RN Case Manager: Care Coordination & Mentorship
100 Horizon Healthcare Services, Inc
Horizon BCBSNJ in New Jersey is seeking an experienced RN to provide clinical advocacy within the payer-driven care continuum. You will assess care levels, coordinate with members, families, and providers, and mentor staff across projects and committees. Join a team focused on high-quality, cost-effective care using guidelines, with opportunities to lead, test systems, and influence utilization management while supporting members through the healthcare journey. #J-18808-Ljbffr 100 Horizon Healthcare Services, Inc
$31 per hour
...-lasting and rewarding career! Job Description RN’s will coordinate care of members in long term care Complete comprehensive assessments to develop and monitor care plans Manage 75-100 active cases based on intensity and acuity RN’s will work in office...SuggestedPrivate practiceWork at officeMonday to Friday- ...We are seeking a dedicated RN Case Manager in Princeton, NJ. RN Case Manager | Home Health... ...About Our Company OneWell Health Care and its affiliated companies are dedicated... ...Nurse (RN) Case Manager is responsible for coordinating, assessing, and managing nursing care...SuggestedFull timeTemporary workPart timeWork at officeRemote workFlexible hours
- ...Hospice RN Case Manager (Ocean / Monmouth County, NJ) Ocean / Monmouth County, NJ Ennoble Care is a mobile primary care, palliative care, and hospice service provider with... ...patient caseload by the Patient Care Coordinator or designee Assume primary responsibility...SuggestedFull timeTemporary workWork at officeRemote workVisa sponsorshipFlexible hours
- ...Plainsboro, NJ is seeking a Residential Nurse Case Manager to promote health and wellness for... .... The role emphasizes advocacy, coordination of services, and adherence to regulatory... ...external providers to implement comprehensive care plans, ensure continuity of care, and...Suggested
- ...MDC services, ensuring medically appropriate care and authorized services. You will evaluate necessity and efficiency of care, coordinate services across the continuum, and advocate... ...with various care providers. Requires NJ RN license and travel within the region. #J-1...Suggested
- ...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... .... The role involves evaluating care, coordinating services with patients and providers, and...
- ...Cross Blue Shield NJ in Hopewell, NJ is seeking a field-based RN to assess members against guidelines, ensuring medically appropriate services and developing member-centric plans of care. You will coordinate with families, physicians, and hospitals, document per policies...
- ...seeking a dedicated and experienced MDS Coordinator to join our team in New Jersey. As an integral... ...requirements.Monitor and update resident care plans based on assessment findings and... ....MDS Coordinator Qualifications:Current RN license in the state of New Jersey.Experience...Immediate start
- ...enhance the quality of patient care and engagement, to promote... ...functions of utilization management, and/or care coordination, discharge planning, and... ...Responsible for managing a case load of patients that includes... ...Will consider non-BSN RN if actively pursuing a Bachelors...Part timeMonday to FridayShift work
- ...Advocate to perform assessments for PCA and MDC services using established guidelines to ensure appropriate levels of care and authorization. You will coordinate with physicians, hospitals, and multidisciplinary teams, monitor utilization and outcomes, advocate for members,...
- ...Serenity Hospice Rn Case ManagerSerenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey.... ...looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to...Local area
$90k - $93k
...Hospice is actively seeking Registered Nurses (RN) to join our team in New Jersey.We provide quality hospice care to patients in skilled nursing facilities, assisted... ...experience.b. Experience with pain and symptom management interventions preferred.c. Ability to work...Full time- ...Responsible for performing care coordination duties using established guidelines... .... Utilize the care management process to set priorities plan... ...internal stakeholders on complex cases and escalate as appropriate... ...Requires a license as an RN or Bachelor degree in social...Temporary work
- ...nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis... ...and optional comfort care.11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.Communication...Immediate start
$115k
...RN MDS CoordinatorSALARY: $115,000 Per YearBENEFITS:• Medical, Dental & Vision Insurance... ...to join our wonderful family.The MDS Coordinator will be responsible for, but not limited... ...Participate in developing individualized resident Care Plans, identifying the needs of the...Full timeRemote work- ...RN License Required Benefits of MDS Coordinator position: ~ Low Cost Health Insurance ~ Vacation and Sick Time ~ Great Work Environment ~401k Matched... ...Nursing and Rehab makes it top priority to care for seniors with the respect, compassion, and dignity...Flexible hours
- Horizon Blue Cross Blue Shield of New Jersey is seeking a Care Manager I - Specialty Programs to coordinate care for specialty populations using established... ...families, and healthcare teams. Requirements include an RN license or a BA in social work/health/behavioral science...
- 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...
$54.1k - $155.54k
...passionate colleagues who care deeply, innovate with... ...Inc (AHH) is a medical management company that is a... ...is URAC accredited in Case Management, Disease Management... ...setting. ~ The AHH RN Case manager position requires... ...or nurse care coordinator experience as well as experience...Hourly payFull timeLocal areaRemote workWork from homeFlexible hours- Horizon Blue Cross Blue Shield of New Jersey is seeking a Care Manager I - Specialty Programs to coordinate care for specialty populations using established... ...transitions across the continuum. Requirements include an RN license or relevant Bachelor's degree, with a graduate...
$44.6k - $59.75k
...Operational Business members and Member Service Coordinators What You'll Do Performs review of... .../patients. Prepare, document and route cases in appropriate system for clinical... ...as liaison with providers, members and Care Managers. Perform other relevant tasks as assigned...Live in$73k - $75k
...career with us, experience our caring culture, and enjoy work-life... ...& Insurance Telephonic Case Manager PRIMARY PURPOSE OF THE ROLE... ...advocacy, communication and coordination of medical services. ARE YOU... ...LICENSING Current unrestricted RN license(s) in a state or...Full timeWork experience placementRemote workFlexible hours$50k - $53k
Rapid Rehousing Case Manager (Full-time) Are you looking for a job with a purpose where your... ...actively manage all case activities, coordinating support services to meet their needs and... ...monthly program reports. Offer direct care, supervision, and transportation for appointments...Full timeMonday to Friday$57.3k
...Health provides social work services. The Medical Case Manager provides case management services in an integrated care and trauma‑informed manner. The Medical Case... ...supervision of ACCESS Outreach Work/Transportation and coordinates said services. Provides coverage for other...Work at officeImmediate start- ...Registered Nurse for a field-based role. You will assess members, coordinate plan of care, and collaborate with healthcare providers to ensure... ...associates or bachelor's degree in nursing, with an active NJ RN license and at least two years of clinical experience. #J-1...
- 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...
- ...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....
$49k
...Impact Every Day to Shape FuturesCare Coordinator – Grant Position 5 Years (MOUD/Opioid Treatment... ...healthier futures.This grant-funded Care Coordinator position plays a central... ...careOpportunities to expand your case management and care coordination skillsCollaboration...Full timeWork at officeMonday to Friday$70k
...Title: Care CoordinatorCompensation: up to $70,000.00 annuallyStatus: Full-TimeCategory... ...Vacation & SickPosition OverviewThe Care Coordinator oversees daily administrative and operational... ..., and problem-solving skillsAbility to manage multiple priorities with accuracy and...Work at office- ...Home Care Scheduling Coordinator Grace Community Care & Homes is developing its Home and Community Care department and seeks a Home Care Scheduling... ...clients and qualified staff, monitoring coverage, managing call-outs, reconciling schedules with authorizations and coordinating...Part time
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