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Managed Care Pharmacist jobs in Passaic, NJ

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STAFF UTILIZATION MANAGEMENT PHARMACIST (CONTRACT)

Bachelor's degree/Pharm.D. Must have an active license with the Board of Pharmacy in the state of residence. Pharmacy degree from an accredited college of pharmacy. Ability to participate in Federal prescription programs (Medicare...

CompanyYork State Department Of Labor
AddressNew York, NY
CategoryHealthcare
Date Posted 19 hours ago See detail

Staff Utilization Management Pharmacist (Contract) New

York State Department Of Labor

New York, NY

Bachelor's degree/Pharm.D. Must have an active license with the Board of Pharmacy in the state of residence. Pharmacy degree from an accredited college of pharmacy. Ability to participate in Federal prescription programs (Medicare...

19 hours ago seen See more...

RN Care Coordinator, Utilization Management -Per diem - Days New

Hackensack Meridian Health

Hackensack, NJ

$81.2K - $103K a year

BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position. Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills. Excellent...

7 hours ago seen See more...

Palliative Care Nurse Practitioner Manager (NP)

Tandym Health

New York, NY

Manage a cohort of participants with complex care need including frailty, multiple chronic illnesses and end of life care. Review and include the most appropriate diagnosis codes, in addition to correct billing and procedure codes...

2 days ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

Bronx, NY

$65,000 - $68,900 a year

Must be able to understand Managed Care contracts, create project spreadsheets for submission to payers, write reconsideration appeals and send to MCOs, and be able to communicate both internally and externally for resolution of c...

7 days ago seen See more...

General Manager - Truck Care

York State Department Of Labor

New York, NY

Medical/Dental/Vision and Life Insurance Plans. Flexible Scheduling. Road to Success Program for career development. On-the-job training. Competitive Salary. Quarterly Bonus. Profit-Sharing. Holiday pay. 401(k) with matching contr...

a week ago seen See more...

Clinical Care Manager RN - New York, United States - VNS Health

Vns Health

New York, NY

Attractive sign-on bonus and referral bonus opportunities. Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life...

2 weeks ago seen See more...

Med Care Manager - Now Hiring

Sunrise Senior Living

Cresskill, NJ

Provides the highest degree of quality care and services by administering medication and treatments in a safe organized manner. Reviews, reads, notates, and initializes Daily Log to document and learn about pertinent information a...

3 weeks ago seen See more...

Care Management Associate I

Metroplus Health Plan

New York, NY

United States, New York, New York

Receive service requests from providers and members via facsimile, provider portal, phone, and mail. Receive in-coming calls, address the caller's needs (providers and members) and/or offer clarification on questions or concerns a...

3 weeks ago seen See more...

Care Manager (PCS)

Metroplus Health Plan

New York, NY

United States, New York, New York

Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies...

3 weeks ago seen See more...

HARP Care Manager (with additional $10,000 field differential)

Metroplus Health Plan

New York, NY

United States, New York, New York

Clinically assess members for acute behavioral and physical health needs. Generating referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement. Conduct Utilizatio...

3 weeks ago seen See more...

Nurse Care Manager-Worcester County

Point32Health, Inc.

Jersey City, NJ

Perform assessment and/or care management interventions for the referred and identified population. Ability to travel frequently to members homes, hospitals, PCP office practices and other sites where patients receive care. Provi...

3 weeks ago seen See more...

RN Care Manager - Public Plans

Point32Health, Inc.

Jersey City, NJ

Perform assessment and/or care management interventions for the referred and identified population. Provide targeted health education to the enrollee, and their family members/caregivers about available benefits, community resourc...

3 weeks ago seen See more...

Care Manager - Family Scatter Site Apartments

Jericho Project

Bronx, NY

$48,000 - $50,000 a year

Dental insurance. Employee assistance program. Employee discount. Health insurance. Paid time off. Retirement plan. Vision insurance. 8 hour shift. Bachelor's (Required). case management: 2 years (Required). working with individua...

3 weeks ago seen See more...

Case Manager/Care Coordinator

Volunteers Of America Greater New York

New York, NY

life insurance, paid time off, retirement plan

The position requires a minimum of 60 college credits (BA preferred) plus two years of relevant work experience. . Familiarity with homelessness, mental health and/or substance abuse population required.. The position also require...

