- Daiichi Sankyo, Inc. (Bernards, NJ)
- … - State Licensure and/or Compact State Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as well as pharmaceutical ... of nurses working under the general direction of the Regional Director of Clinical Nurse Managers. The OCE is responsible for educating HCPs/clinics with… more
- 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
- CVS Health (Trenton, NJ)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- CVS Health (Trenton, NJ)
- …Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization . **Required Qualifications** + Registered Nurse (RN) ... CVS Health Aetna has an opportunity for a full-time Utilization Management (UM) Nurse Consultant. As a...Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills… more
- US Tech Solutions (Hopewell, NJ)
- …**Additional licensing, certifications, registrations:** 1. Requires an active New Jersey Registered Nurse License. **Knowledge:** - Prefers proficiency in the ... care management as assigned by management.** **Responsibilities:** 1. Assesses patient's clinical need against established guidelines and/or standards to ensure that… more
- Fresenius Medical Center (New York, NY)
- …and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the ... performance indicators. + Collaborates closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse … more
- CVS Health (Trenton, NJ)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Weill Cornell Medical College (New York, NY)
- …physician. The role and responsibilities extend beyond those of the Registered Nurse and are focused on providing advanced clinical services. This role is ... clinical care responsibilities that fall under the Registered Nurse role and scope of practice....staff. Provides education and training to RNs in the utilization of new equipment features/benefits and new techniques. +… more
- Fresenius Medical Center (Somerset, NJ)
- **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) ... from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis of patient data… 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
- Mount Sinai Health System (New York, NY)
- …Description** The Nurse Clinician is a registered professional nurse who demonstrates expert clinical expertise through advanced knowledge and skills ... and/or education role. Licensing and Certification Requirements (if applicable) License: Registered Nurse (current registration) Issuing Agency: DOH/Office of… more
- CVS Health (Trenton, NJ)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... we do it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization… more
- Hackensack Meridian Health (Brick, NJ)
- …maintaining AACN Healthy Work Environment Standards. + Current and valid New Jersey Registered Nurse license is required + BLS/CPR certification by American ... a leader of positive change. The CCU RN demonstrates clinical excellence and is able to adapt to any...must be an active Participant with Hackensack Meridian Health's Nurse Residency Program + ICU experience preferred; Proficiency in… more
- Hackensack Meridian Health (Edison, NJ)
- … utilization management. **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... and serve as a leader of positive change. The **Care Management, Care Coordinator, Utilization Management** is a member of the healthcare team and is responsible for… more
- Centene Corporation (New York, NY)
- …+ LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: $26.50 - $47.59 per hour Centene ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Evolent (Trenton, NJ)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… 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
- Mount Sinai Health System (New York, NY)
- …Additional Detail** + Licensure: New York State License with current registration as a registered nurse . + State Certification: Certified by the New York State ... earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Mount Sinai Health System (New York, NY)
- …Additional Detail** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
