AI/ML Engineer with Medicaid Experience - Remote The Dignify Solutions, LLCAI/ML Engineer with Medicaid Experience - RemoteSomerset, NJRemoteWorking knowledge of HIPAA (or equivalent regulated-data) practices: least privilege, secrets management, PHI/PII handling in AI pipelines. Strong experience building RAG systems (chunking, embeddings, retrieval evaluation, grounding, citation, safe refusal patterns).
Specialty Pharmacist (Remote Options) Pharmacy CareersSpecialty Pharmacist (Remote Options)Lakewood, New JerseyRemoteSpecialty Pharmacist – High-Impact Therapies | Remote & Hybrid Opportunities | Career Growth Specialty pharmacy is one of the fastest-growing areas in healthcare. Our pharmacists deliver safe, effective, and personalized care for patients on complex specialty therapies.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Lakewood, New JerseyRemoteRemote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.
NewCase Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Lakewood, New JerseyRemoteRemote Case Management Pharmacist – Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication reviews, care coordination, and adherence support — all from a remote setting. Our case-management pharmacists improve outcomes, reduce readmissions, and support patients across the continuum of care.
Patient Account Representative - Remote Med-Metrix, LLCPatient Account Representative - RemoteRed Bank, NJRemotePhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Patient Resolution Specialist - Remote Med-Metrix, LLCPatient Resolution Specialist - RemoteRed Bank, NJRemoteThe Patient Resolution Specialist manages a large volume of inbound and outbound calls in a timely manner, to patients of our client hospital and health systems, to secure payment of outstanding account balances, resolve account inquiries, and investigate and document status of these account activities. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Drug Utilization Review (DUR) Pharmacist – Remote Pharmacy CareersDrug Utilization Review (DUR) Pharmacist – RemoteLakewood, New JerseyRemoteRemote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistLakewood, New JerseyRemoteAbout Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.
MBU Program Claims Leader Eatontown, NJ or Remote Crum & Forster Holdings Corp.MBU Program Claims Leader Eatontown, NJ or RemoteEatontown, NJRemoteInformation about the Role, Line of Business and Team: The successful candidate will work as part of the Operations team to proactively manage a team of claims professionals including the Claims Program Management teams, Training & Development team, and oversight of Stop Loss and Travel vertical operations. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Fully Licensed Therapist- Remote (New Jersey) Equip HealthFully Licensed Therapist- Remote (New Jersey)New JerseyRemoteEFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip. Implement family-based treatment (FBT), enhanced cognitive behavioral therapy (CBT-E), cognitive behavioral therapy for ARFID, and other evidence-based treatments for patients across the lifespan with eating disorders and their loved ones.
Case Manager Registered Nurse - Field (Somerset County, New Jersey) - New Hire Bonus Available CVS HealthCase Manager Registered Nurse - Field (Somerset County, New Jersey) - New Hire Bonus AvailableNew JerseyRemoteWith compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Case Manager Registered Nurse - Field (Somerset County, New Jersey) CVS Health CorpCase Manager Registered Nurse - Field (Somerset County, New Jersey)Somerset County, NJRemote$66,575–$142,576 / yearWith compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Registered Field Nurse Homewatch CareGivers of Cape MayRegistered Field NurseAtlantic County, NJRemotePart timeWe believe exceptional care begins with caring relationships and a culture of clinical and service excellence that empowers individuals and improves the quality of life for the clients, families, and caregivers who serve alongside us. Supportive Leadership: Work alongside a Registered Nurse with more than 25 years of clinical and healthcare leadership experience who understands the value of teamwork and professional support.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorNew Brunswick, NJRemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Licensed Professional Counselor BetterHelpLicensed Professional CounselorNew JerseyRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Social Worker BetterHelpLicensed Clinical Social WorkerNew JerseyRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Psychologist BetterHelpLicensed PsychologistNew JerseyRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Professional Counselor BetterHelpLicensed Clinical Professional CounselorNew JerseyRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Mental Health Therapist BetterHelpMental Health TherapistNew JerseyRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Marriage and Family Therapist BetterHelpLicensed Marriage and Family TherapistNew JerseyRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.