Top 5065 Care manager Jobs in Millstone, Nj

Clinical Care Associate
Horizon Blue Cross Blue Shield of New Jersey —Hopewell, NJ
- $56,200 - $75,285 a year
- Full-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
2d
Family Case Manager - CARE (G)
Somerset County NJ —Bridgewater, NJ
- $55,000 - $70,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Paid holidays
- Health insurance
13d
Healthcare Quality Analyst
Horizon Blue Cross Blue Shield of New Jersey —Hopewell, NJ
- $97,800 - $133,455 a year
- Full-time
- 5 years
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
PALLIATIVE CARE / HOSPICE CARE RN - FULL-TIME
WILF CAMPUS FOR SENIOR LIVING —Somerset, NJ
- $90,000 - $96,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Manager Utilization Review - FT - Day - Utilization Resource Mgmt Trenton NJ
Capital Health —Trenton, NJ
- $97,947.20 - $127,982.40 a year
- 8 hour shift
- Nursing
- RN License
- Bachelor of Science
- AD&D insurance
- Disability insurance
Clinical Leader/Assistant Nurse Manager RN (Med/Surg 4N) - Nights
CentraState Healthcare System —Freehold, NJ
- $107,250 - $182,330 a year
- Full-time
- Acute care
- CPR Certification
- Nursing
- 403(b) matching
- AD&D insurance
Mechanic - A Tech / B Tech
Custom Landscaping and Lawn Care —Township of Monroe, NJ
- $30 - $40 an hour
- Full-time
- CDL B
- ASE Certification
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Board Certified Behavior Analyst BCBA
The Uncommon Thread —Morris County, NJ
- $70 - $90 an hour
- Part-time
- Experience working with individuals with developmental disabilities
- HIPAA
- Mid-level
- Continuing education credits
- Health insurance
Quick Apply
RN Care Manager – Program Evaluation (MED-25-00002)
Catholic Charities - Diocese of Trenton —Trenton, NJ
- $80,000 a year
- Full-time
- Bilingual
- Background check
- CPR Certification
- Health insurance
- Dental insurance
Quick Apply
Per Diem Registered Nurse
Zenith Home Care Agency —Middlesex County, NJ
- $45 - $55 an hour
- Weekends as needed
- Background check
- Vital signs
- RN License
- 401(k)
Quick Apply
Per Diem Orthopedic Home Physical Therapist - Morris County
JAG Physical Therapy —Morristown, NJ
- $70 an hour
- Part-time
- CPR Certification
- Doctoral degree
- Computer literacy
- Continuing education credits
Quick Apply
PHYSICAL THERAPY ASSISTANT PER DIEM
Fellowship Village —Basking Ridge, NJ
- $32.09 - $40.00 an hour
- Weekends as needed
- Physical & Rehabilitation Medicine
- Mid-level
- In-person
Quick Apply
Clinical Leader/Assistant Nurse Manager RN (Med/Surg 3N) - NIGHTS
CentraState Healthcare System —Freehold, NJ
- $107,250 - $182,330 a year
- Full-time
- Acute care
- CPR Certification
- Nursing
- 403(b) matching
- AD&D insurance
$10K SIGN ON BONUS* Registered Nurse Flex - Central Resource Office - HPW - FT - Night
Capital Health —Pennington, NJ
- $43.90 - $59.69 an hour
- 8 hour shift
- Nursing
- Surgery
- RN License
- AD&D insurance
- Disability insurance
RN / Day Shift Nursing Supervisor
Reformed Church Home —Old Bridge, NJ
- From $100,000 a year
- 8 hour shift
- Background check
- Skilled nursing facility
- RN License
Quick Apply
Physical Therapist at Home - Per Diem
JAG Physical Therapy —Bridgewater, NJ
- $70 an hour
- Part-time
- CPR Certification
- Doctoral degree
- Computer literacy
- Continuing education credits
Quick Apply
RN, FULL TIME 11:00PM - 7:00AM
Reformed Church Home —Old Bridge, NJ
- From $43 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- 403(b) matching
- Paid holidays
Quick Apply
Orthopedic At Home Physical Therapist - (Middlesex/Mercer County)
JAG Physical Therapy —New Brunswick, NJ
- $70 an hour
- Part-time
- CPR Certification
- Doctoral degree
- Computer literacy
- Continuing education credits
Quick Apply
Occup Therapy Asst Per Diem - Hopewell
Capital Health —Pennington, NJ
- $27.05 - $35.15 an hour
- 8 hour shift
- Hospital
- BLS Certification
- Inpatient
- Disability insurance
- Health insurance
Admissions Director
Confidential —Middlesex, NJ
- Full-time
- CRM software
- Management
- Nursing home
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for care manager in millstone, nj

