- Cognizant (Trenton, NJ)
- …background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care plan + 3 years' experience in ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Per Diem Advanced Practice Nurse (APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care ... program. 2. Master's or Doctorate degree from an accredited Nurse Practitioner program. 3. Maintains clinical competencies through continuing... License. 3. BLS AHA Basic Health Care Life Support HCP Certification. 4. Board certified by AANP or… more
- Hackensack Meridian Health (Edison, NJ)
- …Registered Nurse License. + AHA Basic Health Care Life Support HCP Certification. **Licenses and Certifications Preferred:** + Certified Case Manager (CCM), ... are just the beginning. It's also about how we support one another and how we show up for...leader of positive change. The **Care Management, Care Coordinator, Utilization Management** is a member of the healthcare team… more
- Hackensack Meridian Health (Hackensack, NJ)
- …care, and the profession of nursing. 29. Collaborates with medical staff leaders to support nursing-led protocols to enhance the nurse 's ability to function at ... NJ State Professional Registered Nurse License. 2. AHA Basic Health Care Life Support HCP Certification. 3. Advance Practice Nurse License. 4. 4. Current APN… more
- CVS Health (Trenton, NJ)
- …in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in...lower levels of care. + 1+ years' experience in Utilization Review. + CCM and/or other URAC recognized accreditation… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time GIP hospice Registered Nurse to work 12PM to 730PM in the Morris, Essex, Union, ... of care for the patient and family Ensures appropriate utilization of services + Maintains visit productivity standards +...Program + Reviews health records and gathers data to support PI activities + Attends UR meetings as requested… more
- Chatham Hills Subacute Care Center (Chatham, NJ)
- Schedule . 5 days a week 37.5 - 40 hours per week Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory therapist ... meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. +… more
- CVS Health (Clark, NJ)
- …PM EST** schedule. The Case Manager will develop, implement, and support health service strategies, policies, and programs that ensure high-quality, cost-effective ... care for our members. These strategies encompass utilization management, quality improvement, network coordination, and clinical policy development. This position… more
- Hackensack Meridian Health (Edison, NJ)
- …Registered Nurse License. + AHA Basic Health Care Life Support HCP Certification. **Licenses and Certifications Preferred** : + Certified Case Manager ... are just the beginning. It's also about how we support one another and how we show up for...Quality Metrics. + Knowledge of health care delivery system, utilization and review and case review procedures. + Knowledge… more
- Fresenius Medical Center (Flemington, NJ)
- …believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement ... to support your education goals, granting scholarships to family members,...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more