Specialty Care Manager I Care Coordination Leader
Horizon Blue Cross Blue Shield of New Jersey - Headquarters
Horizon Blue Cross Blue Shield of New Jersey is seeking a Care Manager I – Specialty Programs to perform care coordination for specialty populations, applying guidelines to ensure appropriate levels of care and smooth transitions to the continuum of care. In this role you will partner with members, families, physicians, and the healthcare team to meet needs, document thoroughly, monitor utilization, and contribute to quality improvement while maintaining licensing and education requirements. #J-18808-Ljbffr
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Specialty Care Manager I Care Coordination Leader in New York, NY vacancy
- ...Job Description Coordinates and participates in activities related to Care Management services to family members and caregivers. Job Responsibility Utilizes... ...be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education...SuggestedHourly pay
Northwell Health
New York, NY5 days ago - Manhattan Gastroenterology is seeking an experienced Care Coordination Manager to oversee Care Coordination/AfterCare operations, ensuring timely... ...compliant documentation. Strong leadership and organizational skills are required. #J-18808-Ljbffr Manhattan Specialty CareSuggested
- ...CVS Health is seeking a Remote Case Manager RN to assess, plan, coordinate, and advocate for members’ health needs. The role supports discharge planning and care coordination from home, with a schedule that may include evenings and weekends in the department’s needs....SuggestedRemote workAfternoon shift
Ishe
New York, NY3 days ago - Argus Community, Inc. in the Bronx, NY, seeks a Health Home Care Manager to oversee care for 50-60 clients under ACCESS guidelines. This full-time role requires coordinating screenings, care plans, and service delivery. You will conduct home visits, collaborate with MCOs...SuggestedFull time
- Sun River Health is seeking a full-time Care Manager at the Church Avenue Health Home site in Brooklyn, NY. You will coordinate care for clients with chronic medical and behavioral health conditions, navigating social services and healthcare systems to improve outcomes....SuggestedFull time
- ...Gastroenterology is seeking an experienced and highly organized Care Coordination Manager to oversee the practice’s Care Coordination/AfterCare... ...work environment Manhattan Gastroenterology is an equal opportunity employer. #J-18808-Ljbffr Manhattan Specialty CareWork at office
- WebTPA, a GuideWell Company, seeks an experienced RN Case Manager to create, implement, and monitor treatment plans for members. You will coordinate care with health professionals, assess needs, and ensure evidence-based, cost-conscious plans. Requirements include 5+ years...Remote job
- The University of Miami Health System is seeking a full-time Case Manager RN to coordinate the interdisciplinary plan of care from admission to discharge, monitor care, and serve as a liaison among patients, families, clinicians, and insurers. The role assesses patient...Full time
- ...CareSource is seeking a Nurse Care Manager to coordinate care across hospital, sub-acute, long-term and home settings. The role includes in-home assessments, planning, facilitation and authorization of covered services to achieve quality, cost-effective outcomes. The...
CareSource
New York, NY4 days ago $60.42k
...Health Navigator/Care Coordinator, Care Management Services (CMS - HH+)Responsible for the assessment and engagement of clients around health and wellness... ...physical wellbeing of vulnerable New Yorkers and is a leader in the provision of outreach and engagement, care...Monday to FridayACMH
New York, NY4 days ago- ...CVS Health in New York seeks an Analyst, Care Manager to provide comprehensive care management to MLTC plan members. You will conduct... ...psychosocial assessments, develop person-centered service plans, and coordinate long-term services and supports. The role requires NY LMSW/...
CVS Health
New York, NY4 days ago $40k - $44k
...Care Management CoordinatorThe Care Management Coordinator is expected to ensure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities. The position supports all aspects of care coordination...MJHS
New York, NY5 days ago- ...Blue Zones Health is seeking a remote Utilization Management Coordinator to support inpatient and outpatient UM teams, handling authorizations... ...highly organized, detail-oriented, and experienced in managed care operations, able to work independently in a fully remote...Remote work
Blue Zones Health
New York, NY16 hours ago - ...Argus Community, Inc. is seeking a Mental Health Care Manager (HH+ SMI) in the Bronx to coordinate care for up to 20 clients under NYSDOH guidelines. You will assess needs, develop client-centered care plans, and collaborate with providers and MCOs. Responsibilities...
