- 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
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… 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 (Easton, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
- Penn Medicine (Plainsboro, NJ)
- …our future each day. Are you living your life's work? Summary: + A professional Registered Nurse who is responsible for the direct supervision of nursing staff ... clinical support Staff rooms as needed Provide resource utilization Provide educational in services related to service line...Nurse Manager follows the standards of the PACU Registered Nurse (Job Code 5028) within the… more
- Penn Medicine (Plainsboro, NJ)
- …regulations, and best practices. Credentials: + Basic Cardiac Life Support (Required) + Registered Nurse - NJ (Required) Education or Equivalent Experience: + ... Science (Required) + Bachelor's degree in Nursing (BSN) requiredPrevious experience working as a Registered Nurse + Master of Arts or Science + Master's Degree… more
- Lincoln Financial (Trenton, NJ)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- CVS Health (Trenton, NJ)
- …inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN, the TOC Coach ensures the member experiences a seamless ... - Management of warm transfers form concierge and engagement hub - Provides clinical assistance to determine appropriate services and supports due to member's health… more
- RWJBarnabas Health (New Brunswick, NJ)
- …Support (BLS) through the American Heart Association (AHA) required + Must be a licensed Registered Nurse in the state of New Jersey + CCTC Certified Clinical ... Team Management: + Supervise and develop a team of clinical staff, including RN - nurse coordinators,...and enhance the patient experience. + Ensure the effective utilization of hospital and clinical resources for… more
- RWJBarnabas Health (New Brunswick, NJ)
- …years of progressive management experience in related field preferred Certifications Licenses Registered Nurse RN with valid New Jersey state license required ... to the department Director, Works collaboratively with the medical staff, clinical staff, other departmental managers, and ancillary departments, Section 2 Job… more
- Magellan Health Services (Newtown, PA)
- …Care MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare Mgmt License ... supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of...of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided… more
- RWJBarnabas Health (New Brunswick, NJ)
- …procedures, sepsis, dialysis, heart failure, and respiratory failure, The AD is a registered professional nurse who under the direction of the Nursing Director ... 7p-730am, 3 shifts per week in staffing as Charge Nurse with 8hr office day per pay period, Head...and procedures of the nursing department, Promoting effective resource utilization related to clinical practice, Using effective… more
- Penn Medicine (Plainsboro, NJ)
- …incidents consistent withestablished policies, procedures, and protocols, as delegated by the registered nurse responsible for the patient. + Regularly performs ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …and case management. Licenses and Certifications Required: + NJ State Professional Registered Nurse License Schedule: Week 1: Sunday 7:45p-7:45a Thursday ... HMH values, leadership and interpersonal skills to oversee the clinical and leadership functions of the Medical Center in...delivery of care for patients and serve as a clinical resource. They assume the leadership position for Incident… more
- Penn Medicine (Princeton, NJ)
- …incidents consistent with established policies, procedures, and protocols, as delegated by the registered nurse responsible for the patient. + 3. Maintains a ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Penn Medicine (Plainsboro, NJ)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... to, performing and assisting in various. Quality Assurance procedures (ie: clinical warm-up procedures, billing, etc.); participating in nursing and follow-up care,… more