- Atlantic Health System (Morristown, NJ)
- …and enterprise performance objectives. * Chair Atlantic Health Shared Governance Nurse Executive Council - supporting framework of shared governance. Nursing ... with operational and clinical leaders to optimize staffing models, resource utilization , and cost-effective care delivery. Quality, Safety, and Patient Experience *… more
- Hackensack Meridian Health (Edison, NJ)
- …performance of the national STS/TVT, ACC-NCDR, and NJDHSS CV databases. Develops utilization of the Cardiovascular Registry Program to its full potential, by ... continually providing database utilization education, and training of appropriate personnel, including the...the clinical advice of the CV NSL Advanced Practice Nurse /Population Coordinator, and Physician Registry Champions, and is responsible… more
- BAYADA Home Health Care (Morristown, NJ)
- …Home Health Care** is currently seeking a Full-time or a Part-Time **Registered Nurse , RN,** to fill the position of **_Clinical Associate_** in our office located ... with BAYADA. Demonstrated success in the role of Clinical Nurse Associate will provide the chance to be considered...and mentoring of Clinical Associates and field staff + Utilization Management + Developing and mentoring staff to become… more
- AristaCare (Manchester, NJ)
- Unit Nurse Manager (RN) AristaCare is seeking a RN Unit Manager to oversee the care management of a population of patients within an assigned area, unit or clinical ... process, assessment, planning, implementation, and evaluation under the scope of the State's Nurse Practice Act of Registered Nurse licensure. The Unit Manager -… more
- Penn Medicine (Plainsboro, NJ)
- …MA-AAMA or MA-AMT or MA-NCCT or MA-NHA._ Summary: Assists physicians, residents nurse practitioners and nurses in providing clinic services for patients including ... testing, immunizations, and documentation of results. Responsibilities: + Assists physicians, nurse practitioners and nurses during clinic hours in the delivery of… more
- Penn Medicine (Plainsboro, NJ)
- …and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the ... avoid delays in plan of care;Identify trends in inappropriate utilization due to delays in diagnostic testing, medical and...in order to avoid non-appealable denials; Credentials: + Registered Nurse - NJ (Required) + Certified Case Manager +… more
- Stryker (Mahwah, NJ)
- …Support internal and external education on process, tool optimization, and utilization in collaboration with internal stakeholders + Uncover relevant clinical trends ... and market insights back to the team + Driving utilization of key metrics and measurement tools to be...years of experience as a licensed clinician, preferably registered nurse in critical care + Must be able to… 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
- Highmark Health (Trenton, NJ)
- …itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education ... education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and… 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 ... of selected member populations across the continuum of illness, ensure effective utilization and monitors health care resources, manage the interdisciplinary team to… more