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Care Options for Kids 4.1
Registered nurse case manager job in Trenton, NJ
About the Role
At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams.
Instead, you work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for. Of course, if you need anything, your Director of Nursing is only a phone call away we offer 24-hour, 365-day support and on-demand clinical resources.
Benefits for RegisteredNurses (RN)
Paid Time Off (PTO) and flexible schedule
Medical, Dental and Vision Coverage
401k
Weekly pay and direct deposit
24/7 On Call for support
Career advancement
Nurse Referral bonus
Training opportunities
Respiratory therapists on staff to provide training and mentorship
Responsibilities of RegisteredNurses (RN)
Providing one-to-one nursing care in a home environment
Taking direction from clinical team and being overseen by a registerednurse
Following the plan of care
Following all clinical and office policies
Requirements for RegisteredNurses (RN)
Valid New Jersey RN License or Multistate License
Physical from within three years
TB Skin Test (PPD) or TB Blood Test (QF)
Valid BLS CPR card (obtained in person not online)
Valid driver's license
G-tube, trach, vent experience or willing to train
About Care Options for Kids
Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.
With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.
We value the health and well-being of our nurses and understand the vital role you play in caring for our clients. PPE is provided in each home including masks, gloves, and hand sanitizer. We follow CDC guidelines to ensure you, your client, and your family stays healthy.
#APPNUNEP #RDNUNEP
Salary:
$83200.00 - $87360.00 / year
$83.2k-87.4k yearly 2d ago
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Nurse Manager - Case Management (NON-UNION)
Case Management Society of America (CMSA) 4.4
Registered nurse case manager job in New York, NY
Full Time | Mon - Fri, 8am-4pm
THE BEST CAREERS.RIGHT HERE
@ BROOKLYN'S LEADING HEALTHCARE SYSTEM.
MAIMONIDES: TOP TEN IN THE U.S. FOR CLINICAL OUTCOMES
We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clinical programs rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neurosciences Institute, Bone and Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.
We are seeking a NurseCaseManager to direct, supervise, and manage the activities of the CaseManagement Team.
In this role, you will:
Facilitate the Hospital's goals of reducing length of stay, improving patient care, and efficient and effective utilization of resources to ensure an appropriate continuum of care for patients.
Function as a resource person and troubleshooter for the casemanagement team and discharge planning regarding barriers to discharge.
Act as liaison with nursing and medical staff and other clinical departments to integrate the department's functions and services with other aspects of the patient care process.
We require:
Current and Valid NYS Licensure.
BSN required; MSN preferred. CCM preferred.
3-5 years Clinical Experience (Med/Surg acute care).
Minimum of 3 years of direct experience in utilization management, discharge planning, casemanagement or home care.
Minimum of 2 years of leadership or managerial experience in a healthcare environment, preferred.
Proficiency with casemanagement software and EMRs (e.g., Allscripts, Sunrise, or equivalent) preferred.
Current clinical and technical nursing skills.
Knowledge of rules and regulations of child abuse/neglect reporting as appropriate.
Knowledge of the requirements of regulatory agencies and third-party payors.
Demonstrated ability to use word processing, spreadsheet, and/or database programs as required by the position.
Excellent communication and interpersonal skills.
Good problem-solving, decision-making, and judgment skills.
Salary: $148,000 - $160,000/yr
We offer comprehensive benefits, including a 403 (b) retirement plan.
NurseManager - CaseManagement, for immediate consideration, please apply now: ***********************************************
Maimonides Medical Center (MMC) is an equal opportunity employer.
#J-18808-Ljbffr
$148k-160k yearly 1d ago
Case Management Nurse
Pride Health 4.3
Registered nurse case manager job in New York, NY
RN CaseManager / Utilization Review (Inpatient)
Shift: Days, Monday-Friday 8:00 AM-4:00 PM; every other Saturday required (8:00 AM-4:00 PM)
Guaranteed Hours: 40/week
Contract Length: ~13 weeks
Position Summary:
RN CaseManager responsible for coordinating inpatient care, utilization management, and discharge planning. The role focuses on concurrent review, high-risk patient identification, collaboration with physicians and interdisciplinary teams, and communication with third-party payers to ensure appropriate level of care and timely discharge.
Key Responsibilities:
Perform concurrent utilization and continued-stay reviews
Identify high-risk patients and develop discharge plans for uncomplicated cases
Coordinate with physicians to establish and update time-oriented plans of care
Communicate clinical information to third-party payers and complete retro reviews
Monitor delays, duplication of services, and appropriateness of care
Collaborate with social work and interdisciplinary teams to facilitate discharge
Ensure accurate documentation and participation in quality and performance improvement activities
Requirements:
Active New York State RN license
BSN required
Minimum 3 years of direct patient care experience
BLS and ACLS required
Strong utilization review, discharge planning, and interdisciplinary collaboration skills
Preferred:
MSN
CCM (Certified CaseManager)
PALS
Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.
Best Regards,
Tabish Ahmad
$79k-94k yearly est. 3d ago
Nursing Manager
Medix™ 4.5
Registered nurse case manager job in New York, NY
Assisted Living Program NurseManager
The Assisted Living Program NurseManager is responsible for the overall clinical and operational management of the assisted living nursing department. This role ensures high-quality, resident-centered care through effective staff supervision, interdisciplinary collaboration, regulatory compliance, and clear communication with internal teams and partner agencies.
Essential Job Functions
Oversee day-to-day operations of the nursing department, including staff scheduling, supervision, ensuring appropriate staffing coverage, and addressing complaints or concerns.
Create, maintain, and manage duty sheets for Resident Service Associates (RSAs) for all shifts.
Hire, evaluate, coach, and discipline Resident Service Associates providing direct resident care.
Coordinate and facilitate Home Health Aide in-service education and training programs.
Serve as the primary liaison between Village Housing Development (VHD) and certified Home Health Agencies to coordinate resident health services.
Participate actively in interdisciplinary team meetings to support comprehensive, resident-centered care planning.
