- Hackensack Meridian Health (Belle Mead, NJ)
- …Preferred: + Knowledge of evidence-based criteria, utilization review, discharge planning and case management . Licenses and Certifications Required: + NJ State ... and assure continuity of care. Report pertinent information to management and administration. They provide supervision of staff in...Abilities Required: + A minimum of an associate in Nursing or diploma of Nursing degree +… more
- Elevance Health (Hackensack, NJ)
- …individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of ... Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope...the scope of licensure; provides supervision and direction to non -RN clinicians participating in the member's case … 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 ... New Jersey (NIGHTS) Atlantic Health System, one of New Jersey's largest non -profit healthcare networks, is seeking an Advanced Practice Professional ( Nurse … more
- Sharecare (Trenton, NJ)
- …CareFirst in a variety of areas such as integration activities, audits, and case management in collaboration with the Director. + Provide clinical/coaching ... required; Compact state preferred + Bachelor's degree preferred + 5+ years' experience in Care/ Case Management + NCQA experience preferred + Certified Case … more
- Hackensack Meridian Health (Wall, NJ)
- …and re-certifications are timely, complete, and accurate. + Conduct regular case conferences/team meetings with staff. Keep staff informed. Perform supervisory ... staff (eg educational, training, reinforcements). Support staff's understanding of nursing standards, regulatory policies and organization policies. Assure staff are… more
- Atlantic Health System (Morristown, NJ)
- …+ Assist supervisors with preference cards, staff scheduling assignments, surgical case management and vendor communication. Education/Experience: + High School ... + Maintains correct count of sponges, needles, and instruments with circulating nurse and report correctness of discrepancies according to established policy and… more
- Highmark Health (Trenton, NJ)
- …guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and files, ... Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and… more
- Boehringer Ingelheim (Toms River, NJ)
- …Pharmacy partners as well as Hub personnel. The position holder may provide case management support (assessing, planning, implementing and monitoring the support ... of patients and care partners, serving as a continuous resource for education, case management , and relevant resources throughout the treatment journey. + May… more
- BAYADA Home Health Care (Cranford, NJ)
- …including OASIS + Monitoring quality assurance + Managing staff productivity, and overall case management . + Visiting clients as necessary. + Coordinate and/or ... **BAYADA Home Health Care** is seeking a Registered Nurse (RN) to fill the position of **RN...to promote BAYADA's services and support business growth. + Management and mentoring of Clinical Associates and field staff… more
- St. George Tanaq Corporation (Trenton, NJ)
- …Central or Mountain Time Zones. **Responsibilities** + Reviews medical records/ case file, writes a reconsideration/dispute resolution decision that is clear, ... medical and healthcare practices, policies and procedures + Participates in case specific verbal discussions + Conducts reviews of appeals/disputes with multiple… more