Top 10740 Care manager Jobs in Plainfield Nj

Care Specialist (NYCE) - Remote
EmblemHealth —New York, NY
- $39,960 - $70,200 a year
- Weekends as needed
- Remote
- Microsoft Outlook
- Research
- Mid-level
Pharmacy Med Pre-Auth Coordinator
University HealthCare Alliance —Newark, NJ
- $29.56 - $37.69 an hour
- Full-time
- Remote
- Medical office experience
- Basic math
- HIPAA
10d
Care Manager
Sunrise Senior Living —Edison, NJ
- $18.92 - $23.65 an hour
- Full-time
- 18 years or older
- High school diploma or GED
- Communication skills
- Paid training
- Paid holidays
CASE MANAGER
Callen-Lorde Community Health Center —New York, NY
- $28 an hour
- Full-time
- Hybrid work
- Customer service
- Mid-level
- High school diploma or GED
- Commuter assistance
- Disability insurance
Quick Apply
Community Coordinator
Rutgers University —Monmouth Junction, NJ
- $29.16 an hour
- Weekends as needed
- Computer literacy
- Mid-level
- Office
- Paid holidays
- Dental insurance
Care Manager
Partnership for Children of Essex —Bloomfield, NJ
- $55,440 - $60,440 a year
- On call
- Hybrid work
- Spanish
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
11d
Administrative Assistant
Rutgers University —Newark, NJ
- $29.67 an hour
- Full-time
- Microsoft Access
- Office
- University
- Paid holidays
- Dental insurance
Part Time Recovery Peer Support (Case Manager)
GUARDIAN RECOVERY NETWORK HOLDINGS LLC —Montclair, NJ
- $40 - $50 an hour
- Part-time
- Background check
- Addiction Medicine
- Pass drug screening
- Opportunities for advancement
Quick Apply
Parts Customer Care Manager - Piscataway, NJ
Foley Inc —Piscataway, NJ
- $90,000 - $100,000 a year
- Full-time
- 5 years
- High school diploma or GED
- Supervising experience
Quick Apply
EH&S Manager
Elements Solutions Inc —Piscataway, NJ
- $109,000 - $164,000 a year
- Continuous improvement
- Training & development
- Senior level
- Wellness program
- Paid parental leave
Housing Case Manager--PT
Legacy Empowerment Services —Edison, NJ
- From $26 an hour
- Part-time
- Spanish
- Experience working with individuals with disabilities
- English
Quick Apply
Clinic Services Rep I
Rutgers University —Newark, NJ
- $28.47 an hour
- Full-time
- Microsoft Word
- Dental office
- Computer literacy
- Paid holidays
- Dental insurance
Assistant Manager, Care Coordination
Kibo Care Inc. —New York, NY
- $96,720 - $132,750 a year
- Full-time
- Hybrid work
- Spanish
- Medical office experience
- Mid-level
- Health savings account
- Relocation assistance
Quick Apply
Senior Care Coordination Specialist
Rutgers University —Newark, NJ
- $84,829 a year
- Full-time
- Spanish
- Addiction Medicine
- Computer literacy
- Paid holidays
- Dental insurance
10d
Non-Clinical Case Manager (Patient Support Program) FTC
Atlantis Health —Summit, NJ
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Vision insurance
Quick Apply
Employee Relations Specialist
RWJBarnabas Health Corporate Services —West Orange, NJ
- $91,472 - $129,204 a year
- Full-time
- Hybrid work
- 5 years
- Bachelor of Science
- Writing skills
- Paid parental leave
- Paid holidays
Executive Assistant, FT - Inpatient Rehab
Kessler Institute for Rehabilitation - Welkind (Chester) —Chester, NJ
- $27.18 - $38.46 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Clinical Services Representative I
Rutgers University —New Brunswick, NJ
- $28.47 an hour
- Full-time
- Surgery
- Customer service
- Medical office experience
- Paid holidays
- Dental insurance
8d
DSNP Care Coordinator
Healthfirst —New York, NY
- $48,600 - $65,960 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Associate's degree
- Health insurance
- Dental insurance
8d
Group Home Coordinator
APluscare LLC —Piscataway, NJ
- $68,800 - $75,000 a year
- Full-time
- 18 years or older
- Experience working with individuals with developmental disabilities
- Management
- Health insurance
- Dental insurance
Quick Apply

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care manager jobs near plainfield nj