Establish and maintain workflows that promote effective communication among staff, including reporting processes and emergency call response.
Coordinate interdisciplinary care and maintain ongoing communication with all members of the healthcare team.
Monitor and coordinate resident tray service requests to ensure nutritional and service needs are met.
Conduct screenings of prospective residents to determine eligibility for the Assisted Living Program.
Complete, or ensure completion of, the Universal Assessment System (UAS) for Assisted Living Program residents in accordance with regulatory requirements.
Complete functional assessments for Enriched Housing residents as required by applicable regulations.
Additional Responsibilities
Ensure compliance with all federal, state, and local regulations governing assisted living and enriched housing programs.
Promote a culture of quality, safety, accountability, and resident dignity.
Maintain accurate and timely documentation related to resident care, staffing, and program operations.
Collaborate with leadership to support continuous quality improvement initiatives.
Qualifications
Active RegisteredNurse (RN) license in good standing.
Prior experience in assisted living, long-term care, enriched housing, or a similar healthcare setting.
Demonstrated leadership, staff management, and interdisciplinary collaboration skills.
Strong knowledge of regulatory requirements and resident assessment processes.
Excellent communication, organizational, and problem-solving abilities.
$90k-125k yearly est. 20h ago
POPULATION HEALTH COORDINATOR- RN-PRN
Cooper University Health Care 4.6
Registered nurse case manager job in Ewing, NJ
About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Training will be in Camden for 90 days then the position is Remote. Only local candidates apply. Support and participates in the Patient-centered Medical Home (PCMH) concepts of care coordination and team- based care. Assess, plan, implement, coordinate, monitor and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the continuum. - Follow established PCC workflow for utilization and self-management support - Participate in PCMH activities which include but are not limited to hospital discharge follow-up, care planning, coordination of services, and communication between care providers - Collaborate with patient's medical/health and community-based providers to establish mutual goal setting including patients and their families/caregivers, utilizing self-management tools. - Provide outreach, care management and education for disease self-management per patient centered goals. - Identify, document, and mitigate patient barriers to improved outcomes. - Monitor and evaluate the services and community-based resources necessary to respond to the individual member's health needs. - Provides telephonic and or in-practice outreach, disease management and/or casemanagement, education, and other clinically based activities for target populations. - Conduct assessments, develop nursing treatment plans and interventions and set goals for treatment plans/behavioral modifications within the scope of licensure in collaboration with other care providers. - Assists physicians and other team members in developing and implementing evidence based practices and care plans for target health populations. - Collect data on quality metrics and track as required for improvement efforts. - Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives. Experience Required 5 years or more clinical experience, Experience in primary care, population or casemanagement preferred Education Requirements 5 years or more clinical experience, Experience in primary care, population or casemanagement preferred License/Certification Requirements RN, (BSN) preferred
$71k-93k yearly est. 2d ago
Wound and Ostomy Care Specialist - RN - Full Time Days
Newyork-Presbyterian 4.5
Registered nurse case manager job in New York, NY
Feel the Pride of Wound and Ostomy Nursing at Its Best Staff Nurse - RN - Wound and Ostomy Care Specialist - Days
Imagine a career at NewYork-Presbyterian Queens, where talented and compassionate WOCN nurses like you are building on our success. Working at NewYork-Presbyterian/Queens, one of our 11 state-of-the-art campuses, you'll help achieve outcomes that improve the lives of thousands of cancer and trauma patients. Find out how you can Make It Possible.
Take on this impactful role. Use your expertise in wound and ostomy care as you deliver pre- and post-operative treatment and education to patients and their families. Work independently while enjoying shared clinical decision-making, inspirational leadership, supportive colleagues and much more. Regularly evaluate patient outcomes, and participate in initiatives focused on improving quality and performance, such as minimizing readmissions of our patients.
This is a Full Time 12.5 hour shift position working Monday - Friday 6a-7:15p and 7a-8:15pm; flexibility on start and end times is required to meet department needs. Also includes occasional Split weekend coverage.
Preferred Criteria
Applicable experience in an academic medical center (includes experience partnering with interns/residents/attendings)
Masters preferred
Required Criteria
Bachelor's degree in Nursing
NYS RN License
At least 4 years of acute care nursing experience
Certification in Wound and Ostomy Care
Graduation from an accredited wound and ostomy nursing education program
BCLS certification
Strong communication, interpersonal and analytical skills to drive engagement
An independent thinker who can quickly resolve patient care issues utilizing the skills and knowledge of the interdisciplinary team
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.
NYP will not reimburse for travel expenses.
__________________
2024 "Great Place To Work Certified"
2024 "America's Best Large Employers" - Forbes
2024 "Best Places to Work in IT" - Computerworld
2023 "Best Employers for Women" - Forbes
2023 "Workplace Well-being Platinum Winner" - Aetna
2023 "America's Best-In-State Employers" - Forbes
"Silver HCM Excellence Award for Learning & Development" - Brandon Hall Group
NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$145,600-$174,000/Annual
It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
$145.6k-174k yearly 2d ago
RN Corrections
Amergis
Registered nurse case manager job in Clinton, NJ
The Correctional RN works in collaboration with other healthcare professionals, correctional officers, and administrators to ensure the well-being of the incarcerated population. The Correctional RN utilizes their knowledge to address the specific challenges and limitations of the correctional environment while providing care to their patient population. This care includes both routine and emergency health care in a correctional facility setting.
Minimum Requirements:
Current RegisteredNurse License for the state in which the nurse practices
Minimum of one year of correctional health care experience preferred
Current CPR if applicable
TB Questionnaire, PPD or chest x-ray if applicable
Must meet all federal, state and local requirements
Must be at least 18 years of age
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
Competitive pay & weekly paychecks
Health, dental, vision, and life insurance
401(k) savings plan
Awards and recognition programs
*Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
$69k-115k yearly est. 6d ago
Travel Registered Nurse - Labor and Delivery
Seven Healthcare
Registered nurse case manager job in Morristown, NJ
Title: Travel RegisteredNurse - L&D
Shift: 3x12s Nights
Weekly rate: $3,000
Seven Healthcare is excited to offer an excellent travel opportunity for an experienced Labor & Delivery RegisteredNurse in Morristown, New Jersey. This contract features a competitive weekly rate of $3,000, based on three 12-hour night shifts, making it a great opportunity to grow your L&D skills within a high-quality, patient-centered maternity unit.
