- CVS Health (Trenton, NJ)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in Eastern Time zones… more
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
- US Tech Solutions (Hopewell, NJ)
- … management principles. + Requires working knowledge of operations of utilization , case and/or disease management processes. - Requires knowledge of ... eligibility requirements. + Requires mentoring knowledge on the operations of utilization /case/disease management . **Education:** + Requires an associate or… 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
- Centene Corporation (New York, NY)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members...Social Worker (LMSW) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Sharecare (Trenton, NJ)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Northwell Health (New York, NY)
- …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... duties with a defined patient population, and as it relates to care management and the delivery of patient care services. Communicates with payers addresses and… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …Abilities Required** : + Associate's Degree in Nursing. + Familiarity with Utilization Management Criteria, PQRS, HEDIS, Meaningful Use, Patient-Centered Medical ... serve as a leader of positive change. The **Registered Nurse , RN Community Based Care Management ** provides...The **Registered Nurse , RN Community Based Care Management ** provides direct support to physician practices and identifies… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Nurse Practitioner-Cardiovascular Institute - Mount Sinai Hospital- Full Time - Day** A nurse practitioner (NP) as described in ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Clinical Nurse -WoundCare-WOCN-Mount Sinai Hospital-FT/Days** The Nurse Clinician is a registered professional nurse who ... skills in an area of clinical nursing specialization. The nurse clinician is able to guide and promote the...Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research + Maintains clinical expertise in area… more
- Fresenius Medical Center (New York, NY)
- …and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality patient ... closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager, the Medical Director, and the… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers ... of the interdisciplinary team. Responsibilities Duties Include but are not limited to: The Nurse II for CT and MRI Scan imaging area Registered Nurse (RN)… more
- Mount Sinai Health System (New York, NY)
- **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
- Penn Medicine (Plainsboro, NJ)
- …patient care services within the specialty assigned at the direction of the Nurse Manager. The Specialty Team Coordinator ensures the delivery of patient care ... through the coordination of customer services, leadership and management of the nursing unit at the direction of...of the nursing unit at the direction of the Nurse Manager. This position assists the Nurse … more
- City of New York (New York, NY)
- …CAS Visiting Psychiatric Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision of the Medical ... for independent judgement within NYS licensing guidelines, the VPS Psychiatric Nurse Practitioner is responsible for performing psychiatric evaluations of clients at… more
- Hackensack Meridian Health (Neptune City, NJ)
- …a leader of positive change. The Nurse Manager Assistant will be a supportive nurse management resource to the nursing department in the MICU. S/He will work ... with the nurse leadership team to create and support the goals...cost containment measures by identifying alternative measures of product utilization within the department. + Serves on-call based on… more
- Weill Cornell Medical College (New York, NY)
- Title: Chief Nurse Practitioner - Urology Location: Upper East Side Org Unit: Clinical Operation Starr and Lefrak Work Days: Monday-Friday Weekly Hours: 35.00 ... next generation of leaders in urological health and science. The Chief Nurse Practitioner will oversee the clinical, educational, and administrative management … more
- Centene Corporation (New York, NY)
- …preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN - ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Penn Medicine (Plainsboro, NJ)
- …of care with attention to continuity across shifts and settings. The Registered Nurse will assure communication between patients, families and all members of the ... health care team. The Registered Nurse delegates and functions in accordance with the NJ...allocated funds. * Utilize personnel efficiently and assure cost-effective utilization of supplies. * Interprets and effects administrative policy… more
- Project Renewal, Inc. (New York, NY)
- …programs + Participates in the development and implementation of quality assurance management and utilization review + Participates in interdisciplinary meetings ... Title: Primary Care Nurse Practitioner - Part Time Program: Healthcare Department...$87,000 depending on experience Position Overview: The Primary Care Nurse Practitioner working in Mobile Health is responsible for… more