- CVS Health (Trenton, NJ)
- …constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of ... years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. +… more
- CVS Health (Trenton, NJ)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- US Tech Solutions (Hopewell, NJ)
- … management principles. + Requires working knowledge of operations of utilization , case and/or disease management processes. - Requires knowledge of ... eligibility requirements. + Requires mentoring knowledge on the operations of utilization /case/disease management . **Education:** + Requires an associate or… more
- CVS Health (Trenton, NJ)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in Eastern Time zones… more
- Hackensack Meridian Health (Neptune City, NJ)
- …to transform healthcare and serve as a leader of positive change. The Care Management , **Care Coordinator, Utilization Management ** is a member of the ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
- Hackensack Meridian Health (Brick, NJ)
- …expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills. ... a leader of positive change. The **Care Coordinator, Care Management ** is a member of the healthcare team and...degree. **Licenses and Certifications Required:** + NJ Licensed Registered Nurse or NJ Licensed Social Worker or NJ Licensed… more
- Sharecare (Trenton, NJ)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …Abilities Required** : + Associate's Degree in Nursing. + Familiarity with Utilization Management Criteria, PQRS, HEDIS, Meaningful Use, Patient-Centered Medical ... serve as a leader of positive change. The **Registered Nurse , RN Community Based Care Management ** provides...The **Registered Nurse , RN Community Based Care Management ** provides direct support to physician practices and identifies… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. The Nurse Perioperative ... Summary The Operating Room Registered Nurse (RN) is responsible and accountable for all...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- CVS Health (Trenton, NJ)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... in **Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
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