- CVS Health (Trenton, NJ)
- …administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… more
- CVS Health (Trenton, NJ)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …healthcare and serve as a leader of positive change. The ** Registered Nurse , RN Community Based Care Management ** provides direct support to physician ... Abilities Required** : + Associate's Degree in Nursing. + Familiarity with Utilization Management Criteria, PQRS, HEDIS, Meaningful Use, Patient-Centered Medical… 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 ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to.... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… 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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Atlantic Health System (Basking Ridge, NJ)
- Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work 4PM to 2AM / 4 days per week in the Morris, ... heavy caseload (up to 4 patients a day); time management skills are essential. However, it is important to...of care for the patient and family Ensures appropriate utilization of services + Maintains visit productivity standards +… 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...Master's degree. **Licenses and Certifications Required:** + NJ Licensed Registered Nurse or NJ Licensed Social Worker… more
- CVS Health (Plainfield, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , clinical… more
- CVS Health (Secaucus, NJ)
- …high-quality, cost-effective care for our members. These strategies encompass utilization management , quality improvement, network coordination, and clinical ... hires upon achieving proficiency in the role. **Required Qualifications** + Active, unrestricted ** Registered Nurse (RN) license in New Jersey** . + Minimum of… more
- CVS Health (Totowa, NJ)
- …Choice Certification = $10,000_** + **_External Hire = $7500_** **Position Summary: Case Manager Registered Nurse - Field in Passaic County, NJ** This is a ... the development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of physical,… more
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