- NJM Insurance (Trenton, NJ)
- …care nursing experience (Med-Surg or Critical Care preferred), Utilization Management Review /Hospital concurrent reviews, and/or Workers' Comp Case Management + ... regulatory, licensing requirements, and NJM policies/guidelines that affect utilization review , case management, and medical management. + Attend on-site visits… more
- Centene Corporation (Trenton, NJ)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more
- Penn Medicine (Plainsboro, NJ)
- …resource to less experienced staff.Communicates relevant clinical information, including admission review , concurrent review , and discharge planning needs, ... to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means… more