Why Choose Seven Healthcare?
At Seven Healthcare, we're committed to supporting your success and lifestyle as a traveling healthcare professional. You'll receive:
License reimbursement
Referral bonuses
Comprehensive health insurance
Certification reimbursement
Weekly pay
Sick pay
Travel reimbursement
Key Responsibilities of the Labor & Delivery RN:
Provide compassionate, evidence-based care to laboring, antepartum, and postpartum patients
Assist with vaginal and cesarean deliveries, including OR preparation and recovery
Monitor fetal heart tones, maternal vitals, and labor progression
Administer medications and manage epidural and induction protocols
Collaborate closely with obstetricians, midwives, anesthesiologists, and NICU teams
Respond to obstetric emergencies and escalate concerns appropriately
Maintain accurate and timely documentation in the EMR
Requirements of the Labor & Delivery RN:
Active NJ RN license (or ability to obtain prior to start)
BLS and NRP required
Minimum 2 years of recent Labor & Delivery experience
Strong clinical assessment skills and comfort managing high-acuity obstetric patients
Excellent communication, teamwork, and patient education abilities
Why Work in Morristown, NJ?
Morristown offers the perfect balance of suburban charm, history, and easy access to major metro areas.
Location Benefits:
Work in a highly regarded hospital serving northern New Jersey
Enjoy a lively downtown with restaurants, shops, and cultural attractions
Convenient access to New York City, parks, and outdoor recreation
Excellent quality of life in a vibrant, walkable community
Why Work with Seven Healthcare?
Seven Healthcare is a nationally recognized leader in travel nurse staffing, offering competitive pay, exclusive assignments, and dedicated recruiter support. With a 5-star Google rating, top Vivian reviews, and recognition as Best Travel Healthcare Company 2024 by BluePipes, we're a trusted partner for travel nurses nationwide.
$3k weekly 3d ago
RN Administrator for Admissions, Intake & Outreach - Hospital
Compass Healthcare Consulting and Placement
Registered nurse case manager job in New York, NY
Compass Healthcare Consulting & Placement is conducting a search for an experienced RN Administrator for Admissions, Intake & Outreach for a Hospital located in the Bronx, NY. New York State RegisteredNurse and Masters Degree in Nursing is required. Opportunity for Clinical RN Administrative Leader for Facility Administrator role. Qualified candidates will have 10-15 years of Management experience, 5+ years experience as a Department Head and 3+ years as an RN Administrator or VP level within a Hospital setting.
RN Administrator for Admissions, Intake & Outreach is responsible for overseeing the functions and activities associated with Community Outreach Services, Admitting, and Intake. Reports directly to the Vice President for Admitting, Intake and Outreach Services and maintains an open dialogue with the senior leadership of the hospital and referring partners.
Responsibilities:
Continuously monitors and assesses the delivery of services provided by the Community Outreach, Admitting and Intake implementing changes when appropriate.
Acts as liaison between Hospital and referring institutions and providers.
Actively engages in the ongoing marketing of programs and services provided by the Hospital.
Works cooperatively with other departments, provider referrers and managed care organizations to facilitate the admission of patients to the various programs provided by the Hospital.
Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process for those cases for which reimbursement has been denied.
Conducts interdepartmental meetings related to the quality and utilization of clinical services.
Serves on various Hospital committees as assigned.
Attends meetings and seminars as appropriate.
Ensures all related manuals are kept current.
Works within legal, ethical practice standards to his/her position as well as the Hospital's Code of Conduct. Complies with appropriate policies and procedures and brings potential compliance matters to the supervisor or compliance officer.
Oversees and participates in the budget process for his/her assigned departments.
Completes Introductory and Annual Performance Appraisals for all direct reports. Reviews Introductory and Annual Performance Appraisals for other assigned staff.
Oversees the interface with the Finance Office regarding pertinent insurance information, e.g. Medicare, Medicaid and Commercial Insurance.
Elicits recommendations regarding continuous improvement of patient safety from staff.
Encourages reporting of occurrences without fear of reprisal.
Participates in the development of recommendations for improvement in patient safety based on staff recommendations.
Participates in the implementation and monitoring of patient safety programs.
Maintains current knowledge of regulatory requirements which may impact on the delivery of patient services.
Integrates the services of the departments supervised into the day-to-day activities of the Hospital in support of its philosophy and mission.
Develops appropriate goals and objectives for departments supervised.
QUALIFICATIONS:
Master of Nursing Degree required.
NYS unencumbered RegisteredNurse License required.
Ten (10) to fifteen (15) years of management experience, five (5) of which must be at the department head level. Three (3) years' experience as an Administrator or Vice President preferred.
Excellent interpersonal skills.
Ability to interface with all levels of personnel.
Excellent written and verbal communication skills.
Ability to analyze detailed statistical and other pertinent data.
Knowledge of and experience in Quality Assessment and Improvement, Utilization Review.
Ability to develop management systems to track data over time.
Competitive Salary $190,000.00 - $210,000.00 and excellent Benefits Package! 401(k), Dental insurance, Employee assistance program, Employee discount, Free parking, Gym membership, Health insurance, Health savings account, Life insurance, Paid sick time, Paid time off, Retirement plan, Tuition reimbursement, Vision insurance
Qualified Candidates Please Apply Now for Immediate Consideration!
