- Elevance Health (Woodbridge, NJ)
- …individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of ... required by law._ " The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides… more
- CenterWell (Trenton, NJ)
- …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
- Hunterdon Health Care System (Bridgewater, NJ)
- …Someone, who can develop cooperative bonds with surgeon's offices to achieve maximum utilization of the Center. Must pay attention to details, so that through the ... scheduling process, utilization of staff, equipment, and available time are maximized....ability to resolve problems (if dealing with a difficult case ). May be delegated additional responsibilities or special assignments… more
- Deloitte (Morristown, NJ)
- …CDIP, CCM) + Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review, ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other… more
- Prime Healthcare (Dover, NJ)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Plan. Qualifications Education and Work Experience + Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions,… more
- Lumen (Trenton, NJ)
- …and track improvements in technologies and processes. + Analyze system utilization statistics to identify performance bottlenecks and recommend enhancements for ... update, and adhere to corporate and team-level processes, including change and outage management protocols. **What We Look For in a Candidate** + Bachelor's degree… more
- Elevance Health (Morristown, NJ)
- …years of managed care experience preferred. + Consulting experience preferred. + Utilization management experience preferred. + Master's Degree preferred. (MBA, ... providers to discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- Cordis (NJ)
- …and works in partnership with the Territory Manager and Associate Territory Manager to achieve daily sales objectives through case support and product ... Responsible for direct revenue generation (transactional Business) through direct case support. Reports to National Clinical Sales Director. **Responsibilities** +… more
- SitusAMC (Trenton, NJ)
- …automation to streamline repetitive tasks and improve overall efficiency. + **Resource Management ** + Manage resource allocation, ensuring that team members have the ... and address potential resource constraints or bottlenecks. + Report on resource utilization and manage capacity for the team. + **Project Planning and Coordination**… more
- Elevance Health (Trenton, NJ)
- …the direction/supervision of an RN, with overall responsibility for the member's case . As required by applicable state law and contract, the Clinician contributes ... or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social… more