals and GrievancesDE$103,400–$149,430 / yearPreferred Qualifications: • Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team. Minimum Qualifications: • Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.