Care Specialist (NYCE) - Remote

EmblemHealth -
New York, NY

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Job Details

$39,960 - $70,200 a year

Qualifications

Clinical data entry
Medical terminology
Quality data entry
Customer data entry

Full Job Description

Summary of Position

Responsible for the execution of the non-clinical aspects of the Care Management process. Ensure information is appropriately entered in the system to effectively execute member care plans, originate authorizations, request clinical information, perform case research, and essentially execute all behind the scenes desk-level procedures of a case. Work seamlessly with the Care Specialists, Care Managers and Social Workers (and other clinical staff) to ensure everything that a participant needs to tend to their health is addressed.Provide confidential administrative support and assistance to the department and support the department in all aspects of daily project operations.Assist the entire Care Management interdisciplinary team in managing members with Care Management needs.Provide telephonic outreach to members that have been identified for care management and ensure members’ needs are supported throughout the duration of member enrollment to the program, by completing screenings with members, coordinating with Care Manager on members’ care plan, making appropriate referrals to the interdisciplinary care team, coordinating post-acute services on behalf of members, assisting with community resource needs and more. Provide services per the NYCE contract.

Principal Accountabilities

Work collaboratively, as a critical component of the Medical Management team, to facilitate all clerical and administrative processes and activities.
Perform accurate and timely intake and data entry for all Care Management requests and referrals for all lines of business, upon receipt of inbound requests, via call, fax and web portal, in accordance with departmental policy and regulatory requirements.
Perform member telephonic outreach for program enrollment with the goal of retaining members in the Care Management Program.
Triage cases and assign receipts to appropriate teams.
Communicate and/or respond to inquiries from providers, facilities and members.
Initiate completion of member and provider correspondence and verbal outreach according to departmental guidelines.
Enter and maintain documentation in electronic record, meeting defined timeframes and performance standards.
Provide phone queue management for both incoming and outgoing calls.
Perform other related projects and duties as assigned.
Under the direction of a Care Manager, manage caseload and update care plans for low and moderate risk members in collaboration with the clinical team.
Support care interventions including making doctor’s appointments, health coaching, referrals to internal and external resources, assist with transportation issues.
Leverage motivational interviewing skills and a member-centric approach to identify members’ needs, prioritize and support care plan.
Perform a wide range of research and educational outreach activities to encourage healthy behaviors, such as outreaching to identified members who need a primary care provider or who may have gaps in care related to recommended tests or provider visits and facilitate gap closure and receipt of evidence-based care.
Adhere to processes for collecting member-specific clinical and demographic data from providers and other entities as required by clinical staff.
Support communication and coordination with delegated entities, as necessary.
Coordinate directly with community-based organizations and agencies to identify available and/or alternative resources for a wide range of concerns, including home safety, financial assistance, caregiver support and transition assistance.
Actively participate in assigned committees and projects.
Additional tasks and duties as required.
Required to work weekends, nights and holiday as necessary.

Qualifications

Bachelor’s Degree
Medical Assistant certification preferred
1 – 2+ years of previous client-facing or data entry experience in a health care environment
Additional experience/certifications/training may be considered in lieu of educational requirements
Strong verbal, written and interpersonal communication skills
Ability to work both independently and collaboratively with others
Previous system user experience in a highly electronic environment
Proficiency in MS Office (Word, Excel, Powerpoint, Teams, Outlook, etc.)
Knowledge of medical terminology and medical payment
Ability to prioritize multiple tasks
Ability and willingness to work a flexible schedule including weekends, nights, and holidays as needed

Additional Information

Requisition ID: 1000003210
Hiring Range: $39,960-$70,200

Apply Now

Refine Your Search

care manager jobs in plainfield nj

Care Specialist (NYCE) - Remote

Pharmacy Med Pre-Auth Coordinator

Care Manager

CASE MANAGER

Community Coordinator

Care Manager

Administrative Assistant

Part Time Recovery Peer Support (Case Manager)

Parts Customer Care Manager - Piscataway, NJ

EH&S Manager

Housing Case Manager--PT

Clinic Services Rep I

Assistant Manager, Care Coordination

Senior Care Coordination Specialist

Non-Clinical Case Manager (Patient Support Program) FTC

Employee Relations Specialist

Executive Assistant, FT - Inpatient Rehab

Clinical Services Representative I

DSNP Care Coordinator

Group Home Coordinator

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