Field-Based RN Care Coordinator - MLTSS & SNP
100 Horizon Healthcare Services, Inc
100 Horizon Healthcare Services, Inc. is seeking an RN to perform assessments for PCA and MDC services, ensuring medically appropriate care under established guidelines and benefit structures. The role involves evaluating care, coordinating services with patients and providers, and supporting the continuum of care while promoting quality and cost-efficiency. Travel in NJ is required for field-based assessments. #J-18808-Ljbffr 100 Horizon Healthcare Services, Inc
- ...Shield of New Jersey is seeking a field-based nurse role to perform... ...ensuring medically appropriate care and authorized services. You... ...necessity and efficiency of care, coordinate services across the continuum... ...care providers. Requires NJ RN license and travel within the...Field
- Horizon Blue Cross Blue Shield NJ in Hopewell, NJ is seeking a field-based RN to assess members against guidelines, ensuring medically... ...services and developing member-centric plans of care. You will coordinate with families, physicians, and hospitals, document per policies...Field
- ...Cross Blue Shield of New Jersey is seeking a field-based clinician in Hopewell, NJ to assess medical necessity and coordinate services for PCA and MDC programs. The role requires... ...with patients, families, physicians, and care teams. This full-time position offers a competitive...FieldFull time
$70.5k - $94.4k
About the Role This field based position is... ...appropriate level of care and services are authorized... .... Develops, coordinates and assists in implementation... ...Refers members to MLTSS when appropriate.... ...availability of SNP if appropriate. Documents... ...Unrestricted NJ RN License Required....FieldLive inLocal area- 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,...Field
- ...of admission or continued stay based on medical necessity. The... ...enhance the quality of patient care and engagement, to promote continuity... ...management, and/or care coordination, discharge planning, and appropriate... ...Will consider non-BSN RN if actively pursuing a Bachelors...Part timeMonday to FridayShift work
- ...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... ...bachelor's degree in nursing, with an active NJ RN license and at least two years of clinical experience...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
- ...Jersey invites qualified nursing professionals to assess members’ clinical needs and create individualized care plans. This field-based role requires coordinating with families, physicians, and facilities to ensure appropriate, cost-effective care across the continuum....Field
- Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based Clinical Advocate to perform assessments for PCA and... ...guidelines to ensure appropriate levels of care and authorization. You will coordinate with physicians, hospitals, and multidisciplinary teams...Field
- Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based Registered Nurse to perform clinical assessments and authorize services for PCA and MDC programs. The role emphasizes coordination of care, advocacy, and collaboration with care teams across the continuum...Field
$44.6k - $59.75k
...Business members and Member Service Coordinators What You'll Do Performs review... ...with providers, members and Care Managers. Perform other... ...information MCC can authorize services based upon scripts or algorithms... ...(s) (IHS/HRA, CNA/CMNA, MLTSS Elig Survey*). Educates members...Live in- Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based RN to assess members using established guidelines and develop member-centered care plans. The role requires coordinating with patients, families, physicians, and hospitals to ensure medically appropriate...Field
$79.1k - $105.95k
About This Role This field-based position is responsible for performing... ...ensure appropriate levels of care and develop a member-centric... ...services provided. Develop, coordinate, and assist in the implementation... ...: Active Unrestricted NJ RN License required Benefits Comprehensive...FieldFull time- ...Cross Blue Shield of New Jersey seeks a field-based RN to perform assessments for PCA and MDC... ...guidelines to ensure appropriate levels of care and services are authorized. The role... ...include evaluating medical necessity, coordinating care, educating members, and...FieldFull time
$79.1k - $105.95k
...innovations that improve health care quality, affordability, and... .... About the Role This field based position is responsible for performing... ...services provided. Develops, coordinates and assists in implementation... ...: Active Unrestricted NJ RN License Required. Knowledge:...FieldLive inLocal 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
- ...Blue Shield of New Jersey seeks a dedicated Care Manager to assess Dual Special Needs... ...develop person-centered care plans. You will coordinate services with families, providers, and... ...The role requires an active NJ license (RN/LPN/SW/CSW) and at least 3 years of broad...Field
$49k
...Make an Impact Every Day to Shape Futures Care Coordinator – Grant Position 5 Years (MOUD/Opioid... ...Training in MOUD, ASAM Criteria, evidence-based practices, and recovery-oriented care... ...Psychology, Human Services, or a related field OR Associate degree plus three years of...FieldFull timeWork at officeMonday to Friday- ...seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing... ...management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license in New Jersey, strong analytical skills,...FieldContract workRemote work
- .... Note: New Jersey RN Active License is required... ...This is a Field work contract role for... ...reviewing medical records, coordinating discharge planning, and... ...patients receive appropriate care while optimizing the use... ...training. This is a Field Based position. This position...FieldContract workRemote work
$63k - $84.42k
...innovations that improve health care quality, affordability,... ...provided. Develop, coordinate, and support... ...Management & Monitoring Provide field-based and telephonic case management services for -SNP members. Monitor... ...following: Registered Nurse (RN) Licensed Practical...FieldLive in$58.73 per hour
...Registered Nurse (RN) -Pennington,NJ Local Pay : $58.73/hour... ...Travel Package: Travel Rate (based on 36 hours): Hourly $21.82 Stipend... ...by delivering exceptional care in a professional healthcare setting... ...s degree in nursing or related field. or Graduate of an accredited...FieldHourly payTemporary workLocal areaMonday to FridayShift workNight shiftWeekend work$18 - $32 per hour
...Services Optum NY/NJ, is seeking a **Patient Care Coordinator** to join our team in Springfield, NJ... ...orientation (scheduling segment) of new field employees and distribute updates and... ...Group? Put it all together - competitive base pay, a full and comprehensive benefit program...FieldHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startWork from homeMonday to FridayShift work- ...Princeton Health is seeking a full-time Registered Nurse (RN) to join the Radiology Nursing team. The role involves... ...radiology procedures, providing sedation and analgesia, and coordinating pre- and post-procedure care. Candidates should have BSN, 3 years RN experience, with...Full timeDay shift
$86.96k - $113.67k
...progressive, quality patient care with significant investments in... ...specialty care, as well as hospital-based services, to patients... ...experience in case management field including utilization review,... ...assessment, care planning, and/or care coordination. Inpatient denial appeal...FieldFull timeTemporary workPart timeFlexible hours$2,375 per week
...Registered Nurse (RN) | Coronary Care Location: Pennington, NJ Agency: AHS Staffing Pay: $2,375 per week Contract Duration:... ...*Weekly estimated pay is for informational purposes only and based on weekly hours. They include projected hourly wages and weekly...Hourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workImmediate startFlexible hoursShift workNight shift$2,375 per week
...Registered Nurse (RN) | Coronary Care Location: Pennington, NJ Agency: AHS Staffing Pay: $2,375 per week Contract Duration:... ...*Weekly estimated pay is for informational purposes only and based on weekly hours. They include projected hourly wages and weekly...Hourly payWeekly payDaily paidFull timeContract workImmediate startFlexible hoursShift workNight shift- ...opportunities for development of or revisions to Client Medical Policy based on case review. Responsible for identifying areas and pursuing... ...'s degree (or higher) in nursing and/or a health related field OR accredited diploma nursing school. Requires a minimum of two...Field
$70k
...Title: Care CoordinatorCompensation: up to $70,000.00 annuallyStatus: Full-TimeCategory: ExemptReports to: Administrator of Medical... ...BenefitsPaid Time Off: Personal, Vacation & SickPosition OverviewThe Care Coordinator oversees daily administrative and operational functions of The...Work at office
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