RN Care Navigator - PCA/MDC Case Management (Field)
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based RN to perform assessments for PCA and MDC services using established guidelines to ensure appropriate care and services are authorized. This role requires travel within local New Jersey; successful candidates have NJ RN license, 2 years clinical experience preferred, and strong skills in communication, planning, and care coordination. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey
$70.5k - $94.4k
...that improve health care quality,... ...About the Role This field based position is responsible... ...assessments for PCA and MDC services using... ...efficiency as the member is managed along the continuum... ...Unrestricted NJ RN License Required.... ...Working knowledge of case/care management...FieldLive inLocal area- ...Blue Shield of New Jersey is seeking a field-based nurse to perform assessments for PCA and MDC services using established guidelines to ensure appropriate care and authorization. The role involves... .... Candidates should hold an NJ RN license and have strong analytical,...Field
$79.1k - $105.95k
...Cross Blue Shield of New Jersey is looking for a field-based clinician to perform assessments of members and develop personalized care plans. With over 90 years of experience, the... ...years of clinical experience and a valid NJ RN license. The role offers a competitive salary...Field- Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based RN to assess members using established guidelines and to develop individualized plans of care across the continuum. The role requires a NJ RN license, at least two years of clinical experience, and a...FieldLocal area
$63k - $78.75k
...Annually Req # 79784 Position Summary The RN Care Coordinator will work as part of a... ...subacute care facilities' admission offices, case managers, discharge planners, and emergency... ...setting and/ or holds a certification in the field such as Certified Case Manager (CCM)....FieldHourly payFull timeLocal areaDay shift$79.1k - $105.95k
...Transplant Case Manager Horizon Blue Cross Blue Shield of New Jersey... ...innovations that improve health care quality, affordability, and... ...The Transplant Case Manager navigates complex medical, social, and... ...Serves as mentor/trainer to new RN's and other staff as needed....Remote jobLive inLocal areaMonday to Friday- ...Cross Blue Shield of New Jersey is seeking a field-based Registered Nurse to perform member assessments and develop individualized care plans across the continuum. You will... ...cost-effective care. Requires an active NJ RN license and a minimum of two years clinical...Field
$70.5k - $94.4k
...innovations that improve health care quality, affordability,... ...for performing RN duties using established... ...duties and types of care management as assigned by management... ...participation and compliance in case/disease management... ...and/or a health‑related field, or accredited diploma...FieldLocal area$70.5k - $94.4k
...innovations that improve health care quality, affordability,... ...for performing RN duties using established... ...duties and types of care management as assigned by management... ...participation and compliance in the case/disease management... ...and/or a health related field OR accredited diploma...FieldLive inLocal area- ...your career with us, experience our caring culture, and enjoy work-life balance... ...looking for experienced Workers Comp Field Case Managers! Must be an RN and have a minimum of 1.5 years of... ...workers, families and caregivers as they navigate through the recovery process....FieldWork at officeRemote workWork from homeRelocation package
- Horizon Blue Cross Blue Shield of New Jersey seeks a field-based MLTSS Care Manager to ensure appropriate level of care for members and to train new... ...NJ Choice certification and 3+ years in home care or case management, with strong communication. #J-18808-Ljbffr Socket...Field
- ...Cross Blue Shield of New Jersey is seeking a field-based MLTSS Care Manager to ensure appropriate level of care for... ...years of clinical experience in home care or case management, NJ Choice certification, and a current NJ RN/SW license is preferred. #J-18808-Ljbffr 10...Field
- Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based case manager to assess and coordinate care for Dual Special Needs members. You will work with members, families, and providers to develop individualized plans, monitor outcomes, and advocate for appropriate...Field
$79.1k - $105.95k
...innovations that improve health care quality, affordability, and... ...is responsible for performing RN duties for the Primary Nurse population... ...duties and types of care management as assigned by management.... ...participation and compliance in the case/disease management program...Live inLocal area$2,042 - $2,242 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Plainsboro, NJ Agency: Ventura MedStaff Pay: $2,04... ...most talented and qualified medical professionals in their field. Requirements Required for Onboarding CORES 2 (Nursing...FieldWeekly payFull timeContract workFlexible hoursShift workNight shift- Horizon Blue Cross Blue Shield of New Jersey is seeking a field-based Case Manager to assess and manage Dual Special Needs members. You will determine medical necessity, coordinate care plans, and collaborate with families, physicians, and hospitals to ensure high-quality...Field
