- Evolent (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... clients as scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review … more
- Sharecare (Trenton, NJ)
- … helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- City of New York (New York, NY)
- …11217 1 POSITION - CASA STATEN ISLAND - 215 BAY ST, ST. GEORGE, NY 10301 Hours/Schedule: 9AM - 5:30PM (1 HR FLEX) STAFF NURSE - 50910 Qualifications 1. A valid ... Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for… more