Argus Community
New York, NY3 days ago - ...One Brooklyn Health is seeking a Vice President of Case Management and Social Work to provide enterprise-wide executive leadership... ...social work, utilization management, discharge planning, and care coordination across OBH campuses. The role focuses on building a patient-...
One Brooklyn Health
New York, NY4 days ago - ...Metropolitan Jewish Health System in New York is seeking a Care Management Supervisor to oversee member care coordination across the continuum and to guide a dedicated care team. You will supervise assessments, ensure documentation quality, and help staff deliver high...
Metropolitan Jewish Health System
New York, NY2 days ago - Harris Computer is seeking a Remote Care Coordinator to transform healthcare delivery. In this role, you’ll engage with patients, manage their care by conducting telephonic encounters, and maintain a minimum patient panel of 100. This contract role allows flexibility as...Remote jobContract work
- Harris Computer is seeking a Remote Care Coordinator to join its mission of transforming healthcare delivery. The role involves telephonic encounters with patients, managing a patient panel, and following care plans to prevent health problems. This contract position offers...Remote jobContract workFlexible hours
- ACMH INC in New York, New York is seeking a Health Navigator/Care Coordinator for Care Management Services (CMS). The role is based in Manhattan with travel throughout Manhattan and the lower Bronx, and a Monday-Friday, 9:00am-5:00pm schedule. Responsibilities include...Monday to Friday
$38.55k
...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are... ...Service activities. The position supports all aspects of care coordination for our Medicare, Medicaid, and/or dual product members in compliance...Full timePart timeFlexible hours- ...consistent with the highest standards of quality care, MJHS Health System is a premier... ..., Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan... ...This position supports all aspects of care coordination for our ISNP, IESNP and Elderplan Plus members...
- The Managed Care Authorization & Appeals Coordinator is responsible for managing insurance authorizations, clinical documentation submissions, Medicare non-coverage notices, and insurance appeals for residents in a skilled nursing facility. This position works closely...
- ...mental healthcare? Come join our mission of getting therapy in the hands of everyone! We are looking for an experienced Care Coordinator Manager to join our Referral Managementteam. This role would be responsible for leading a team of Care Coordinators who support patients...
- A community mental health leader is seeking a Care Coordinator to manage a caseload of Health Home Care clients in New York. This full-time role requires bilingual proficiency (English/Spanish) and a Bachelor's degree. Responsibilities include developing comprehensive...Full time
- ...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are... ...independent and living life on their own terms. The Care Management Coordinator is expected to ensure high quality, cost-effective care and...
- LaSante Health Center is seeking a Chronic Care Management Coordinator to join our team. The ideal candidate will serve as the primary point of contact for patients and families, guiding them through their care journey and connecting them to internal and external resources...
- ...JCCA is seeking an Health Home Care Manager (HHCM) Supervisor to lead a care management team under Health Home Core Services. The role focuses on addressing barriers to care and ensuring coordinated, member-centered service delivery. The supervisor will oversee referrals...
JCCA
New York, NY2 days ago - ...Brightpoint Brand in New York, NY is seeking a Care Manager to coordinate care teams for patients with complex medical and psychosocial needs, ensuring access to services in a timely, efficient way. You will assess service needs, develop care plans with clients and...
Brightpoint Brand
New York, NY2 days ago - ...Atlantic Group in New York, NY is seeking a seasoned Member Services Manager (Healthcare) to lead a high-volume virtual team dedicated to member engagement, navigation, and care coordination. The role focuses on service quality, regulatory compliance, and performance optimization...Remote work
Atlantic Group
New York, NY3 days ago - Astor Services in New York seeks a Care Manager to coordinate care for a caseload of children and families under the state's health homes program. You will conduct needs assessments, develop an Individual Plan of Care, and connect enrollees with Medicaid, SNAP, housing...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Specialty Care Manager I Care Coordination Leader. Be the first to apply!
Related searches
- health care project manager New York, NY
- social services director New York, NY
- care operations manager New York, NY
- field care supervisor New York, NY
- director of managed care New York, NY
- care project manager New York, NY
- ambulatory care manager New York, NY
- patient care manager New York, NY
- urgent care medical director New York, NY
- geriatric care manager New York, NY