- 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 ... of selected member populations across the continuum of illness, ensure effective utilization and monitors health care resources, manage the interdisciplinary team to… more
- Penn Medicine (Plainsboro, NJ)
- …each day. Are you living your life's work? Summary: + The Case Manager supports the interdisciplinary team in facilitating patient care, with the underlying ... and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the… more
- Elevance Health (Morristown, NJ)
- …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 guidelines and client-specific… 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
- 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...performance metrics and evaluation data and report back to manager **What you need:** Required: + Bachelors degree in… 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
- Deloitte (Morristown, NJ)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics RN, Quality, ... in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied...care team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and pharmacists to… more
- Virtua Health (Moorestown, NJ)
- …care. Assists manager /supervisor with clinical and operational issues. Works with manager to improve processes and utilization of rehab services. Position ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
- Virtua Health (Moorestown, NJ)
- …Assists manager /supervisor with clinical and operational issues. Works with manager to improve processes and utilization of rehab services. Position ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
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