Field-Based DSNP Care Manager & Care Coordinator
100 Horizon Healthcare Services, Inc
Horizon Blue Cross Blue Shield of New Jersey seeks a field-based case manager to assess Dual Special Needs members and develop member-centered care plans, guiding care from diagnosis through treatment. You will collaborate with members, families, physicians, hospitals, and community resources to ensure timely access to services and advocate for appropriate programs. Strong knowledge of managed care and HEDIS measures is required. #J-18808-Ljbffr 100 Horizon Healthcare Services, Inc
- ...Jersey is seeking a Dual Special Needs Case Manager in New Jersey to assess clinical needs, develop care plans and coordinate services across the continuum of care. You will... ...families, providers and facilities, both in-field and by phone. A strong clinical background and...Field
$44.6k - $59.75k
...Operational Business members and Member Service Coordinators What You'll Do Performs review... ...as liaison with providers, members and Care Managers. Perform other relevant tasks as... ...information MCC can authorize services based upon scripts or algorithms used for pre...SuggestedLive in$50.1k - $67.1k
...innovations that improve health care quality, affordability, and... ...members and member service coordinators. Responsible for providing leadership... ...and training of newly hired Managed Care Coordinators I.Acts as... ..., MCC can authorize services based upon scripts or algorithms...SuggestedLocal areaShift work- ..., delegates, operational business members and member service coordinators, providing leadership to non-clinical teams and handling escalated... ...service requests, coordinate benefits, and assist with case management, utilization management, and onboarding of new staff. #J-188...Suggested
$63k - $84.42k
...innovations that improve health care quality, affordability, and... ...for the assessment and case management of Dual Special Needs... ...services provided. Develop, coordinate, and support implementation... ...& Monitoring Provide field-based and telephonic case management...FieldLive inLocal area- ...to bring wholehearted, life-energizing care to as many people as possible - on their... ...SYNERGY HomeCare team as a Client Care Coordinator, you will feel appreciated, recognized,... ...Experience – Two years supervisory or management experience in a home care setting preferred...Full timeImmediate start
- ...Cross Blue Shield of New Jersey is seeking a field-based nurse role to perform assessments for PCA... ...services, ensuring medically appropriate care and authorized services. You will evaluate necessity and efficiency of care, coordinate services across the continuum, and...Field
- Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based RN Care Manager to assess members, coordinate a plan of care, and advocate for optimal, cost-effective health outcomes. In this role you will work with members, families, and providers across sites, ensuring...Field
- Horizon Blue Cross Blue Shield NJ in Hopewell, NJ is seeking a field-based RN to assess members against guidelines, ensuring... ...appropriate services and developing member-centric plans of care. You will coordinate with families, physicians, and hospitals, document per policies...Field
- ...CVS Health is hiring a Case Manager Registered Nurse - Field in New Jersey. The role combines field visits (up... ...documentation, and collaboration to support MLTSS/DSNP members. The successful candidate will develop care plans, coordinate with PCPs and care teams, and mentor...FieldRemote workMonday to Friday
- ...Description: Responsible for performing care coordination duties using established guidelines to... .../or standards for specialty population-based members. Implement the delivery of... ...utilization. Utilize the care management process to set priorities, plan, organize...
$79.1k - $105.95k
...innovations that improve health care quality, affordability,... ...and types of care management as assigned by... ...health care needs.Develops, coordinates and assists in implementation... ...and comprehensively based on the standards of... ...and/or a health related field OR accredited diploma nursing...FieldLive inLocal areaRemote work- Horizon Blue Cross Blue Shield of New Jersey is seeking an experienced Registered Nurse for a field-based role. You will assess members, coordinate plan of care, and collaborate with healthcare providers to ensure appropriate, high-quality, cost-effective care across the...Field
$49k
...Every Day to Shape Futures Care Coordinator - Grant Position 5 Years (MOUD... ..., ASAM Criteria, evidence-based practices, and recovery-oriented... ...to expand your case management and care coordination skills... ...Human Services, or a related field OR Associate degree plus three...FieldFull timeWork at officeMonday to Friday- ...NJ is seeking a Residential Nurse Case Manager to promote health and wellness for individuals... .... The role emphasizes advocacy, coordination of services, and adherence to regulatory... ...external providers to implement comprehensive care plans, ensure continuity of care, and...