$190k-210k yearly 20h ago
RN - PICU
All Medical Personnel 4.5
Registered nurse case manager job in Newark, NJ
Assist physicians with patient management and emergency procedures. Provide patient care to the critically ill neonatal, pediatric and adult population. Administer medications. Responsible for advanced management, setup, and troubleshooting of the ECMO.
Qualifications and Job Info:
2-3 Years Critical Care Experience plus travel
Basic Life Support (BLS)
Active state nursing license
Demonstrate the highest level of professionalism when interacting with patients, families, physicians, and hospital staff members.
Benefits:
Medical, dental, and vision on day one
Weekly pay
Direct deposit
AmpVantage Awards Program (AVA)
Earn money for referrals
About Us: All Medical Personnel streamlines hiring to get you back to the work you love. Established in 1990, our staffing business lines place locum tenens, travel nursing, travel therapy, allied health, and clinical laboratory professionals from coast-to-coast. We believe in focusing on and uplifting the hiring process, with a deep understanding of the unique challenges you face. We are here to ensure each experience with us is simplified, elevated, and impactful, for you and your patient.
Visit us at https://allmedical.com/travel-nursing/ to learn more or view additional job openings.
Listed pay packages are based on weekly gross amounts.
Please reference Job number: 271428
Additional Information
All Medical Personnel provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.About Us: All Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our goal is to simplify the process with a flexible and personalized approach. Our clients range from local, regional and national healthcare organizations throughout the United States. Learn more about us at allmedical.com.
Visit our new job board at https://allmedical.com/view-jobs/ and save it to your favorites today!
$115k-181k yearly est. 2d ago
Registered Nurse
Actalent
Registered nurse case manager job in Florham Park, NJ
Job Title: RegisteredNurseJob Description
We are seeking a dedicated and compassionate RegisteredNurse to facilitate patient care. The role involves triaging phone calls, managing electronic medical records (EMR), and supporting patient care through various responsibilities, including medication reviews and office visits. This position requires an individual who can effectively organize and manage patient-related tasks and ensure efficient patient flow.
Responsibilities
Facilitate patient care and manage electronic medical records (EMR) using platforms such as Athena or Epic.
Triage phone calls and address nurse-related queries.
Follow up on patient care, including imaging orders and biopsies, and manage medication reviews.
Check daily schedules for patient volume and prepare necessary patient files.
Organize medications for doctors to administer and update prescription refills.
Employ appropriate and timely use of tasking in the EHR.
Function as the liaison between patients, staff, and physicians, ensuring all patients are correctly identified before providing care.
Ensure proper preparation for patient visits, preparing pertinent information as needed.
Provide referrals and consult orders appropriately and in a timely manner in the PMS and EHR.
Check and maintain logs for emergency equipment according to policy.
Collect and accurately label lab specimens according to departmental guidelines.
Demonstrate telephone triage protocols and document them in the EHR.
Schedule appointments appropriately and accurately according to department guidelines.
Review and update medication lists in the EHR, demonstrating understanding of prescription control and refill procedures.
Enter orders and schedule appointments in the Practice Management System (PMS) and EHR.
Essential Skills
Active NJ State Nursing License
Associates degree in Nursing required; BSN preferred
Experience with EMR systems, preferably Athena or Epic
Experience in Orthopedic, Pain management, Podiatry, or Muscular/Skeletal fields
Strong patient care skills
Proficiency in triage and healthcare protocols
Additional Skills & Qualifications
* Outpatient experience is preferred
* Experience in primary care or hospital facility settings is advantageous
Work Environment
This position operates within a supportive outpatient environment, offering the opportunity to build long-term relationships with patients through regular visits. The work schedule includes rotations of Monday to Friday from 7:30 AM to 4:00 PM, 8:00 AM to 4:30 PM, and 8:30 AM to 5:00 PM, with the requirement to work six Saturdays a year. Physical requirements include strength and mobility for lifting and maneuvering, as well as endurance for prolonged standing or typing. The role offers a collaborative atmosphere with supportive staff and providers, providing opportunities for career growth within a large organization.
Job Type & Location
This is a Contract to Hire position based out of Florham Park, NJ.
Pay and Benefits
The pay range for this position is $38.00 - $50.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Florham Park,NJ.
Application Deadline
This position is anticipated to close on Jan 21, 2026.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
$38-50 hourly 5d ago
RN - In Home Healthcare $15,000 Bonus
Amedisys Inc. 4.7
Registered nurse case manager job in New York, NY
Full Time Days
Hours-7:00am-5:00 pm (4 10-hour shifts) rotating weekends
Are you looking for a rewarding career in homecare? If so, we invite you to join our team at Mt. Sinai, in partnership with Contessa, an Amedisys company, one of the largest and most trusted home health and hospice companies in the U.S.
Attractive pay
* $57-$59
* Shift Differential
Bonus
* $15,000
Uber Service Provided
What's in it for you
A full benefits package with choice of affordable PPO or HSA medical plans.
Paid time off.
Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.
Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.*
Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.
401(k) with a company match.
Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.
Fleet vehicle program (restrictions apply) and mileage reimbursement.
And more.
Please note: Benefit eligibility can vary by position depending on shift status.
* To participate, you must be enrolled in an Amedisys medical plan.
Why Amedisys?
Community-based care centers with a supportive and inclusive work environment.
Better work/life balance and increased flexibility compared to other settings.
Job stability and the opportunity to advance with a growing company.
The opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes.
Responsibilities
* Responsible for starting the patient's care, including nursing assessment, medication reconciliation, safety assessments and implementing standardized protocols.
* Administers prescribed medications (typically intravenously), obtains blood samples, inserts foley catheters and provides therapeutic interventions.
* Educates patient on how to manage their illness, prescribed medications, nursing interventions, and care plan.
* Identifies and acts on changes in patient's condition.
* Evaluates and revises care plans/assessments based on changes in patients and/or their environments.
* Documents all assessments, interventions and care coordination details.
* Participates in regular, in-service or special case orientations as needed.
* Participates in on-call rotation.
* Performs all other duties as assigned.
Qualifications
* Associate of Science in nursing.
