- Sharecare (Trenton, NJ)
- …to Clinical Advocates ( Nurse ) for conditions that require clinical care and case management assistance + Primary duties include but are not limited to: ... during the training period will be evaluated on a case by case basis and must be...plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical,… more
- Travelers Insurance Company (Morristown, NJ)
- …process, relevant case and statutory law and expert + litigation management skills preferred. + Extensive claim and/or legal experience and technical expertise ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Travelers Insurance Company (Morristown, NJ)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills preferred. + ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Hackensack Meridian Health (Wall, NJ)
- …information and plan of care is communicated in a timely manner to primary nurse and appropriate team members. Conduct case conferences throughout care and ... + Report patient care problems, along with possible solutions, to primary care nurse or appropriate social work management personnel. Communicate with supervisor… more
- Atlantic Health System (Summit, NJ)
- …is preferred + Will consider APN with critical care RN experience on a case -by- case basis + Experience in ventilation management and medical ICU is a plus ... largest non-profit healthcare networks, is seeking an Advanced Practice Professional ( Nurse Practitioner or Physician Assistant) to join the Department of Medicine… more
- Travelers Insurance Company (Morristown, NJ)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills preferred. + ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Immigration and Customs Enforcement (Elizabeth, NJ)
- …dental, and mental health care, and public health services. IHSC provides medical case management and oversight for an additional 22,600 detainees housed at ... accreditation standards, laws, and regulations. Collaborates with the Clinical Director and Nurse Manager, as a function of the Triad of leadership, to establish… more
- Centene Corporation (Trenton, NJ)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... and National Committee for Quality Assurance (NCQA) standards. + Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable… more
- Hackensack Meridian Health (Red Bank, NJ)
- …with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ... admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with patient status.… more
- Hunterdon Health Care System (Flemington, NJ)
- …seeking a Full Time Radiographer. Under the guidance and supervision of the Registered Nurse , participates as a member of the OR team in planning, preparing and ... the employee will work on the computer to update AMKAI operating system, perform case logging, filing, assist in CPD and pre-op areas, facilitate case flow… more