- Deloitte (Morristown, NJ)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation… more
- Hackensack Meridian Health (Edison, NJ)
- …expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills. ... a leader of positive change. The **Care Coordinator, Care Management ** is a member of the healthcare team and...Master's degree. **Licenses and Certifications Required:** + NJ Licensed Registered Nurse or NJ Licensed Social Worker… more
- Datavant (Trenton, NJ)
- …job function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Virtua Health (Pennsauken, NJ)
- …and/or certification from the State of New Jersey as a MSW or Registered Nurse .Case Management Certification (requirement within one year of ... Social Worker or BSW with a minimum of 5 years experience in case management .Preferred: 3 years clinical nursing ( RN ) experience and 1 year UR/CM/QM experience… more
- RWJBarnabas Health (Jersey City, NJ)
- …in Nursing (BSN) Preferred + Current New Jersey licensure as a Professional Registered Nurse in good standing required. Scheduling Requirements: + Shift working, ... dashboard data for all clinical service line metrics, physician performance, volume, utilization reports etc. Quality Management + Monitors all patient care… more
- Highmark Health (Trenton, NJ)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …case management . Licenses and Certifications Required: + NJ State Professional Registered Nurse License. 172368 Minimum rate of $112,114.08 Annually HMH is ... patient flow and assure continuity of care. Report pertinent information to management and administration. They provide supervision of staff in the delivery of… more
- Hackensack Meridian Health (Edison, NJ)
- …and case management . Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 169637 Minimum rate of $59.89 Hourly HMH is ... patient flow and assure continuity of care. Report pertinent information to management and administration. He/she provides supervision of staff in the delivery of… more