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Jobs

Nurse Case Manager, Prior Authorization RN HealthCare Partners, MSO

Nurse Case Manager, Prior Authorization RN
Garden City, NY
  • $90,000–$105,000 / year

This role reports to the Manager of Inpatient Utilization Management and involves collaborating with healthcare providers, patients, and internal teams to determine the medical necessity of requested services, ensuring compliance with insurance guidelines, and maintaining accurate documentation. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products.

30+ days ago

RN Supervisor (Snf) Greenlife Healthcare Staffing

RN Supervisor (Snf)
Long Island City, NY

About Greenlife Healthcare Staffing : Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. Develops assignments and daily staffing plans for nursing care; prepares and monitors staffing schedules; and ensures adequate nursing coverage.

30+ days ago

Registered Nurse (RN) Case Manager I (Full-Time, Days) - Home Care Rochester Regional Health

Registered Nurse (RN) Case Manager I (Full-Time, Days) - Home Care
Newark, New Jersey
  • $77,983–$103,906 / year

Works collaboratively with other care team members by communicating all changes in patient status and/or service needs to the appropriate care team member and ensures appropriate action is taken in a timely manner. Manages and coordinates patient care, including clinically complex cases, in a manner which ensures the efficient and effective delivery of appropriate services and community supports.

10 days ago

Full-Time Health Home Care Manager Doral Medical and Multi Specialty Facility LLC

Full-Time Health Home Care Manager
Brooklyn, NY
  • $52,000–$55,000 / year

The care manager will play a critical role in coordinating person-centered services for Medicaid-enrolled clients with chronic medical, behavioral health, or substance use needs. At Doral Health & Wellness, you’ll be part of a mission-driven team of care managers and healthcare professionals committed to improving access and outcomes for underserved communities.

30+ days ago
New

Registered Nurse (RN) Case Manager, Palliative Home Care (Full-Time, Days) Rochester Regional Health

Registered Nurse (RN) Case Manager, Palliative Home Care (Full-Time, Days)
Newark, New Jersey
  • $77,983–$103,906 / year

Manages and coordinates patient care, including clinically complex cases, in a manner which ensures the efficient and effective delivery of appropriate services and community supports. Plans, organizes and prioritizes care needs for an assigned caseload of patients to ensure their care needs are met and services are delivered according to plan of care.

3 days ago

Registered Nurse (RN) Float Pool Critical Care, Livingston, NJ, Full-Time, Evening (7P-8A) RWJ Barnabas Health Medical Inc

Registered Nurse (RN) Float Pool Critical Care, Livingston, NJ, Full-Time, Evening (7P-8A)
Livingston, NJ
  • $47.85–$60.60 / hour

The Registered Nurse assures safety in practice and is inclusive of the principles of evidence-based practice by maintaining a realization of their own individual level of knowledge and experience and assumes responsibility for advancing knowledge of self and others in the patient care team by communication with and utilizing resource persons and programs available. RWJBarnabas Health is the premier health care destination providing patient-centered facilities, high-quality academic medicine in a compassionate and equitable manner, while delivering best-in-class work experience to every member of the team.

30+ days ago
New

Nurse Case Manager, Inpatient UM RN HealthCare Partners, MSO

Nurse Case Manager, Inpatient UM RN
Garden City, NY
  • $95,000–$105,000 / year

The Inpatient Case Manager collaborates closely with physicians, nurses, social workers, and interdisciplinary care teams to optimize patient outcomes, reduce avoidable readmissions, and ensure appropriate utilization of healthcare resources. Ensures patients transition to the appropriate level of care, including home with services, skilled nursing facilities (SNF), rehabilitation, behavioral health, or other post-acute settings as clinically indicated.

5 days ago
CarePoint Health logo

Case Manager RN (Temporary, Day shift) CarePoint Health

Case Manager RN (Temporary, Day shift)
Hoboken, New Jersey

Explore our hospitals and discover care that’s high-tech, high-touch, and close to home: Secaucus University Hospital, Flagship campus featuring the Robotic Surgery Institute and modernized emergency care. What You'll Be Doing: The Case Manager, RN is responsible for the interdisciplinary planning, coordination, implementation and evaluation of health care services to ensure appropriate utilization review and discharge planning.

30+ days ago

Nurse Case Manager AccordCare & Family of Companies

Nurse Case Manager
Carle Place, New York

Minimum 2 years nursing experience required; home health, private duty/home care, rehabilitation, geriatrics, and/or case management experience preferred. Identifies clinical risks and changing conditions; initiates timely interventions and escalations to the appropriate provider, family, internal leadership, or emergency services when indicated.

