- Cognizant (Trenton, NJ)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- CVS Health (Trenton, NJ)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- St. Luke's University Health Network (Sellersville, PA)
- …regardless of a patient's ability to pay for health care. This Weekend registered Nurse works collaboratively with other members of the interdisciplinary team ... standards for the provision of quality care, appropriate service utilization , and compliance with third party payor requirements for...school of professional nursing who is licensed as a Registered Nurse by the state in which… more
- Penn Medicine (Philadelphia, PA)
- …day. Are you living your life's work? Summary: + The role of the Integrated Clinical Nurse Manager is an integrated role within the Oncology service line/Cancer ... Service Line (CSL). The Integrated Clinical Nurse Manager is...staff with day-to-day operations regarding patient care. Credentials: + Registered Nurse - PA (Required) Education or… more
- Virtua Health (Marlton, NJ)
- …services in Burlington, Camden and Gloucester counties. The ideal candidate is a Registered Nurse with a minimum of one-year medical/surgical experience. Prior ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
- Lincoln Financial (Trenton, NJ)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- CVS Health (Trenton, NJ)
- …inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN, the TOC Coach ensures the member experiences a seamless ... - Management of warm transfers form concierge and engagement hub - Provides clinical assistance to determine appropriate services and supports due to member's health… more
- Penn Medicine (Philadelphia, PA)
- …on needs of the unit, this individual may also serve in the capacity as a clinical nurse in the operating room. Follows fiscal and Human Resources policies in ... (Required) + BLS/CPR, as a healthcare provider as per the American Heart Association. + Registered Nurse - PA (Required) + Pennsylvania RN licensure + 2-5 years… more
- Stryker (Philadelphia, PA)
- …related discipline required + Minimum 4 years of experience as a licensed clinician, preferably registered nurse in critical care + Must be able to track and ... As a Clinical Specialist you will deliver pre-sale and post-sale...internal and external education on process, tool optimization, and utilization in collaboration with internal stakeholders + Uncover relevant… more
- Penn Medicine (Philadelphia, PA)
- …into daily assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. ... this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today...candidate for this position must be a seasoned med/surg nurse with a minimum of 5 years' experience in… more
- ChenMed (Philadelphia, PA)
- …bachelor's degree in a related clinical field preferred + A valid, active Registered Nurse (RN) license in State of employment required + Compact License ... through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care...Supports, collaborates and partners with the Complex Care and Clinical Strategy Teams on the day-to-day execution of our… more
- Magellan Health Services (Newtown, PA)
- …Care MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare Mgmt License ... supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of...of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided… more
- Virtua Health (Pennsauken, NJ)
- …and/or certification from the State of New Jersey as a MSW or Registered Nurse .Case Management Certification (requirement within one year of hire beginning ... effectively to meet patient needs, monitors the length of stay and promotes efficient utilization of resources.* Acts as a clinical expert and maintains ongoing… more
- Virtua Health (Mount Holly, NJ)
- …and/or certification from the State of New Jersey as a MSW or Registered Nurse .Case Management Certification (requirement within one year of hire beginning ... effectively to meet patient needs, monitors the length of stay and promotes efficient utilization of resources. Acts as a clinical expert and maintains ongoing… more