* Current RN license, specific to the state(s) you are assigned to work.
* One year of adult acute inpatient medical, or medical/surgical care experience within the last five years.
* Current CPR certification.
* Valid driver's license.
* Reliable transportation and company required liability insurance.
Preferred
* Bachelor of Science in nursing.
* Experience providing RN services in the home, community or clinic.
* Adult medical critical care.
Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.
Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.
* Associate of Science in nursing.
* Current RN license, specific to the state(s) you are assigned to work.
* One year of adult acute inpatient medical, or medical/surgical care experience within the last five years.
* Current CPR certification.
* Valid driver's license.
* Reliable transportation and company required liability insurance.
Preferred
* Bachelor of Science in nursing.
* Experience providing RN services in the home, community or clinic.
* Adult medical critical care.
Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.
Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.
* Responsible for starting the patient's care, including nursing assessment, medication reconciliation, safety assessments and implementing standardized protocols.
* Administers prescribed medications (typically intravenously), obtains blood samples, inserts foley catheters and provides therapeutic interventions.
* Educates patient on how to manage their illness, prescribed medications, nursing interventions, and care plan.
* Identifies and acts on changes in patient's condition.
* Evaluates and revises care plans/assessments based on changes in patients and/or their environments.
* Documents all assessments, interventions and care coordination details.
* Participates in regular, in-service or special case orientations as needed.
* Participates in on-call rotation.
* Performs all other duties as assigned.
$90k-125k yearly est. 3d ago
Nurse Manager Surgery
Elios Talent
Registered nurse case manager job in New York, NY
NurseManager - Operating Room (Evenings 1p - 11p)
Employment Type: Full Time
4 10 hour shifts per week
Job Description: We are working with a well known organization seeking an experienced Nurse Leadership candidate for their busy Perioperative Services department. This is an amazing place to continue growing your career!
This is a large, busy Perioperative program - running 30+ rooms into the Evening hours. They are seeking a well established OR RN that wants to continue growing their career
Schedule:
Monday - Friday Day shift
Weekend Leadership coverage is Administrative only - it is does via phone
Weekend rotation is approximately 1 weekend every 8 weeks
Qualifications:
Must be an RN
BSN degree required
Masters degree preferred
CNOR a huge plus
Must have Operating Room experience
Seeking a visible leader that works well with Patients/Family as well as with the Physicians
Will oversee 30-40 staff
Pay & Benefits:
Organization is focused on a positive culture
Strong benefits package
Competitive pay package
PTO and CME allowance
Located along scenic waterfront property in Brooklyn, NY, our Centers for Rehabilitation and Nursing Care have earned a reputation for providing quality and compassionate care delivered through programs and services that support individuals needing short-stay or long term inpatient care.
Provides supervision during a specific shift to all Nursing Staff to assure quality of care. nursing home, nursing, RN, long term care RN, subacute RN RN BSN preferred. Minimum 2-3 years Longterm or acute care experience required. Leadership experience preferred.
$84k-107k yearly est. 19h ago
Supervisor of Nurses
NYC Health + Hospitals/Correctional Health Services 4.7
Registered nurse case manager job in New York, NY
NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers.
NYC Health + Hospitals/Correctional Health Services is one of the nation's leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation's largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City's criminal justice reform efforts.
SUPERVISED BY:
On Site Director of Nursing
Deputy Director of Nursing
GENERAL DUTIES:
The Patient Care Coordinator (PCC)/Supervisor of Nurses (SON diagnosis and treats human responses to actual or potential health problems through such services as data collection,
physical assessment, case-finding, health teaching, health counseling
and provision of care supportive to /or restorative of life and well-being as data collection, physical assessment, health teaching, health counseling, and provision of care supportive to or restorative of life and well-being and executing medical regimens prescribed by a licensed physician, dentist or other health care provider legally authorized under this title and in accordance with the commissioner's regulation.
Under the guidance of the On-Site Director of Nursing (OS-DON), the Patient Care Coordinator/Supervisor of Nurses is responsible for directing and administering nursing care to patients. He/she coordinates activities through collaboration with physicians, administration, pharmacy, clerical, and correctional staff, etc.
He/she is guided by a thorough knowledge of principles of nursing based on biological, physical, and psychosocial sciences. He/she possesses a working knowledge of principles of leadership and utilizes that knowledge in guiding and directing nursing staff.
He/she assists the OS- DON in ensuring compliance with standards, policies and procedures of NYC Health and Hospital Corporation Correctional Health Services contracted with Prison Health Services, Inc. and the Department of Nursing. He/she will be working with adult male and females between sixteen to eighty and infants from birth to one year of age.
RESPONSIBILITIES:
Provides direct patient care as necessary. Using the problem-oriented progress notes, written to match each problem documented on the Problem List and organized using the SOAP format.
Coordinates the nursing care provided for patients within a given unit by:
Assigning appropriate nursing staff for patient care activities such as admissions, sick call, treatments, medications, punitive segregation rounds, follow-up, etc. Problems in staffing must be communicated to the On-Site Director of Nursing.
Utilize therapeutic communication skills and effective interviewing techniques to elicit pertinent historical information and to make appropriate referrals as required. Screen patients with mental health problems in an immediate manner and makes appropriate referral as required.
Making rounds to patient care areas for the purposes of assessing, planning, implementing, documenting, and evaluating unit nursing care delivery. Assist OS-DON in staffing needs. Provides guidance and assistance to nursing personnel in the delivery of patient care.
Assuring continuity of care on other shifts through written and/or verbal communication. Communicates special care needs of particular patients to the psychiatrist, On-Site Director of Nursing or the On-Island Administrator.
Collaborates with the OS-DON in the orientation of new staff on the unit. Evaluates the new nurse on an ongoing basis; writes a formal evaluation at the end of the probation period, and makes recommendations to the OS-DON.
