- J&J Family of Companies (New Brunswick, NJ)
- …Learn more at https://www.jnj.com/medtech Johnson & Johnson MedTech Surgery is hiring a Manager , Epidemiology and Real-World Data Sciences to join our team and grow ... options in the US may be considered on a case -by- case basis and if approved by the...patterns, patient journeys, safety and effectiveness of devices using clinical and surrogate endpoints, or benefit-risk questions for specific… more
- Virtua Health (Mount Holly, NJ)
- …effectively to meet patient needs, monitors the length of stay and promotes efficient utilization of resources. Acts as a clinical expert and maintains ongoing ... and complete documentation of individual plan of care in EMR and case management documentation system.* Metrics - Accountable to job specific goals, objectives… more
- Virtua Health (Mount Holly, NJ)
- …effectively to meet patient needs, monitors the length of stay and promotes efficient utilization of resources. Acts as a clinical expert and maintains ongoing ... and complete documentation of individual plan of care in EMR and case management documentation system. Metrics- Accountable to job specific goals, objectives and… more
- Virtua Health (Moorestown, NJ)
- …with assigned practice(s) Lead Physicians, directs and coordinates administrative and clinical services for assigned practice(s) as part of the dyad leadership ... appropriate action to foster improvement. Monitors clinician schedule flow, utilization and adjustments including daily monitoring of capacity. Maintain...lieu of a degree may be considered on a case by case basis. Annual Salary: $65,000… more
- NJM Insurance (Parsippany, NJ)
- …in clinical nursing (Med-Surg or Critical Care preferred), Utilization Management Review/Hospital concurrent reviews, and/or Case Management preferred. ... modify, or overturn prior decisions. + Conduct Inpatient Care utilization review using NJM and evidence-based clinical ...of Science and Nursing (BSN) is preferred. + Certified Case Manager (CCM) beneficial + 3 years… more
- Evolent (Trenton, NJ)
- …and staff whenever a physician`s input is needed or required. Responsible for clinical audits for quality and education regarding the results and monitoring for ... Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process.… more
- Prime Therapeutics (Trenton, NJ)
- …for drug infusion services versus the hospital outpatient facility.Discusses financial and clinical considerations with members who are considering care at a higher ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...these cases in web-based application and spreadsheets. + Supports clinical services such as the appeals program. + Participates… more
- Elevance Health (Woodbridge, NJ)
- …The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's… more
- Elevance Health (Morristown, NJ)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Atlantic Health System (Morristown, NJ)
- …the patient experience, achieve better health outcomes, decrease avoidable cost and utilization , and increase the utilization of preventative care and healthy ... health workers through education, training and one to one case oversight. Annually participate in a minimum of 3...area. Job Function: 06. Other tasks as required by manager , director, or leadership. Education Master's Degree in Social… more