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

care manager jobs near millstone, nj

Clinical Care Associate

Horizon Blue Cross Blue Shield of New Jersey -
Hopewell, NJ

Apply Now

Job Details

Full-time
$56,200 - $75,285 a year
2 days ago

Benefits

Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Volunteer time off
Retirement plan

Qualifications

Microsoft Excel
Electronic health records (EHR) management
Presentations for conferences or internal meetings
High school diploma or GED
Conflict management
Productivity software
Managing patient records
HEDIS

Full Job Description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

About the Role

This position is accountable for providing support to the field based Care Managers (RN II and Care Specialist III). In addition, Clinical Care Associates serve as the first point of contact for our members looking for service and/or provider information as well as members or providers requesting authorizations and denials of services. This position coordinates and secures health care services required as part of a member centric plan of care, under the direction and supervision of the Care Manager.

What You'll Do

Assist with scheduling and coordination of service needs identified in the members Plan of Care. The Clinical Care Associate works with the member to find health care professionals, locate and coordinate health and safety services, schedule appointments and services and provide authorizations and if appropriate, complete denials for care services.
Assist with all aspects of the implementation and facilitation of services.
Ensure timely member follow up. Interacts and communicates effectively with the member during telephonic contact.
Encourages member participation and compliance in the program.
Assist with placing calls to members. Coordinates the delivery of high quality, cost-effective care based on the members- needs and the managed long term support and services model supported by clinical practice guidelines established by the plan.
Interacts with the CM member/family, physician and healthcare team. Utilizes the care management process to set priorities, plan, organize, and implement interventions that are goal directed.
Utilizes care management process for goal directed member care.
Provides member with educational information to support their health and well-being.
Documents accurately and comprehensively based on the standards of practice and current organization policies.
Provides telephonic assistance for activities specific to the program. Troubleshoots and resolve issues for members as well as the field staff they support.
Professionally and adequately respond to queries from member and provider calls that are received CCA phone queue.
Mails required documents to members as well as upload returned documents into the medical management system, to meet contractual requirements.

What You Bring

Education/Experience:

High School Diploma/GED required.
Prefers healthcare industry experience.
Prefers a minimum of one (1) year experience in home care, discharge planning, or case management. Preferably with the elderly frail population.
Prefer a minimum of one (1) year experience in the managed care industry.

Knowledge:

Requires knowledge of the standards of practice for care managers, coordination of services, and delivery of services.
Requires strong knowledge of managed care principles and concepts including Health Plan Effectiveness Data and Information Sheet (HEDIS).

Skills and Abilities:

Requires strong organizational skills.
Requires strong oral and written communication skills.
Requires good PC skills, knowledge of working with a Medical Management system for electronic medical records and the ability to utilize Microsoft Office applications (Excel, Access, Word, etc.)
Requires good problem solving and conflict resolution skills.
Requires good presentation skills.
Requires ability to work with limited daily supervision.

Why Horizon?

At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!

Salary Range:

$56,200 - $75,285

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement

Disclaimer:

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Apply Now

Refine Your Search

care manager jobs in millstone, nj

Clinical Care Associate

Family Case Manager - CARE (G)

Healthcare Quality Analyst

PALLIATIVE CARE / HOSPICE CARE RN - FULL-TIME

Manager Utilization Review - FT - Day - Utilization Resource Mgmt Trenton NJ

Clinical Leader/Assistant Nurse Manager RN (Med/Surg 4N) - Nights

Mechanic - A Tech / B Tech

Board Certified Behavior Analyst BCBA

RN Care Manager – Program Evaluation (MED-25-00002)

Per Diem Registered Nurse

Per Diem Orthopedic Home Physical Therapist - Morris County

PHYSICAL THERAPY ASSISTANT PER DIEM

Clinical Leader/Assistant Nurse Manager RN (Med/Surg 3N) - NIGHTS

$10K SIGN ON BONUS* Registered Nurse Flex - Central Resource Office - HPW - FT - Night

RN / Day Shift Nursing Supervisor

Physical Therapist at Home - Per Diem

RN, FULL TIME 11:00PM - 7:00AM

Orthopedic At Home Physical Therapist - (Middlesex/Mercer County)

Occup Therapy Asst Per Diem - Hopewell

Admissions Director

I want to receive the latest job alert for care manager in millstone, nj

Related Searches

Explore jobs in more locations

Education/Experience:

Knowledge:

Skills and Abilities:

Job Seeker Tools

Employer Tools

Browse

Stay Connected