- Healthfirst (NJ)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… more
- Elevance Health (Bridgeton, NJ)
- RN Utilization Management - Case Management (Medicaid Long Term Care) JR155671 **Location** : New York or New Jersey. **Virtual:** This role enables ... residence required. **Preferred Skills, Capabilities and Experiences:** + A combination of utilization review/ utilization management and Case Management … more
- Hackensack Meridian Health (Holmdel, 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
- Select Medical (Atlantic City, NJ)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- AmeriHealth Caritas (Robbinsville, NJ)
- …functions of the clinical department including triage of calls, care coordination, and utilization management . The Care Manager facilitates access to ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Performance Food Group (Elizabeth, NJ)
- …Coordinates pick planning in conjunction with the Warehouse Manager . + Utilization of Company's warehouse management system and other technologies available ... **Job Category:** Operations **Preferred Qualifications:** Associates/2-year technical degree in business management , logistics or related area. 4 - 6 years of… more
- RWJBarnabas Health (Livingston, NJ)
- …years experience in a hospital setting + Minimum of one year experience in Case Management / Utilization Management or Home Care + Successful completion of all ... Case Manager Registered Nurse (RN), Case Management ...population across the continuum of illness. Assumes responsibility for utilization management and monitoring process. Conducts admission… more
- RWJBarnabas Health (Rahway, NJ)
- …years experience in a hospital setting + Minimum of one year experience in Case Management / Utilization Management or Home Care + Successful completion of all ... 865 Stone Street, Rahway, NJ 07065 Job Title: Case Manager Location: RWJ Rahway Department: Case Management ...and continued stay denials, improves efficiency, quality, and resource utilization . The Case Manager RN will work… more
- Fiserv (Berkeley Heights, NJ)
- …make an impact on a global scale, come make a difference at Fiserv. **Job Title** Manager Project Management II **What does a successful Manager Project ... Management do?** The Manager of Commercial Center Project Management is a key leadership role responsible for overseeing and guiding project management … more
- CVS Health (North Bergen, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management ,… more
- Guardian Life (Holmdel, NJ)
- …through critical incidents, driving root cause resolution, and implementing effective change management practices + Dynamic Manager of Major Incident, Problem, ... Overview: Guardian Life is looking for a dynamic Manager of Major Incident, Problem, and Change &... of Major Incident, Problem, and Change & Release Management to join our team! **You Are:** + Seasoned… more
- BrightView (Hamilton, NJ)
- …you can grow to be your brightest. We're looking for a Regional Equipment Manager . Can you picture yourself here? The Regional Equipment Manager is responsible ... provides direct support to branch leadership to drive optimal equipment utilization , vendor performance, and compliance with company standards. You'd be responsible… more
- Citigroup (Jersey City, NJ)
- …and drive strategy across our industry. **Team/Position Overview:** The Collateral Management team sits in Margin and Collateral function in Markets Operations. ... regulatory requirements, whilst delivering best-in-class capabilities in margin and collateral management , inventory management , risk management and… more
- Cherry Bekaert (Trenton, NJ)
- **Description** We have a new opportunity to join our Advisory Resource Management team as we continue to add integral capabilities and tools to support Cherry ... Bekaert's (https://www.cbh.com/) growth. As a Resource Manager you are collaborating with executive and staff-level professionals in this highly visible role. As a… more
- Integra LifeSciences (Princeton, NJ)
- …as well as the LRP Process. While also obtaining buy in from Senior Management . The Senior Strategic Planning Manager will also participate and support strategic ... set new standards of care. **SUMMARY DESCRIPTION** The scope of the Senior Manager , Global Supply Chain Planning is to manage processes, systems, and planning… more
- Zelis (NJ)
- …product utilization to unlock growth, 2) revenue and performance management Role Attributes: + Deep Understanding of Client Vertical- understands the client's ... the personal interests that shape who you are. Position Overview Solution Client Manager The Solution Client Manager will have the responsibility of partnering… more
- Hackensack Meridian Health (Hackensack, NJ)
- …standards, and regulatory/payer requirements. The role integrates and coordinates utilization management , care coordination, and discharge planning functions. ... management and PC skills. + Current working knowledge of discharge planning, utilization management , case management , performance improvement, and managed… more
- CVS Health (Paterson, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... every day. **Position Summary** This is a remote behavioral health case management opportunity with 50-75% travel required in Passaic County and surrounding counties… more
- CVS Health (Randolph, NJ)
- …members. Health service strategies, policies, and programs are** **comprised** **of** ** utilization ** ** management , quality management , network management ... physical, behavioral health, psychosocial wrap around services.** **The care manager will be responsible** **for,** **care planning, direct provider collaboration,… more