- Fresenius Medical Center (Linwood, NJ)
- …to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records . + Complies with ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- NJM Insurance (Parsippany, NJ)
- …to the Medical Management Administrator and Medical Services, the Precertification Nurse supports our Workers Compensation and Auto (PIP/Medpay) lines of business ... by performing prospective and retrospective Utilization Review of medical services/treatment requested or rendered by medical providers/suppliers to ensure… more
- Prime Therapeutics (Trenton, NJ)
- …drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing referral ... + Maintains an active case load and accurate case records , adhering to all company policies and laws governing...Quality oversight for this program is provided by the Manager , Patient Programs. **Education & Experience** + Associates -… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work Monday - Friday from 8 AM to 4 PM in the Morris, ... reimbursement ($.70) included. Internal referral bonus: $5,000 Reports to: Assistant Manager Job Qualifications/Experience: Required Current NJ RN License BSN NJ… more
- Elevance Health (Woodbridge, NJ)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... will drive the future of health care The **Telephonic Nurse Case Manager II** is responsible for...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements** + Requires… more
- RWJBarnabas Health (New Brunswick, NJ)
- …of stay and continued stay denials, improves efficiency, quality, and resource utilization , Qualifications: Required: + Current Registered Nurse with a ... Case Manager RNReq #:0000205497 Category:Nursing Status:Part-Time Shift:Day Facility:RWJ New...with a minimum of one year experience in Case Management/ Utilization Management, Discharge Planning, & Community Health Nursing Preferred:… more
- Select Medical (Atlantic City, NJ)
- …high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, ... **Overview** **Critical Illness Recovery Hospital** **Case Manager (PRN)** **$45/hr** _Requires a current licensure in...current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW… more
- RWJBarnabas Health (West Orange, NJ)
- …the candidate's educational background, skills and professional experience. Job Overview The Manager for Quality Clinical Nurse Abstractors is accountable for ... Quality Clinical Abstractor Manager - West Orange, NJReq #:0000204455 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health… more
- Penn Medicine (Plainsboro, NJ)
- …identify potential denials in order to avoid non-appealable denials; **Credentials:** + Registered Nurse - NJ (Required) + Certified Case Manager (Required) + ... Scheduled shift will fall within posted hours. **Summary:** + The Case Manager supports the interdisciplinary team in facilitating patient care, with the underlying… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is seeking a dynamic Registered Nurse to join the energetic and innovative team of healthcare professionals as a Inpatient Care Manager on ... of selected member populations across the continuum of illness, ensure effective utilization and monitors health care resources, manage the interdisciplinary team to… more