$55.7k
...motivated Workforce Development Care Coordinator to support individuals navigating Workforce Development services.... ...: Provide care coordination, case management and for workforce development clients... ...in Social Work or related field preferred ~2–3 years of case management...FieldImmediate startMonday to Friday$1,921 - $2,044 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Plainsboro, NJ... ...care nursing techniques Operate and manage advanced life support equipment Ensure... ...within the nursing and allied healthcare fields. We offer competitive pay packages and...FieldFull timeContract workTemporary workShift workNight shift$19 - $22 per hour
...Description Job Description Personal Care Assistant Location: Chatham... ...Preferred: CNA, PCA, or Home Health Aide certification... ...Special Education, or related field • Experience as a Home Health... ...Ability to work independently and manage multiple responsibilities •...FieldHourly payWeekly payFull timeFlexible hoursShift workWeekend workAfternoon shiftWeekday work- ...innovative Total Talent management firm dedicated to accelerating... .... Note: New Jersey RN Active License is... ...Description This is a Field work contract role for a... ...patients receive appropriate care while optimizing the use... .../Prior Authorization/Case Review Nurses with...FieldContract workRemote work
- ...compassionate, organized, and motivated Care Coordinator – Behavioral... ...a vital advocate for clients navigating behavioral health and... ...Coordinate comprehensive case management services for Behavioral Health... ...or a related human services field. CPRS, CADC, CSW, or other...FieldWork at office
- ...Registered Nurse RN (Precertification/Prior-Authorization) Looking... ...or Pre-Certification not case management experience. Clinical experience... ...unit/surgical area or home care experience. This position is... ...nursing and/or a health related field OR accredited diploma nursing...FieldLocal area
- CVS Health is seeking an RN Field Assessor in New Jersey to help members access essential care and services. This full-time, work-from-home role involves 85% travel across Middlesex, Mercer, and surrounding counties and requires a compassionate, customer-focused approach...FieldRemote jobFull timeTemporary workWork from home
$49.96 - $68.99 per hour
...providing the highest level of care to patients, conducting... ...educating future leaders in the field of medicine. Working for this... ...currently hiring for a Full Time RN to work the day shift: 7:00 am... ...Therapy), Targeted Temperature Management (hypothermia post code care),...FieldHourly payFull timeWork experience placementCurrently hiringImmediate startFlexible hoursDay shift- ...Blue Cross Blue Shield of New Jersey is seeking a Care Manager I - Specialty Programs to coordinate care for... ...to optimize outcomes. Ideal candidates hold an RN license or a BA in social work/health, with 3+ years in case management. The role emphasizes guideline-based...
$70.5k - $94.4k
...Shield of New Jersey is looking for a Registered Nurse to perform care management duties. Responsibilities include assessing patient needs,... ...high-quality health outcomes. Candidates require a New Jersey RN License and at least two years of clinical experience. Horizon...$79.1k - $105.95k
...innovations that improve health care quality, affordability,... .... About The Role This field-based position is... ...for performing MLTSS Care Manager duties using established... ...all workdays and share a case load. Lead CM will be... ...Active Unrestricted NJ RN/SW License Preferred. Current...FieldLive inLocal area$80 per hour
...compassionate and detail-oriented Registered Nurse (RN) - Home Health Care to support our home care agency on a per-case basis. This flexible, field-based role involves conducting in-home... ...Education: Provide education on disease management, medication awareness, self-care...FieldHourly payFull timeFlexible hours$80 per unit
...compassionate and detail-oriented Registered Nurse (RN) - Home Health Care to support our home care agency on a per-case basis. This flexible, field-based role involves conducting in-home... ...Education: Provide education on disease management, medication awareness, self-care...FieldDaily paidFull timePart timeRemote workFlexible hours- ...Jersey is seeking a Clinical Operations Support Specialist to serve as a liaison between members, physicians, and Care Managers. You will oversee non-clinical case handling, coordinate benefits, and ensure timely information flow. The role involves onboarding new staff and...
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