- ...Horizon BCBSNJ seeks a Care Manager I - Specialty Programs to coordinate care for specialty populations using established guidelines and to plan seamless transitions along the continuum of care. The role emphasizes efficient utilization of benefits and high-quality, cost...
- ...Gentiva Hospice is seeking a Patient Care Manager, RN Clinical Manager, FT, Mon-Fri, 8a-5p in New Jersey to lead clinical operations and... ...to the Executive Director, you will oversee patient care, coordinate visits, mentor staff, and drive regulatory compliance across...
- ...Arbor Terrace Montgomery is seeking a compassionate Clinical Manager – Memory Care (LPN required) to lead the clinical operations of our Memory Care neighborhood and work closely with the Memory Care Program Manager. You will oversee daily Wellness Center operations...
- ...Memory Care Program ManagerOpening in 2027. Arbor Terrace Montgomery is a new assisted... ...The Arbor Company as a Memory Care Program Manager and lead a dedicated Memory Care... ...adults through compassionate, relationship-based carePrevious leadership or supervisory experienceStrong...Local area
- ...Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based RN to perform assessments for PCA and MDC services, ensuring medically appropriate care aligns with benefits. The role requires building coordination with patients, families, physicians and hospitals to...Field
- Penn Medicine in New Jersey seeks a Pharmacy Manager to provide leadership for pharmacy operations, staff development, and service-line... ...collaboration with clinical teams to ensure safe, high-quality patient care. The role requires a pharmacist license in NJ, a PharmD or BS in...
- ...Akin Care Senior Services in New Jersey seeks a part-time RN Care Manager to design person-centered plans of care, mentor caregivers, and champion quality that keeps... ...assess and plan during in-home visits, supervise field staff, monitor vitals, and collaborate with...FieldPart timeFlexible hours
- ...seeking to hire a full-time Case Manager/Group Counselor for our Mental Health Partial Care program located in Ewing, New... ...evaluations, perform outreach calls, and coordinate case management needs for... ...have experience working in the field of mental health/behavioral health...FieldFull timeWork at officeFlexible hours
$70.5k - $94.4k
...Care Manager I Specialty Programs Horizon Blue Cross Blue Shield of New Jersey empowers... ...Programs is responsible for performing care coordination duties using established guidelines to... .../or standards for specialty population-based members. Implement the delivery of...Live inWork at officeLocal area- ...provide clinical advocacy within the payer-driven care continuum. You will assess care levels, coordinate with members, families, and providers, and mentor... ...to lead, test systems, and influence utilization management while supporting members through the healthcare journey...
$70.5k - $94.4k
...Horizon BCBSNJ Field Based Position Horizon Blue Cross Blue Shield... ...innovations that improve health care quality, affordability, and... ...service provided. Develops, coordinates and assists in implementation... ...efficiency as the member is managed along the continuum of care....FieldLive inLocal area- Johnson & Johnson Innovative Medicine seeks a Field Reimbursement Manager for the San Antonio/Austin, TX area. This field-based role educates providers on product coverage... ...and addresses access issues to support patient care across the portfolio. Ideal candidates have 5...Field
- ...Paid time off Registered Nurse (RN) Care Manager – Home Care Flexible Schedule |... ...Orient caregivers to each Care Plan, perform field competency checks, and ensure ongoing compliance... ...con. Collaborate & Advocate Coordinate with physicians, therapists, and...FieldPart timeFlexible hours
- ...EPIC Healthcare in New Jersey is seeking an experienced RN Unit Manager to lead our nursing team in a resident-focused setting. You will... ...and partner with families to deliver compassionate, high-quality care. The ideal candidate holds a valid NJ RN license, has...
$50k - $53k
...Rapid Rehousing Case Manager (Full-time) Are you looking for a... ...manage all case activities, coordinating support services to meet their... ...program reports. Offer direct care, supervision, and... ...Work or related human services field ~1+ years experience working...FieldFull timeMonday to Friday
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