Current jobs related to Clinical Case Manager - Cliffside Park, New Jersey - Recruitics JB
-
Nurse Manager
4 weeks ago
Cliffside Park, New Jersey, United States The Judge Group Full timeJob Title: Registered Nurse Assistant Clinical Manager, HospiceVNA Health Group is seeking a skilled Registered Nurse to fill the role of Assistant Clinical Manager, Hospice. This position is responsible for overseeing the delivery of hospice services, ensuring alignment with patient needs and program requirements.Responsibilities:Provide clinical leadership...
-
Nurse Manager
2 months ago
Cliffside Park, New Jersey, United States VNA Health Group Full timeJob Title: Registered Nurse Assistant Clinical Manager, HospiceVNA Health Group is seeking a highly skilled Registered Nurse to fill the role of Assistant Clinical Manager, Hospice. This position is responsible for overseeing the delivery of hospice services, ensuring they align with patient needs and program requirements.Responsibilities:Act as a resource...
-
Nurse Manager
1 month ago
Cliffside Park, New Jersey, United States VNA Health Group Full timeJob Title: Registered Nurse Assistant Clinical Manager, HospiceVNA Health Group is seeking a skilled Registered Nurse to fill the role of Assistant Clinical Manager, Hospice. This position is responsible for overseeing the delivery of hospice services, ensuring they align with patient needs and program requirements.Responsibilities:Act as a resource for...
-
Nurse Manager
1 month ago
Cliffside Park, New Jersey, United States VNA Health Group Full timeJob Title: Hospice RN Assistant Clinical ManagerVNA Health Group is seeking a skilled and compassionate Registered Nurse to join our Hospice Team as an Assistant Clinical Manager. This role is responsible for overseeing the delivery of high-quality hospice services, ensuring they align with patient needs and program requirements.Responsibilities:Mission...
-
Nurse Manager
3 weeks ago
Cliffside Park, New Jersey, United States VNA Health Group Full timeAbout the RoleVNA Health Group is seeking a skilled Registered Nurse to fill the position of Home Health RN Assistant Clinical Manager, Hospice. This role is a vital part of our Hospice Team, responsible for overseeing the delivery of high-quality care to patients in their homes.Key ResponsibilitiesMission Alignment: Demonstrate a commitment to the...
-
Clinical Education Director
4 weeks ago
Cliffside Park, New Jersey, United States VNS Health Full timeJob Title: Clinical Education ManagerVNS Health is seeking a highly skilled Clinical Education Manager (RN) to join our team in Cliffside Park, New Jersey.About the Role:This is an exciting opportunity to work with a leading nonprofit home and community-based healthcare organization. As a Clinical Education Manager, you will be responsible for developing and...
-
Clinical Administrator
2 months ago
Cliffside Park, New Jersey, United States TeamuP Counseling Full timeJob Title: Clinical AdministratorTeamUP Counseling is seeking a highly skilled Clinical Administrator to join our team. As a key member of our staff, you will be responsible for ensuring compliance in the back-office functions of the agency and promoting agency-wide compliance.Key Responsibilities:20 hours direct service work with young people with...
-
Clinical Specialist II
4 weeks ago
Cliffside Park, New Jersey, United States TeamuP Counseling Full timeJob SummaryThe Billing & Compliance Clinician is a 40-hour, hybrid, clinical-administrative position at TeamUP Counseling. This role combines clinical and administrative responsibilities, requiring the provision of direct treatment services to young people and ensuring compliance in the back-office functions of the agency.Key ResponsibilitiesProvide 20 hours...
-
Nurse Manager
1 month ago
Cliffside Park, New Jersey, United States VNA Health Group Full timeJob Title: Home Health RN Assistant Clinical Manager, HospiceVNA Health Group is seeking a skilled and compassionate Registered Nurse (RN) to fill the role of Assistant Clinical Manager, Hospice. This position is a vital part of our team, responsible for overseeing the delivery of high-quality hospice services to patients in their homes.About the Role:Job...
-
RN Home Health Field Supervisor
4 weeks ago
Cliffside Park, New Jersey, United States VNS Health Full timeHome Health Field Supervisor Job DescriptionVNS Health is seeking a skilled Registered Nurse (RN) to serve as a Home Health Field Supervisor in Cliffside Park, New Jersey. As a Field Supervisor, you will play a vital role in delivering high-quality patient care by providing case management support, clinical intervention, and follow-up support. You will also...
-
Cliffside Park, New Jersey, United States Walgreens Full timeJob Summary:As a Pharmacist (Full or Part Time) at Walgreens, you will play a critical role in providing exceptional patient care and clinical expertise. You will be responsible for dispensing medications, counseling patients on proper usage, and promoting health and wellness through various services. Key Responsibilities:Dispense medications accurately and...
-
Cliffside Park, New Jersey, United States Walgreens Full timeJob Description:Walgreens is seeking a skilled Pharmacist (Full or Part Time) to join our team. As a key member of our pharmacy staff, you will be responsible for providing exceptional patient care and ensuring the efficient operation of our pharmacy.Key Responsibilities:Patient Experience: Engage with patients, provide empathetic support, and resolve issues...
-
Nurse Care Manager
2 months ago
Cliffside Park, New Jersey, United States VNS Health Full timeJob DescriptionVNS Health is seeking a skilled Nurse Care Manager to join our team in providing high-quality healthcare services to our clients.Key Responsibilities:Collaborate with interdisciplinary care teams to develop and implement comprehensive care plans for residents.Conduct thorough assessments of residents' health needs and provide interventions to...
-
Medical Case Manager I
3 weeks ago
Florham Park, New Jersey, United States CorVel Healthcare Corporation Full timeJob SummaryCorVel Healthcare Corporation is seeking a skilled Medical Case Manager to join our team. As a Medical Case Manager, you will play a critical role in facilitating the recovery of injured workers and their families. Your responsibilities will include working closely with patients, medical providers, and other stakeholders to ensure seamless care...
-
Clinical Manager
3 weeks ago
Clifton Park, New York, United States CenterWell Full timeJob Title: Clinical ManagerCenterWell is seeking a highly skilled Clinical Manager to join our team. As a Clinical Manager, you will be responsible for coordinating and overseeing all direct care patient services provided by clinical personnel.Key Responsibilities:Develops, plans, implements, analyzes, and organizes clinical operations for a specific...
-
Case Manager ICMS Specialist
3 weeks ago
Rochelle Park, New Jersey, United States Care Plus NJ Full timeJob SummaryCarePlus New Jersey is seeking a skilled Case Manager ICMS to provide direct case management services to an adult mental health population. As a key member of our team, you will spend 50% of your time face-to-face with consumers in their homes and the community, facilitating and coordinating psycho-educational services, offering on-site and...
-
Registered Nurse Case Manager
2 weeks ago
Sunland Park, New Mexico, United States Del Sol Medical Center Full timeJob SummaryWe are seeking a skilled Registered Nurse Case Manager to join our team at Del Sol Medical Center. As a key member of our healthcare team, you will play a vital role in promoting patient-centered care by coordinating the plan of care for patients, managing length of stay, and ensuring appropriate resource management.Key ResponsibilitiesProvide...
-
Clinical Research Scientist
2 weeks ago
Florham Park, New Jersey, United States Insight Global Full timeClinical Research Scientist OpportunityWe are seeking a highly skilled Clinical Research Scientist to join our team at Insight Global. This individual will be responsible for managing clinical and non-clinical studies, as well as assisting with inventory management, labeling, returns, and tracking shipping of clinical test materials.Key responsibilities...
-
Nurse Specialist
2 weeks ago
Cliffside Park, New Jersey, United States BAYADA Home Health Care Full timeBAYADA Home Health Care is seeking a skilled Nurse Specialist to provide high-quality care to clients in their homes.Job Description & RequirementsSpecialty: Private DutyDiscipline: RNDuration: OngoingEmployment Type: StaffAt BAYADA, we understand the importance of work-life balance and offer flexible scheduling to our nurses.As a Nurse Specialist with...
-
Case Management RN Manager
1 month ago
Sunland Park, New Mexico, United States Las Palmas Medical Center Full timeJob SummaryWe are seeking a highly skilled and compassionate Manager of Case Management RN to join our team at Las Palmas Medical Center. As a key member of our healthcare team, you will be responsible for coordinating the delivery of medical services and discharge planning for a specified patient population.Key ResponsibilitiesConduct concurrent and...
Clinical Case Manager
2 months ago
VNS Health is seeking a skilled Registered Nurse to join our team as a Case Manager in Acute Care Case Management. This role requires a strong clinical background and excellent communication skills to assess member needs and identify solutions that promote high-quality and cost-effective healthcare services.
Key Responsibilities:- Assess member needs and develop comprehensive care plans to ensure timely and cost-effective healthcare services.
- Manage providers, members, and team-generated requests for medical services, rendering clinical determinations in accordance with healthcare policies and regulations.
- Coordinate with management, subject matter experts, physicians, member representatives, and discharge planners to ensure care is appropriate, timely, and cost-effective.
- Conduct comprehensive reviews of requests for services, including clinical record reviews and interviews with members, clinical staff, medical providers, and other relevant sources.
- Examine standards and criteria to ensure medical necessity and appropriateness of admissions, treatment, level of care, and lengths of stay.
- Perform prior authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting.
- Ensure compliance with state and federal regulatory standards and VNS Health policies and procedures.
- Participate in case conferences with management and identify opportunities for alternative care options.
- Contribute to the development of patient-focused plans of care to facilitate safe discharges and transitions back into the community after hospitalization.
- Review covered and coordinated services in accordance with established plan benefits, application of evidence-based medical criteria, and regulatory requirements.
- Identify and provide recommendations for improvement regarding department processes and procedures.
- Maintain current knowledge of organizational or state-wide trends that affect member eligibility and the need for issuance of Determination Notices.
- Improve clinical and cost-effective outcomes through ongoing member education, care management, and collaboration with IDT members.
- Provide input and recommendations for design and development of processes and procedures for effective member case management, efficient department operations, and excellent customer service.
- Maintain accurate records of all care management, including written progress notes and verbal communications.
- Participate in approval for out-of-network services when members receive services outside of VNS Health network services.
- Provide case direction and assistance to ensure quality and appropriate service delivery.
- Keep current with all health plan changes and updates through ongoing training, coaching, and educational materials.
Requirements:
- Current license to practice as a Registered Professional Nurse in New York State required.
- Certified Case Manager preferred.
- Minimum two years of experience with strong cost containment/case management background.
About VNS Health:
VNS Health is a leading healthcare organization dedicated to providing high-quality, patient-centered care to our members. We are committed to excellence in healthcare and strive to make a positive impact in the lives of our patients and their families.
