- Hackensack Meridian Health (Edison, 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… more
- Humana (Trenton, NJ)
- …health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Hackensack Meridian Health (Edison, NJ)
- …advancing our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Care Management ** is a member of the ... expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills.… more
- Hunterdon Health Care System (Flemington, NJ)
- …from the patient/family/caregiver and healthcare team, while coordinating benefits and utilization of outpatient treatments/therapies, specialty and primary care ... process and assures a safe and effective discharge plan and transition of care while promoting self- management of chronic disease conditions. 6. Supports… more
- Highmark Health (Trenton, NJ)
- …timeframes and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... of pre-certification requests for authorization of medically necessary health care services, at the appropriate level of care...and management . + Route Cases Based on Established Guidelines. +… more
- Elevance Health (Trenton, NJ)
- …member and the health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will be based upon the current ... **LTSS Service Coordinator - Clinician** **Location:** The location for this...law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope… more
- Hunterdon Health Care System (Bridgewater, NJ)
- …Someone, who can develop cooperative bonds with surgeon's offices to achieve maximum utilization of the Center. Must pay attention to details, so that through the ... scheduling process, utilization of staff, equipment, and available time are maximized....to the master schedule, coordinate between: doctors, office staff, management to ensure availability of equipment. + Handles cancellations,… more
- CVS Health (Trenton, NJ)
- … and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. **Key ... and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards… more