- CVS Health (Trenton, NJ)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health ... ensuring compliance with regulatory and accreditation standards while driving healthcare quality initiatives. This role combines clinical expertise with quality … more
- CVS Health (Trenton, NJ)
- …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, holidays, and ... other products, services and/or programs * Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization * Consults and… more
- Fujifilm (Trenton, NJ)
- …customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... **Position Overview** The Clinical Consultant , MI - I shall be responsible for... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- CVS Health (Trenton, NJ)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- RWJBarnabas Health (Somerset, NJ)
- Nurse Coordinator RNReq #:0000224588 Category:Nurses Status:Part-Time Shift:Night Facility:RWJBarnabas Health Corporate Services Department:Patient Transfer Center ... Location: 379 Campus Dr, Somerset, NJ 08873 Job Title: Nurse Coordinator RN Location: 379 Campus Drive Department Name:...as well as experience in clinical care operations, case management and/or patient throughput + Must have a working… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …your career at Redeemer is more than a job. You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and ... physician query process and serves as an educator and consultant through interaction with providers, and other members of...and coders with an overall objective to support the quality , completeness, accuracy and integrity of the medical record… more
- Merck (West Point, PA)
- …with our key stakeholders in other departments (Safety, Occupational Toxicology, management , HR, etc.) will be essential. The physician provides guidance, ... skills + Maintains the highest professional and ethical standards in the management of confidential information and in relationships with employees and colleagues +… more