- Hackensack Meridian Health (Neptune City, NJ)
- …and Medicare and other appropriate resources. + Maintains liaison with the inpatient case manager and communicates necessary follow up. + Maintains liaison with ... inpatient admissions and observations as specified by the facility's Utilization Management/Review Committee for documentation completeness and compliance with… more
- Lumen (Trenton, NJ)
- …world and shape the future. **The Role** As an Inside Sales Lead Generation Manager you're tasked with leading a group of highly motivated and talented Sales ... the key to success of Lumen. The Lead Generation Manager must be passionate about sales and building a...the ability to coach and guide your team in utilization + Ability to excel in a team-oriented, collaborative,… more
- Elevance Health (Woodbridge, NJ)
- …clinical program. **How you will make an impact:** + Performs utilization reviews of inpatient and outpatient services making medical appropriateness determinations ... guidelines and criteria + Ensures timely completion of clinical case reviews + Participates in clinical appeals review process...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Sharecare (Trenton, NJ)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending… more
- Rowan University (Glassboro, NJ)
- …Technician/Assistant role will report directly to the Veterinary Technician Manager . Salary commensurate with qualifications and experience. Essential Duties and ... + Provides necessary information to and works directly with the Veterinary Technician Manager to review time and attendance records, vacation and time off requests,… more
- Atlantic Health System (Morristown, NJ)
- …APP clinical competency and adherence to policy through practice analysis and case review with physicians. + Conducts regularly scheduled meetings with the NCC ... evidence-based practice in the clinical and professional environment. Resource Utilization : Evaluates factors related to safety, effectiveness, availability, and… more
- Hackensack Meridian Health (Edison, NJ)
- …Skills and Abilities Preferred: 1. Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case management. Licenses and ... prioritizing assigning patient's beds and patient flow in absence of a Capacity Manager Additional duties as assigned. Collaborates with nurse managers, case … more
- Hackensack Meridian Health (Belle Mead, NJ)
- …Skills and Abilities Preferred: + Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case management Licenses and ... prioritizing assigning patient's beds and patient flow in absence of a Capacity Manager Additional duties as assigned. Collaborates with nurse managers, case … more
- Hackensack Meridian Health (Belle Mead, NJ)
- …Knowledge, Skills and Abilities Preferred: + Knowledge of evidence-based criteria, utilization review, discharge planning and case management. Licenses and ... in prioritizing assigning patient's beds and patient flow in absence of a Capacity Manager Additional duties as assigned + Collaborates with nurse managers, case … more
- Hackensack Meridian Health (Belle Mead, NJ)
- …Skills and Abilities Preferred:** + Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case management + MSN preferred ... in prioritizing assigning patient's beds and patient flow in absence of a Capacity Manager Additional duties as assigned + Collaborates with nurse managers, case … more
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