30+ days ago

Director Of Nursing, Personal Care Services Elara Caring

Director Of Nursing, Personal Care Services
Queens, NY
  • $120,000–$130,000 / year

As a Director of Nursing, you'll contribute to our success in the following ways: Lead, mentor, and develop clinical teams, fostering a culture of accountability, collaboration, and exceptional patient care. Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers.

20 days ago
CarePoint Health logo

Case Manager RN CarePoint Health

Case Manager RN
Bayonne, NJ

REQUIREMENTS/QUALIFICATIONS: NJ RN License, Solid Case Management Medical/Surgical and Behavioral Health Background, InterQual and Milliman Care Guidelines Experience, Leadership and Management Skills, Excellent Computer Competence, High Degree of Oral, Written and Interpersonal Skills, Organized, Energetic, Resourceful, Highly Motivated. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs.

30+ days ago

Chinese-speaking Full-Time Health Home Care Manager Doral Medical and Multi Specialty Facility LLC

Chinese-speaking Full-Time Health Home Care Manager
Brooklyn, NY
  • $52,000–$55,000 / year

The care manager will play a critical role in coordinating person-centered services for Medicaid-enrolled clients with chronic medical, behavioral health, or substance use needs. At Doral Health & Wellness, you’ll be part of a mission-driven team of care managers and healthcare professionals committed to improving access and outcomes for underserved communities.

30+ days ago

Medical Field Case Manager Enlyte Group LLC

Medical Field Case Manager
Queens, NY
  • $76,000–$100,000 / year

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

30+ days ago

Director of Nursing, Personal Care Services Elara Caring

Director of Nursing, Personal Care Services
New York City, New York
  • $120,000–$130,000 / year

As a Director of Nursing , you’ll contribute to our success in the following ways: Lead, mentor, and develop clinical teams, fostering a culture of accountability, collaboration, and exceptional patient care. Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers.

13 days ago

Telephonic Case Manager Enlyte Group LLC

Telephonic Case Manager
NY
Remote
  • $71,000–$72,800 / year

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

15 days ago

Sr.Clinical Data Manager Katalyst Healthcares & Life Sciences

Sr.Clinical Data Manager
Edison, NJ

Perform or provide oversight to staff for all CDM activities from study startup to archival: design CRFs/eCRFs, create Data Validation Specifications, Data Management Plans, eCRF Completion Guidelines, and Data Review Plans, code terms in MedDRA and WHO Drug; and complete data base lock, archival, and closeout activities. Expertise in development, validation, and management of the clinical study database throughout its life cycle, from CRF design, database development and testing, discrepancy management, data quality review and database close and lock procedures, CDASH and SDTM data formats.

30+ days ago
New

Case Manager, Child and Adolescent Gulf Bend MHDD Center

Case Manager, Child and Adolescent
New York, NY

Social, behavioral, and human services are psychology; social work; medicine; nursing; rehabilitation; counseling, sociology; human development; physician's assistant; gerontology; education psychology; special education; early childhood intervention; or early childhood education.). JOB PURPOSE: Provides case management, skills training, and medication training to children/adolescents with serious emotional disturbance and services to the primary caregiver or LAR, in the school, community and/or clinic.

3 days ago

Bed Board Controller, Emergency Dept Access Service RWJ Barnabas Health Medical Inc

Bed Board Controller, Emergency Dept Access Service
Elizabeth, NJ
  • $21.72–$27 / hour

Maintains accurate online inpatient census by completing ADT logs, collaborating and coordinating assignments with Patient Care Units to facilitate placements and ensure precise and maximum utilization of facility. Explains all forms to patients before obtaining necessary signatures (i.e. provides Advance Directive information for all Inpatient Services) and provides patients with Trinitas Hospital forms and booklets.

30 days ago

Case Manager Chimes Inc

Case Manager
NY

Holcomb Behavioral Health Systems is accredited by the Joint Commission and provides a comprehensive range of services and supports for people with mental health, substance abuse, intellectual and developmental disabilities, and co-occurring disorders throughout southern and central Pennsylvania, central New Jersey, Delaware, and Maryland. Minimum Requirements: Education/Experience/Licensure (Must Meet One of the Following Criteria): A bachelor's degree with major coursework in sociology, social work, psychology, gerontology, anthropology, political science, history, criminal justice, theology, nursing, counseling, or education.

16 days ago

Care Manager Metroplus Health Plan Inc

Care Manager
New York, NY
  • $112,351–$132,327 / year

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. The CM is also responsible for care management for medically fragile children and supporting the coordination of services related to inpatient, homecare, specialty medications, and DME according to UM requirements set forth by the "office of Health Insurance Programs Principles for Medically Fragile Children.

30+ days ago
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