- 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
- Hackensack Meridian Health (Brick, NJ)
- …maintaining AACN Healthy Work Environment Standards. + Current and valid New Jersey Registered Nurse license is required + BLS/CPR certification by American ... a leader of positive change. The CCU RN demonstrates clinical excellence and is able to adapt to any...must be an active Participant with Hackensack Meridian Health's Nurse Residency Program + ICU experience preferred; Proficiency in… more
- Hackensack Meridian Health (Brick, NJ)
- … utilization management. **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... and serve as a leader of positive change. The **Care Management, Care Coordinator, Utilization Management** is a member of the healthcare team and is responsible for… 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
- Hackensack Meridian Health (Neptune City, NJ)
- …of positive change. The **Assistant Nurse Manager** is a professional, registered nurse who is a skilled communicator, collaborator and authentic leader. ... to others. The ANM provides operational and administrative support to Nurse leadership. This position effectively coordinates staffing, supports throughput, quality… more
- Hackensack Meridian Health (Neptune City, NJ)
- …strong Medical/Surgical experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation ... healthcare and serve as a leader of positive change. The ** Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness… more
- AristaCare (Manchester, NJ)
- …process, assessment, planning, implementation, and evaluation under the scope of the State's Nurse Practice Act of Registered Nurse licensure. The Unit ... Manager - RN coordinates resource utilization , timely and appropriate care interventions, and interdisciplinary communication...and regulatory compliance. Requirements; + Must possess, a valid Registered Nurse license in the state of… more
- Virtua Health (Mount Holly, NJ)
- …and/or certification from the State of New Jersey as a MSW or Registered Nurse .Case Management Certification (requirement within one year of hire beginning ... effectively to meet patient needs, monitors the length of stay and promotes efficient utilization of resources. Acts as a clinical expert and maintains ongoing… 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
- 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
- Hackensack Meridian Health (Brick, NJ)
- …Abilities Preferred:** + Master's degree. **Licenses and Certifications Required:** + NJ Licensed Registered Nurse or NJ Licensed Social Worker or NJ Licensed ... team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment and discharge plan. Accountable for… 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