4 weeks ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

New York, NY

Must be able to understand Managed Care contracts, create project spreadsheets forsubmission to payers, write reconsideration appeals and send to MCOs, and be able tocommunicate both internally and externally for resolution of c...

a month ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

New York, NY

Must be able to understand Managed Care contracts, create project spreadsheets for submission to payers, write reconsideration appeals and send to MCOs, and be able to communicate both internally and externally for resolution of c...

2 months ago seen See more...

Remote Complex Care Manager - High Risk Maternity

Healthfirst

New York, NY

$55.6K - $70.4K a year

Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention, including addressing the social determinant...

4 weeks ago seen See more...

Health Navigator/Care Coordinator (Care Management Services) Non-BA

Acmh, Inc.

New York, NY

$45,855 a year

Develops rapport with clients in order to engage them in improving their health and wellness. Administers standardized health and psychosocial risk screenings according to Health Home protocols and timeframes. Utilizes health scre...

4 weeks ago seen See more...

Managed Care Analyst

Teva Pharmaceuticals

Parsippany, NJ

The Managed Care Rebate Analyst must interpret contract language and input and maintain plans, products, and rebate programs in the Model N/Flex System. This position must have a thorough understanding of PBM networks and contract...

4 weeks ago seen See more...

Managed Care Analyst III

Teva Pharmaceuticals

Parsippany, NJ

Using critical thinking skills and data analytics, the incumbent will complete complex investigational audit reviews, identify risks and compliance issues and present findings both verbally and in writing to key internal and exter...

a month ago seen See more...

Assistant General Counsel - Managed Care Reimbursement

Prime Healthcare Management Inc

Denville, NJ

A law degree from an ABA accredited law school. A license to practice law. At least 7 years of experience, preferably at a reputable law firm or in-house legal department. Exceptional written and verbal communication skills. Subst...

2 months ago seen See more...

Assistant General Counsel - Managed Care Reimbursement

Prime Healthcare

Denville, NJ

A law degree from an ABA accredited law school. A license to practice law. At least 7 years of experience, preferably at a reputable law firm or in-house legal department. Exceptional written and verbal communication skills. Subst...

2 months ago seen See more...

Server/Dining Room Care Manager - Now Hiring

Sunrise Senior Living

Fairfield, NJ

MUST work Holidays and Weekends. Full Time and Part time positions Available....

a month ago seen See more...

Before and After School Child Care Program Manager-Fort Lee, NJ

Right At School

Fort Lee, NJ

Deliver quality enrichment programs for children using our internally crafted Disguised Learning curriculum. Develop and coach a team who are passionate about providing a safe, fun, engaging environment. Work closely with princi...

2 months ago seen See more...

Manager Clinical Practice-Home Care-Infusion-Lodi, NJ-FT - Now Hiring

Hackensack Meridian Health

Fort Lee, NJ

Oversee the development and implementation of the physicians plan of treatment. Assure services are in compliance with physician orders. Assure plan of treatment is received within regulatory time frames and re-certifications ar...

2 months ago seen See more...

Care Manager - New York, United States - VNS Health

Vns Health

New York, NY

Referral bonus opportunities . Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability . Employer-m...

4 weeks ago seen See more...

Registered Nurse, Care Manager, Day Shift [on site position]

Nyu Langone Health

New York, NY

$111,899.99 - $119,000.00 per year

Identifies cases that require peer review in accordance with the clinical indicators and criteria developed by the clinical department. Identifies trends in care, processes or services that may provide opportunities for improvemen...

a month ago seen See more...

Assistant Manager Patient Care

Pix11

New York, NY

The Assistant Manager Patient Care supports the nurse manager's implementation of the strategic plan by effective communication with all team members. The Assistant Manager is actively involved in the interviewing, hiring, couchin...

a month ago seen See more...

Care Manager

Pix11

New York, NY

Works under general direction.Compensation:$23.17 - $28.96 Hourly Utilizes approved assessments to identify clients/members needs and develop initial and ongoing clinical plan of care. Works with clients/members, Peer Specialist,...

a month ago seen See more...

Manager, Customer Care North

Liberty Coca-Cola Bev Llc

New York, NY

Drive and execute on Libertys Cold Drink Strategy. Design and develop field support structure within the area of responsibility. Execute methodologies to prioritize service calls. Assign and manage area of responsibility. Develop...

a month ago seen See more...

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Top Jobs in Passaic County, NJ

Registered Nurse, Mortgage Customer Service, Automotive Service Technician, Behavior Technician, Medical Assistant, Licensed Practical Nurse, Medical Office Assistant, Managed Care Pharmacist, Nurse Assistant, Registered Dental Assistant, Float Medical Assistant,

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