- US Tech Solutions (Branchburg, NJ)
- …action. **Education and Experience** NJ RN license from an accredited school of nursing ** * Associates degree required, BSN or BS in Life Science preferred and ... unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care skill set knowledge preferred * CTBS… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...and track the members' progress toward goals + Use nursing judgment to assess and coordinate care for acute… more
- Hackensack Meridian Health (Eatontown, NJ)
- …do the kind of work that leads to fulfillment and professional growth. Are you a nurse who is looking for a change? Do you feel overwhelmed and spread too thin in ... the HOME could make you fall in love with nursing all over again! Focus on one patient at...a timely manner with possible solutions. Assure documentation indicates case communication. Appropriately utilize a manager as a resource.… more
- Datavant (Trenton, NJ)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and ... by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in...Education: LVN/LPN + Preferred Education: BA or BS in Nursing , experience preferred to perform + Minimum Experience: 3… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Management including, but not limited to, coordinating the patient placement, access case management and the patient flow required to provide appropriate, effective, ... related to patient placement and flow. Notifies and communicates with Nurse Managers, Administrative Supervisors, Physicians, Medical Directors on Call, and… more
- Genesis Healthcare (NJ)
- …appropriate regional staff. Qualifications *Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional ... Reimbursement Manager POD Leader is responsible for overseeing clinical reimbursement for nursing centers in an assigned geography and serves as the Clinical… more
- Deloitte (Morristown, NJ)
- …Preferred Qualifications + Master's degree in Clinical Informatics, Business Administration, Nursing and related health fields preferred + Case Management ... CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist,… more
- Genesis Healthcare (Phillipsburg, NJ)
- …appropriate reimbursement. Qualifications *Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS ... of care. *Manage the overall process and tracking of all Medicare/Medicaid case -mix documents to assure appropriate reimbursement for services provided within the … more
- Elevance Health (Morristown, NJ)
- …members and providers. **How you will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and ... supportive care. + Perform physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity of requests using… more
- Hackensack Meridian Health (Neptune City, NJ)
- …documentation for severity of illness and medical necessity. Interacts with physicians, case managers, and nursing staff and provides guidance and ... promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department… more