Evaluates and provides feedback to staff on an ongoing basis and in an annual formal evaluation conference. Collaborates with the OS-DON
and/or Deputy Director of Nursing. Provides appropriate documentation and records of nursing personnel activities.
Identifies staff development needs and plans strategies to meet the needs in collaboration with available nursing resources.
Conducts meetings with his/her staff, in collaboration with the On-Site Director of Nurses, to share information, discuss problems and potential solutions, and to promote cooperative professional relationships among the staff.
Monitors the quality of patient care through quality assessment - improvements mechanisms.
Communicates, documents and collaborates on an ongoing basis, with the On-Site Director of Nursing concerning patient care and unit administration.
COORDINATOR / SUPERVISOR RESPONSIBILITES:
Coordinates the intra-disciplinary team providing comprehensive patient care.
Familiarizes self with and participates in defining, maintaining and Interpreting standards of nursing practice through the application of nursing policies and procedures according to the Prison Health Services, Inc. Policy and Procedure Manual and specific policies of the Correctional Health Services.
Identifies those components of the nursing plan, which may be delegated to allied nursing and other non-professional personnel, and provides teaching, guidance and supervision as necessary.
Assists with the unit orientation of nursing personnel through participation in
the precepting function.
Counsels nursing staff and directs information to the On-Site Director of Nursing. Provides documentation as needed on a timely basis.
Supervise all care provided by LPN's/NAs and assumes other related responsibilities as required.
Administer medication in a safe and efficient manner consistent with prescribed orders, mouth checks, and established standards
Participates in a system of ongoing monitoring activities, including peer, content, and quality reviews to ensure delivery of quality care. Makes recommendations for change where problems are identified.
Continues professional development through:
Participation in the evaluation process.
Formal undergraduate, graduate and post-graduate courses.
Attendance at continuing education programs sponsored by community and other health agencies.
Participation in unit conferences and staff development programs.
Participates in projects and research activities that identify patient care needs.
Shares with peers the knowledge that is gained at continuing education Programs,
CARE OF THE ENVIRONMENT
Contributes to an environment that is conducive to meeting patients' needs by taking initiative in maintenance of supplies and equipment.
Demonstrates awareness of the correctional health environment through observance of security regulations and appropriate care of contraband.
Contributes to maintenance and/or improvement of the unit morale by:
Utilizing established channels of communication.
Recognizing, accepting, and respecting people as individuals.
Demonstrating concerns for unit and patient needs over a 24-hour period.
HUMAN RELATION SKILLS:
Assists other employees where needed.
Is responsible and cooperative with supervisors, fellow associates, patients, visitors, and Department of Corrections personnel.
Maintains friendly working atmosphere.
Maintains professional demeanor.
Maintains professional appearance and adheres to uniform policy of Department
of Nursing.
Accepts constructive criticism as evidenced by appropriate changes in behavior.
Utilizes established channels of communication.
Recognizes, accepts, and respects people as individuals.
Recognizes limitation and seeks assistance appropriately.
WORKING CONDITIONS:
Clinic and Infirmary environment. Constant standing, walking: frequent bending, lifting and reaching: Occasional sitting
ADA REQUIREMENTS:
Heavy Work: Exerting up to 100pounds of force occasionally, and/or 50 pounds of force frequently, and /or up to 20 pounds of force constantly to move objects.
Minimum Qualifications
1. A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
2. Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA); and
3. Three (3) years of experience as a registerednurse.
NYC Health and Hospitals offers a competitive benefits package that includes:
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
Loan Forgiveness Programs for eligible employees
College tuition discounts and professional development opportunities
College Savings Program
Union Benefits for eligible titles
Multiple employee discounts programs
Commuter Benefits Programs
$82k-104k yearly est. 2d ago
Registered Nurse RN
Optum 4.4
Registered nurse case manager job in West Orange, NJ
$15,000 Sign On Bonus Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the RegisteredNurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
Primary Responsibilities:
Clinical Competence
Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals
Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations
Provides required supervisory visits
Documentation and Care Delivery
Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members
Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely
Documents patient visits per policy and payer requirements, and syncs timely per LHC policy
Quality
Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation
Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians
Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence
Teamwork
Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning
Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students
Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes
Participates in on-call and weekend rotation as needed to meet patient needs
Adheres to and participates in the agency's utilization management model
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Current and unrestricted RN licensure in state of practice
1+ years of Home Health experience
Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
Current CPR Certification
Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
Ability to work independently
Solid communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$28.3-50.5 hourly 22h ago
Telephonic Nurse Case Manager - New Jersey
Unitedhealth Group 4.6
Registered nurse case manager job in East Brunswick, NJ
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone CaseManager RN, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!
If you are located within Northern New Jersey territory and willing to travel up to 20% of your time to assigned territory, you will have the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities:
Comprehensive Assessment & Care Planning
Conduct thorough health assessments, including medical history, chronic conditions, behavioral health, and social determinants of health
Develop individualized care plans that address medical, rehabilitation, behavioral health, and social needs
Create personalized interventions that integrate medical treatment, support services, and community resources
Member Engagement, Education & Self-Management
Build and maintain relationships with an established caseload of high-risk members
Provide education to members and caregivers on disease processes, treatment adherence, and lifestyle changes
Encourage self-management strategies that support long-term wellness and reduce complications
Maintain consistent outreach to support adherence to care plans and monitor evolving needs
Intensive Care Coordination
Coordinate services across providers, including PCPs, specialists, hospitals, LTSS, behavioral health, and pharmacy.
