NewClinical Trainer Government Employees Health AssociationClinical TrainerSummit, New JerseyRemoteThis role will collaborate with clinical leaders to identify training needs outside the core curriculum to maximize the effectiveness of our employees to deliver on G.E.H.A’s vision to inspire our members to live their best lives in pursuit of their overall health and well-being. Develops a trusted advisor relationship with clinical operations by collaborating with leaders and key stakeholders to assess clinical learning and development needs, develop curriculum and other offerings to align with business needs and strategic goals.
NewPart-Time, Remote Clinical Liaison On-Board CompaniesPart-Time, Remote Clinical LiaisonFlorham Park, NJRemote$100 / hourToday, On-Board is a thriving privately held family of companies with services including: Consulting, Professional Engineering, Industrial Maintenance and Facility Management, Contracted Manufacturing and Production Services, as well as Temporary Staffing and Recruiting throughout North America. This role will provide advanced Faculty Advancement Program training to healthcare providers and support program coordination, documentation, compliance, and follow-up activities.
Licensed Clinical Social Worker- Remote BetterHelpLicensed Clinical Social Worker- RemoteNewark, NJRemoteAlso, 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- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, 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.
NewRemote Clinical Liaison ( Women's Health) The Fountain Group LLCRemote Clinical Liaison ( Women's Health)Florham Park, NJRemoteServe as a liaison between healthcare providers and internal stakeholders, ensuring effective communication while adhering to company policies and applicable FDA and local health authority requirements. Job Description: The Clinical Liaison acts as a liaison for healthcare providers, supporting the clinical use of implantable contraception for trained clinicians with Nexplanon.
CDI Specialist- Remote Med-Metrix, LLCCDI Specialist- RemoteParsippany-Troy Hills, NJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. 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.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit 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. Comfort 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.
Registered Nurse Case Manager - Field in Essex and surrounding counties New Jersey CVS HealthRegistered Nurse Case Manager - Field in Essex and surrounding counties New JerseyEast Orange, New JerseyRemoteComfort 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. You’ll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.
Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseTrenton, NJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.
Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)passaic, NJRemoteReview patient charts, medications, labs, and care plans• Coordinate care with providers, nursing staff, pharmacies, and families when needed• Document patient interactions accurately and thoroughly• Identify changes in condition and escalate concerns appropriately• Assist with chronic disease management and patient education• Ensure PCM services are completed in compliance with CMS guidelines. • Active RN license required• Nursing home or long term care experience preferred• Experience with chronic care management or PCM is a plus• Strong communication and organizational skills• Comfortable working independently in a remote environment• EMR experience preferred.
Case Manager Registered Nurse - Field (Bergen/Hudson) County, NJ CVS HealthCase Manager Registered Nurse - Field (Bergen/Hudson) County, NJMontclair, New 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 (Monmouth/Ocean) County, NJ CVS HealthCase Manager Registered Nurse - Field (Monmouth/Ocean) County, NJMontclair, New 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 (Cumberland/Atlantic ) County, NJ CVS HealthCase Manager Registered Nurse - Field (Cumberland/Atlantic ) County, NJMontclair, New 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.
NewClinical Information Specialist - IV (EX) Integrated Resources, IncClinical Information Specialist - IV (EX)Florham Park, NJRemoteDay-to-day responsibilities include hosting Faculty Advancement Program trainings for healthcare providers, demonstrating Nexplanon insertion using models, ensuring compliance and FDA-required documentation, scheduling, paperwork, signatures, and filing in Veeva. Serve as a liaison between healthcare providers and internal stakeholders, ensuring effective communication while adhering to company policies and applicable FDA and local health authority requirements.
NewCare Manager (RN) Centene Corporation GroupCare Manager (RN)NJRemote$56,200–$101,000 / yearPosition Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs.
NewContractor, Clinical Liaison Net2SourceContractor, Clinical LiaisonFlorham Park, NJRemote$97–$97.82 / hourDay-to-day responsibilities include hosting Faculty Advancement Program trainings for healthcare providers, demonstrating Nexplanon insertion using models, ensuring compliance and FDA-required documentation, scheduling, paperwork, signatures, and filing in Veeva. Position Overview The Clinical Liaison acts as a liaison for healthcare providers, supporting the clinical use of implantable contraception for trained clinicians with Nexplanon.
Patient Education Liaison, Community - East (NJ, PA, VA, MD, NC, SC, DE) SanofiPatient Education Liaison, Community - East (NJ, PA, VA, MD, NC, SC, DE)Bridgewater, NJRemote$122,250–$176,583.33 / yearThe PEL will be building expertise for 7 brands, 5 therapeutic areas, understanding market conditions that impact the patient journey, understanding rare competitive products, engage in account strategy and planning with galaxy and constellation teams, advise the cross functional teams on the patient perspective, consider the account direction when making execution decisions, and developing skills sets that will allow them to compliantly bring patient insights back to leadership reducing the need for external insights gathering. Collaborate effectively, building and maintaining strong relationships with the Strategic Account Management cross-functional team (including Commercial, Medical, Marketing, and Case Management) to exchange insights and foster innovative ideas that enhance strategies for key account success.
Patient Education Liaison, Community - East (Nj, PA, VA, MD, NC, SC, DE) SanofiPatient Education Liaison, Community - East (Nj, PA, VA, MD, NC, SC, DE)Bridgewater, NJRemote$122,250–$176,583.33 / yearThe PEL will be building expertise for 7 brands, 5 therapeutic areas, understanding market conditions that impact the patient journey, understanding rare competitive products, engage in account strategy and planning with galaxy and constellation teams, advise the cross functional teams on the patient perspective, consider the account direction when making execution decisions, and developing skills sets that will allow them to compliantly bring patient insights back to leadership reducing the need for external insights gathering. Collaborate effectively, building and maintaining strong relationships with the Strategic Account Management cross-functional team (including Commercial, Medical, Marketing, and Case Management) to exchange insights and foster innovative ideas that enhance strategies for key account success.