- Atlantic Health System (Morristown, NJ)
- …Assists in identification and collection of avoidable days 7. Coordinates with the CM RN and/or CMA to identify and complete the process for CMS required patient ... notices. 8. Completes and documents utilization reviews, physician advisor referrals and other communications related to assigned cases in accordance with department… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance ... diverse and inclusive environments where people can bring their full , authentic selves to work every day. We are...Reside in either TX, GA, FL, or AZ - Registered Nurse - Proficiency using a MacBook… more
- Atlantic Health System (Basking Ridge, NJ)
- Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full -time hospice Registered Nurse to work 8AM- 4PM in the Somerset County area, ... an accredited Nursing Program- Associates Degree 2. Current state licensure as a Registered Nurse . 3. BLS certification. Preferred: 1. Bachelor's degree in… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... Preferred: + Master's Degree. Licenses and Certifications Preferred: NJ State Professional Registered Nurse License or NJ Licensed Social Worker. 175164 Minimum… more
- Centene Corporation (New York, NY)
- …Licensure. Hours are M-F 8:30 am - 5:00 pm with holiday rotation.** **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... related to member care, provider interactions, and facilitates operations within utilization management. + Manages prior authorization, concurrent review , and… more
- Atlantic Health System (Florham Park, NJ)
- …a calm demeanor through all phases of process. + New Jersey or compact Registered Nurse Licensure required + Bachelor's degree in nursing preferred + BLS ... The Critical Care Transfer Coordinator ( RN ) plays a critical role in coordinating patient...including transfer eligibility, level of care, resource prioritization & utilization , timely acceptance, and appropriate priority and mode of… more
- BAYADA Home Health Care (Morristown, NJ)
- **BAYADA Home Health Care** is currently seeking a Full -time or a Part-Time ** Registered Nurse , RN ,** to fill the position of **_Clinical Associate_** in ... nurses like you. The successful candidate must be an RN , who has demonstrated clinical and managerial experience. We...with BAYADA. Demonstrated success in the role of Clinical Nurse Associate will provide the chance to be considered… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is seeking a dynamic Registered Nurse to join the energetic and innovative team of healthcare professionals as a Inpatient Care Manager on ... patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities… more
- Atlantic Health System (Newton, NJ)
- …patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more
- Atlantic Health System (Summit, NJ)
- …assessment, including SDOH and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more
- Atlantic Health System (Pompton Plains, NJ)
- …patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more
- Mount Sinai Health System (New York, NY)
- …Additional Detail** + Licensure: New York State License with current registration as a registered nurse . + State Certification: Certified by the New York State ... Practitioner- ADS Telemetry - Mount Sinai Hospital - Full Time - Night** A nurse practitioner...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Mount Sinai Health System (New York, NY)
- …REQUIREMENTS** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: 3. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Mount Sinai Health System (New York, NY)
- …Additional Detail** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Atlantic Health System (Morristown, NJ)
- …* Ph.D. in Nursing or Doctor of Nursing Practice (DNP) strongly preferred. Licensure: * Current Registered Nurse ( RN ) license in the State of New Jersey or ... to ensure consistency, reliability, and top-decile performance. * Ensure full compliance with The Joint Commission, CMS Conditions of...of Nursing Practice (DNP) strongly preferred. Licensure: * Current Registered Nurse ( RN ) license in… more
- Atlantic Health System (Morristown, NJ)
- …A core focus of this role is optimization of post-acute care utilization , length of stay, and outcomes, supporting value-based care, readmission reduction, and ... AHS standards. + Monitor and optimize PAC network performance, including utilization patterns, readmissions from SNF, ED transfers, and avoidable acute escalations.… more
- Mount Sinai Health System (New York, NY)
- …Practitioner in New York State + Current license and registration as a Professional Registered Nurse in NY State + National Board Certification in Advanced ... Title: Advanced Practitioner Provider Manager- Tisch Cancer Institute-Mount Sinai Hospital- Full Time - Day** The Advanced Practice Provider Manager-Nursing is… more
- Hackensack Meridian Health (Edison, NJ)
- …population preferred. **Licenses and Certifications Required** : + NJ State Professional Registered Nurse License. If you feel that the above description ... Develops utilization of the Cardiovascular Registry Program to its full potential, by continually providing database utilization education, and training… more
- Hackensack Meridian Health (Edison, NJ)
- …systems; Google Docs, EPIC. **Licenses and Certifications Required** : + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... Quality Metrics. + Knowledge of health care delivery system, utilization and review and case review...Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …Knowledge, Skills and Abilities Preferred: + Knowledge of evidence-based criteria, utilization review , discharge planning and case management. Licenses and ... Certifications Required: + NJ State Professional Registered Nurse License Schedule: Week 1: Sunday...Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The… more