- BriteLife Recovery (Englewood, NJ)
- …we need from you? + Minimum of 2-3 years of experience in utilization review, case management , or insurance coordination in a behavioral health or substance use ... outcomes in the EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up-to-date clinical information… more
- Elevance Health (Woodbridge, NJ)
- …Concentration preferred. **Preferred skills, qualifications and experiences:** + Certified Case Manager Certification preferred + Utilization management ... as required by law. The **Mgr I Health Care Management Services** is responsible for managing a team of...a difference:** + Manages and oversees team responsible in case finding and coordinating cases that involve comorbid conditions.… more
- CVS Health (Trenton, NJ)
- …TOC team will review prior claims to address potential impact on current case management and eligibility status. Focus assessments and/or questionnaires are ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the… more
- RWJBarnabas Health (Oceanport, NJ)
- …entered by affiliate staff for accuracy and completeness. Communicates the need for Case Management review to the RWJBarnabas facilities when appropriate. + ... sustain an excellent organizational average accuracy rate. Adherance to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set… more
- Atlantic Health System (Summit, NJ)
- …+ Will consider APN with critical care RN experience on a case -by- case basis + Experience in ventilation management and medical ICU is a plus ID: ... largest non-profit healthcare networks, is seeking an Advanced Practice Professional ( Nurse Practitioner or Physician Assistant) to join the Department of Medicine… more
- RWJBarnabas Health (Oceanport, NJ)
- …entered by affiliate staff for accuracy and completeness. Communicates the need for Case Management review to the RWJBarnabas facilities when appropriate. + ... sustain an excellent organizational average accuracy rate. Adherence to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set… more
- Atlantic Health System (Summit, NJ)
- …as directed by the physician and under the direct supervision of an RN . N/A for endoscope reprocessing only technicians. Job Function: 03. Maintains a professional ... external sources and departments. Seeks guidance from peers and management whenever needed. Receptive to change and constructive feedback....Physician. Sets up the procedure room prior to the case , properly tests the scope before the case… more
- Atlantic Health System (Morristown, NJ)
- …as directed by the physician and under the direct supervision of an RN . N/A for endoscope reprocessing only technicians. Job Function: 03. Maintains a professional ... external sources and departments. Seeks guidance from peers and management whenever needed. Receptive to change and constructive feedback....Physician. Sets up the procedure room prior to the case , properly tests the scope before the case… more
- MTC (Edison, NJ)
- …Provide students with basic direction, in compliance with government and management directives. **Essential functions:** 1. Provide assistance in the projection, ... CIS as well as other systems of documentation. Enter case notes into the CIS systems as required and...Prepare related reports. **Education and Experience Requirements:** + Valid RN license that is active, current and in good… more
- J&J Family of Companies (New Brunswick, NJ)
- …relationships with identified OLs and health care providers (MD, PA, NP, RN , Pharm.D., biocoordinators) and developing and managing a geographical territory. These ... their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr....PharmD, PhD, MD, or other advanced medical degree NP ( Nurse Practitioner), PA (Physician Assistant), with +3 years relevant… more