Managed Care Nurse Jobs in New Jersey (112)

job title, keywords or company
city, state or zip
Utilization Management Nurse
UnitedHealth Group, NJ-Newark – Map
Telephonic_UM_Nurse.pdf Utilization Management Nurse… required in New Jersey * 3 or more years of Managed Care and/or Clinical experience required * 1+ year…
From: AllHealthCareJobs
PD Nurse Case Manager
Overlook Medical Center, NJ-Summit – Map
of acute care experience. Previous case management experience required. Managed care experience a plus. Work closely with physician and health care team to…
From: Atlantic Health System
Part-time Home Visit Nurse Practitioner for INSPIRIS
UnitedHealth Group, NJ-Cherry Hill – Map
the Nurse Practitioner will provide total care for… patient care team. The Nurse Practitioner will communicate and manage the patients' care across all care…
From: AllHealthCareJobs
RN Case Manager – Field Based
UnitedHealth Group, NJ-Jersey City – Map
long-term care, home health care or acute care… term care and/or home and community based services * Experience in managed care * Experience working in…
From: AllHealthCareJobs
CASE MANAGER [CASE MANAGEMENT]
Meridian Health, NJ-Manahawkin – Map
Two years Med/Surg experience and knowledge of managed care criteria required. Two years case management… HIV Care – HIV/Infectious Diseases – Long Term Care…
From: Meridian Health
Nurse Care Manager
St. Joseph's Healthcare System, NJ-Paterson – Map
NJ RN License, BSN preferred, 2-3 yrs previous work related exp., managed care, home care, discharge planning, or case management experience strongly desired.
From: ST. JOSEPH'S HEALTHCARE SYSTEM
Nurse Care Manager (Repost)
St. Joseph's Healthcare System, NJ-Paterson – Map
NJ RN License, BSN preferred, 2-3 yrs previous work related exp., managed care, home care, discharge planning, or case management experience strongly desired.
From: ST. JOSEPH'S HEALTHCARE SYSTEM
Telephonic Medical Intake Coordinator 11:30 to 08:00 PM
Bayada, NJ-Parsippany – Map
our Parsippany, NJ Managed Care officer for an Intake… Client Services Managers, Clinical Nurse Manager, and Field Nurses. The ability to cultivate positive and…
From: Bayada
Part time Telephonic Medical Intake Coordinator
Bayada, NJ-Parsippany – Map
our Parsippany, NJ Managed Care officer for an Intake… Client Services Managers, Clinical Nurse Manager, and Field Nurses. The ability to cultivate positive and…
From: Bayada
Director of Case Management
The Clinical Recruiter, NJ-Newark – Map
NJ State Registered Nurse •Progressive Case… Demonstrates knowledge and understanding of managed care and commercial insurance, Medicare, and other…
From: MDLinx

OptumRX, Dir. Clinical Account Pharmacy (Telecommuter)

(376044)
UnitedHealth Group, – - Map
to disease state or care management Support personal health support (PHS) nurse teams with pharmacy… At least 7 years of managed care or PBM experience…
From: Indeed.com


OptumRX, Dir. Clinical Account Pharmacy (Telecommuter)

(376044)
Picis Inc, – - Map
to disease state or care management Support personal health support (PHS) nurse teams with pharmacy… At least 7 years of managed care or PBM experience…
From: Indeed.com

Per Diem Home Visit Nurse Practitioner – INSPIRIS
UnitedHealth Group, NJ-Newark – Map
gaps in care (disease-specific or preventive), Nurse… and refer members back to their Primary Care Provider. * Nurse Practitioner will recognize emergent or…
From: AllHealthCareJobs
RN Consultant
Cbiz, NJ- – Map
management, managed care contracting, decision… as a Registered Nurse – 3 years of nursing experience required – Knowledge of Milliman Care Guideline…
From: America's Job Exchange
Nurse Specialist Utilization Management
QualCare, NJ-Piscataway – Map
QualCare, Inc., a successful managed care organization, is currently seeking a Nurse Specialist to join… LPN with 1-3 years managed care experience in claims…
From: America's Job Exchange
Disease Case Manager Nurse
QualCare, NJ-Piscataway – Map
QualCare, a progressive Managed Care organization, is currently seeking a Disease Case Manager Nurse for… not required; 3-5 years Managed Care, Case Management…
From: America's Job Exchange
Med Utilization Analyst III
Horizon Blue Cross Blue Shield of New Jersey, NJ-Newark – Map
knowledge of the health care delivery system. Skills… and therapeutic equipment to support the Managed Care Program. 4. Determine amount of plan payments…
From: Indeed.com
Associate Dir Customer Mktg
Novartis Pharmaceuticals, NJ-East Hanover – Map
TGI, TSC & Sandostatin Nurse Home Injection programs… within the Oncology Market, including managed care environment? Current knowledge of Medicaid, Medicare…
From: Jobfox
Corporate Nurse Director, Case Management.*
Kennedy Health system, NJ-Voorhees – Map
Care Management Services within Kennedy. Plans, implements and coordinates patient care activities in Care… manner. Knowledge of managed care and regulatory (CMS…..
From: JobDiagnosis.com
Surgery – Physician
Accelecare Wound Professionals, NJ-Trenton – Map
multiple care settings to provide wound care services… managed by the Companyo Payor negotiations managed by the Companyo Nurse staffing and recruitment managed…
From: DocCafe.com

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