- Hackensack Meridian Health (Neptune City, NJ)
- …ED inpatient admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance ... Medical/Surgical experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist… more
- Penn Medicine (Plainsboro, NJ)
- …timely and accurate information to payors. The role integrates and coordinates utilization management , care facilitation and discharge planning functions. In ... proactively identify potential denials in order to avoid non-appealable denials; **Credentials:** + Registered Nurse - NJ (Required) + Certified Case Manager +… 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 ... the Care Management Team at Morristown Medical Center. This is a...member populations across the continuum of illness, ensure effective utilization and monitors health care resources, manage the interdisciplinary… more
- Atlantic Health System (Summit, NJ)
- …cost management , including product evaluation, prevention of waste/damage, room utilization , control of overtime, floor coverage due to low staffing and ... Essential Functions: + The Practice Clinical Supervisor, RN , will be responsible for the clinical day...as an expert resource to Certified Medical Assistants and Registered Nurses + Conducts phone triaging + Oversees medication… more
- Erickson Living (Tinton Falls, NJ)
- …and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management /Safety (PI/RM/S) ... based on experience** What you will need + Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager, etc.). + Experience with an electronic… more
- Highmark Health (Trenton, NJ)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- Elevance Health (Woodbridge, NJ)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- US Tech Solutions (Branchburg, NJ)
- …on an **acute/critical care** unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care skill ... Schedule - 7:30 am-4:00 pm M-F We need an RN that has at least 5 years' experience in...working in this field in the past year. The RN should have at least 1 of the following… more
- Evolent (Trenton, NJ)
- …responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices ... in a regulatory role (preferred). **LICENSE/CERTIFICATION:** Current, unrestricted state PA or RN /NP license in medicine or required specialty. Of a PA, obtaining a… more
- Atlantic Health System (Morristown, NJ)
- …* Ph.D. in Nursing or Doctor of Nursing Practice (DNP) strongly preferred. Licensure: * Current Registered Nurse ( RN ) license in the State of New Jersey or ... Demonstrated strength in resource management and financial management . * Experience with ANCC Magnet nurse ...of Nursing Practice (DNP) strongly preferred. Licensure: * Current Registered Nurse ( RN ) license in… more