- Evolent (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Atlantic Health System (Morristown, NJ)
- …with all state and federal medical regulations. + Consult with the Clinical Nurse Manager, Occupational Health Medical Director, and /or collaborating ... request of the employee's primary care provider (PCP) + Review all "at work" injuries/illnesses with the employee, the...to the employees. + Submits monthly reports to the clinical nurse manager, department administrative assistant, company… more
- Zelis (NJ)
- …clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based ... clinical criteria and client specific coverage policies. What you'll...evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images… more
- Fresenius Medical Center (Teaneck, NJ)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Union, NJ)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Actalent (Newark, NJ)
- ** Clinical Research Nurse ** The primary purpose...patients for all available clinical trials. + Review patient charts and medical history to ... of the Clinical Research Nurse is to ensure the successful, patient-oriented, safe, and...Protocol Activation office to initiate and activate all new clinical trial protocols. + Prepare and review … more
- Atlantic Health System (Morristown, NJ)
- … NURSE SUPERVISOR-PUGO JOB PURPOSE: Leadership position to include clinical , supervisor, and administrative duties relevant to surgical operations. The ... Perioperative Nurse Supervisor must demonstrate comprehensive knowledge of ...Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical … more
- Atlantic Health System (Summit, NJ)
- …about women's health? Is your goal to be a Labor and Delivery or Mother Baby Nurse ? The aim of this program is to support the novice RN to transition into the ... role of a maternity nurse . Integrated with AHWONN's Perinatal Education and Orientation Program...online course work, instructor-led classes, skills labs and two clinical tracks, one designed for Labor and Delivery and… more
- Matheny Medical and Educational Center (Peapack, NJ)
- …by collecting and analyzing data, interviewing, observing, and examining patients, and through review of the patients medical record. + Candidate will have the ... Registered Nurse /Licensed Practical Nurse - 7pm-7am EOE...Matheny assume respected leadership roles as part of our medical team with shared decision making responsibilities. Nursing at… more
- Atlantic Health System (Morristown, NJ)
- The Atlantic Health System Nurse Externship Program is for junior students obtaining their Bachelor of Science degree in Nursing (preferred) or an Associate of ... nursing. Our five hospitals and ambulatory sites include Morristown Medical Center, Overlook Medical Center (Summit), Chilton... Group (over 450 locations). The goal of the Nurse Externship Program is to allow rising senior nursing… more