Facilitate referrals for home health, hospice, palliative care, and DME
Collaborate with Medical Directors during interdisciplinary rounds to review and align care for complex cases
Discharge Planning & Transitional Care
Support members through transitions of care such as hospitalization, skilled nursing, and rehabilitation
Conduct "welcome home" and follow-up calls to ensure post-discharge services, medications, and follow-up appointments are in place
Deliver intensive outreach during the 30-day post-discharge period to reduce avoidable readmissions and ED utilization
Advocate for safe, coordinated, and timely transitions of care that align with the member's individualized care plan
Field-Based Care Management (20% of Time)
Conduct home and hospital visits in North Jersey as required by program guidelines
Perform in-person assessments and provide care coordination to address high-risk needs and ensure continuity of care
Collaborate directly with providers, facilities, and families during field visits to close care gaps and reinforce the care plan
Monitoring & Clinical Oversight
Monitor members' clinical conditions, care plan progress, and treatment adherence
Reassess care plans regularly and adjust interventions based on changing needs or barriers
Identify red-flag conditions and escalate urgent or complex cases for higher-level review and intervention
Documentation, Compliance & Quality Outcomes
Document all assessments, care plans, interventions, and communications per NCQA, CMS, and state regulatory requirements
Ensure care management services align with DSNP/NCQA standards and contract requirements
Track outcomes tied to quality metrics (HEDIS, STARs), utilization management, and member satisfaction
Maintain audit readiness through timely, accurate, and comprehensive documentation
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Current, unrestricted RN license in New Jersey
2+ years of CaseManagement Experience serving complex, elderly and disabled
Experience with government health programs (Medicaid/Medicare)
Proficient in Microsoft Office Suite; tech-savvy with ability to navigate multiple systems simultaneously
Demonstrated ability to talk and type proficiently at the same time
Access to reliable transportation and the ability to travel up to 20% within assigned territory.
Available for occasional in-person meetings as needed
Preferred Qualifications:
Certified CaseManager (CCM)
Experience working with populations with special needs (DSNP)
Experience with Managed Care Population
Bilingual - English/Spanish
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$28.3-50.5 hourly 20h ago
RN Appeals and Grievances
Talenthub Workforce, Inc.
Registered nurse case manager job in New York, NY
Our client, a large nonprofit hospice and palliative care company is seeking a qualified candidate to join their team. In this role, we are looking for someone who is a RegisteredNurse in the state of New York to work in the appeals and grievances department. This is a fantastic opportunity for a registerednurse to work for a nonprofit healthcare company
Pay $56.00 per hour
The job is a full time role with possibility of conversion in 2026.
4 days remote 1 day onsite
Job responsibilities for the RegisteredNurse:
· Determines types of reconsiderations, redeterminations, action appeals, grievances, and grievance appeal
· Investigation of Provider, Subscriber, Membership and Pharmacy Appeals to include: Reimbursement, Coding, Benefits, Pre-existing Conditions, Prior Approval, Medical Necessity, Precertification, Continued Stay, Reduction, Termination, and Suspension of services.
· Investigate and respond to written and/or verbal appeals and grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS, and DOH regulations.
· Documents all relevant information in the Appeals and Grievances determination process in the appropriate designated areas.
· Tracks departments' compliance with requested action as a component of the Appeals and Grievance and determination process.
· Presents cases to Appeals & Grievances File Review.
· Attend and represent A&G at NYS Fair Hearings/OTDA/ALJ Hearing
Qualifications needed for RegisteredNurse:
· Graduate of accredited nursing program.
· BSN or equivalent experience required.
· 2 years of managed care or hospital-based utilization/ casemanagement experience
· 2 years minimum of clinical experience
· Licensed RegisteredNurse in New York State
· Must be proficient in MS Word, Excel and desktop software knowledge preferred.
$56 hourly 4d ago
ED, Evidence Generation TA Head - Oncology
Novartis Group Companies 4.9
Registered nurse case manager job in East Hanover, NJ
#LI-Remote Novartis has an incredible opportunity for a talented individual to join our team as an Executive Director, Evidence Generation TA Head - Oncology. This leadership role will lead an Evidence Generation TA team supporting Oncology, driving a robust evidence generation and communication plan for priority pipeline and marketed assets in the US. In this role, the EG TA leader will be accountable for leading a team of researchers responsible for executing scientifically robust research including, but not limited to real-world/HEOR studies, economic modeling, patient preference studies and non-interventional studies. The EG leader also be responsible for ensuring the entire US EG teams portfolio of work is reflected in integrated evidence plans. Leads/co-leads development and implementation of Research Collaborations (RCs) for population health initiatives as well as ensures strategic alignment for all US access-related Medical efforts in close collaboration with VEL, Market Access, Medical Directors and other key internal collaborators. Serves as an EG leader seeking to innovate and create an industry leading function in rigor, impact and efficiency.
This position can be based remotely anywhere in the U.S. (there may be some restrictions based on legal entity). Please note that this role would not provide relocation as a result. The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager. This position will require 25% travel.
Job Description
Key Responsibilities:
Value Evidence Development & Execution - Responsible for EG leadership and partnership to develop and lead the implementation of evidence strategies through leadership in the HEOR Oncology. Ensures EG strategy and resulting value story/proposition are strategically aligned, robust, evidence-based, and impactful. Closely collaborates and aligns with Medical Directors, VELs and Market Access across the product portfolio in Oncology, to ensure:
Lead team in efficient execution of cross-functional value-evidence strategies, evidence generation & evidence communication plans throughout product lifecycle for US portfolio while ensuring measurable impact of evidence strategy.
Collaborate / Lead strategy for, development of, submissions to, and interactions with payer groups, key institutions, regulatory authorities, the HEOR scientific community, technology companies and industry, maintaining expert knowledge on industry and policy trends that may impact patient access and reimbursement for US portfolio
Accountable for:
Quality of the integrated value strategies, evidence generation and evidence communications plans
Timely availability of relevant and customized value data
Breath/ depth/ quality of technology partnerships established to enhance evidence and value development
High Performance of the team to advance US value & reimbursement strategies, plans and execution.
Innovation and Change - Drive new approaches to bring value to customers through innovations. Evolve strategy to focus on high impact research and analyses and advance overall EG capabilities in alignment with other EG team leads.
External Thought Leadership and Partnership - Partner with external scientific leaders to drive Evidence Generation strategies. Actively anticipate in shaping the health care environment including key regulatory, reimbursement and value assessment bodies (e.g., FDA, CMS,) as it relates to advancing EG strategies and tactics to address evolving needs. Create strategic advantage and leadership for Novartis with diverse external stakeholders through best-in-class congress participation, workshop participation/presentations, and leadership of scientific/medical exchanges with payers and health systems.
Business Partnering - Effectively partner with internal stakeholders regarding research strategies, tactics and outcomes. Ensure execution of research on skills, comprehensive understanding of Novartis business and medical, commercial and access goals, to translate research methodology to diverse audiences. Ensure diverse medical strategies that support payers, patients and providers.
People and Culture - Lead EG Oncology to attract and develop top talent. Build culture and lead in line with company cultural aspiration - "Unbossed", "Curious", and "Inspired" Ensure all associates are being developed and are building required skills. Provide coaching and feedback to associates to help associates reach top performance.
Operational Excellence - Develop and implement aligned and comprehensive account/system- based plans. Ensure clear tracking and demonstration of business impact of evidence generated. Ensure alignment with all key Novartis functions to optimize the level of support and delivery based on established metrics.
Planning and Budget Management - Lead the EG TA business planning and own managing the assigned TA external budget and operating expenses to optimize impact of investment.
Essential Requirements:
Advanced degree in Health Economics, Public Health, Epidemiology, Health Services Research or related field required (Master's or higher)
PhD, MD or PharmD with focus in Health Economics, Public Health, Epidemiology, Health Services Research or related field preferred
Minimum 8 years of experience in progressively senior roles within Health Economics, Outcomes Research and Market Access in the biotech, pharmaceutical, or healthcare industry
Minimum 3 years people management experience. Proven track record of leading large teams. Experience leading field-based medical organization preferred
Deep knowledge of US Payer environment, evolving trends, and competitive landscape.
Expert knowledge across broad range of research methodology.
Able to develop and deliver communications for external US audiences
Experience with the design of clinical studies with patient centered, clinical and economic endpoints
Able to develop, validate and/or use of Patient Reported Outcome (PRO) measures
Experience with the analysis of US claims and HER databases to assess burden/cost of disease and/or real-world outcomes of treatment
Demonstrated economic or disease model development to assess the value of medical products and predict economic or budget impact
Able to achieve organizational focus on key priorities; delegates and effectively builds talent within an organization through guidance and mentorship.
Able to develop a strategic vision by integrating needs of diverse constituencies, scientific considerations and market knowledge to produce best in class results. Demonstrated creativity and effectiveness in addressing strategic challenges.
Able to transition from strategy to implementation and achieve results. Track record of defining and track key metrics to drive organizational. Demonstrates initiative and a strong desire to succeed.
Novartis Compensation Summary:
The salary for this position is expected to range between $225,400 and $418,600 per year.
The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors.
Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards.
US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves.
EEO Statement:
The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status.
Accessibility and reasonable accommodations
The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or to perform the essential functions of a position, please send an e-mail to or call and let us know the nature of your request and your contact information. Please include the job requisition number in your message.
Salary Range
$225,400.00 - $418,600.00
Skills Desired
Agility, Agility, Cross-Functional Collaboration, Cross-Functional Team Leadership, Customer-Centric Mindset, Data Analysis, Employee Development, External Orientation, Finance, Go-To-Market Strategy, Healthcare Sector Understanding, Health Economics, Health Policy, Health Technology Assessment (HTA), Influencing Skills, Innovation, Inspirational Leadership, Market Access Strategy, People Management, Pharmacoeconomics, Pricing Strategy, Process Management, Product Launches, Real World Evidence (RWE), Regulatory Affairs {+ 11 more}
$115k-161k yearly est. 3d ago
Registered Nurse (RN)
Boldage Pace
Registered nurse case manager job in Lakewood, NJ
RN Positions
AcuteCare Health System is recruiting an RN to join our team in Lakewood, NJ. For years, we have provided high-quality, comprehensive health services to our complex patients, and we are dedicated to giving them wellness while maintaining a strong sense of patient satisfaction.
401(k)+ company matching
Health, Dental, and Life Insurance
Paid Time Off (PTO)
Employee assistance program
Flexible spending account
Tuition reimbursement
Full-Time, Part-Time, per-deim RN position available (Day/Night Shifts) involves working with patients and families at the Specialty Hospital of Central Jersey, where high-acuity post-ICU patients are served.
Day-to-day duties:
Provide nursing care within the scope of practice defined by the Nurse Practice Act and regulatory standards.
Assures safety in practice by maintaining a realization of one's level of knowledge and experience and assuming responsibility for advancing knowledge of self and others of the patient care team by communicating with and utilizing resource persons and programs available
Supervise and direct the delegation of tasks to appropriate team members and collaborate with other patient care providers.
Consistently set and evaluate priorities through appropriate interventions with measurable outcomes toward improvement.
- Utilize the nursing processes to integrate all aspects of the provision of care and individualize the plan of care to address the patient's specific needs.
Competitive Salary
Qualifications:
BA/BS/BSN degree
Current NJ RN Licensure required
National Certification preferred
One year of bedside nursing in an Acute Care or Rehab setting is required
Prior Critical Care experience preferred
BLS required.
ACLS preferred (
must acquire within six months of employment
)
Previous hospital experience is a huge plus!
Effective verbal and written communication skills, with familiarity with the vulnerable individuals and their caretakers
Computer literacy and familiarity with healthcare software platforms
$69k-116k yearly est. 19h ago
Learn more about registered nurse case manager jobs
How much does a registered nurse case manager earn in New Brunswick, NJ?
The average registered nurse case manager in New Brunswick, NJ earns between $58,000 and $140,000 annually. This compares to the national average registered nurse case manager range of $46,000 to $112,000.
Average registered nurse case manager salary in New Brunswick, NJ
$90,000
What are the biggest employers of Registered Nurse Case Managers in New Brunswick, NJ?
The biggest employers of Registered Nurse Case Managers in New Brunswick, NJ are: