Remote utilization review nurse jobs in Bayonne, NJCreate job alerts

Job Summary: • Review and evaluate the assessment and UAS information for members in the MLTC and ... nursing home admissions. • Identify opportunities to improve the quality of care by ensuring ...

Possession of a license and registration to practice nursing and 2 years of post-licensure nursing experience, one of which must have included utilization review and/or discharge planning OR ...

Reviews all new admissions to identify patients where utilization review, discharge planning, and ... Current NYS RN nursing license. * CCM certification preferred. Re-credentialing of CCM status ...

Registered Nurse, RN with Director level Hospice/Hospital Case Management, experience required ... Develop, implement and evaluate case management programs, including utilization review, and ...

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ...

Requirements Description & Requirements Maximus is currently hiring hybrid remote Registered Nurse ... Review cases or sites assigned to determine and summarize facts and assess any issues identified

... review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols. - Oversee the coordination and delivery of comprehensive, quality healthcare and ...

Documents learning outcomes of patient/family and revises education plan Include utilization of EHR ... Engages in self assessment and peer review; utilizes resources to meet individual learning need and ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business day ...

... on proper utilization of those medical devices. * Supervise procedures for students taking ... Review and maintain accurate and current health records in accordance with local governmental ...

Role Notes from Pontoon/Manager: - Temp to Perm potential - "Remote" role; The role is considered a ... Understands fiscal accountability and its impact on the utilization of resources, proceeding to ...

... to ensure optimal utilization of services. * Ensure quality standards set by the external ... Provide ongoing review of emergency equipment, biological and medications in order to maintain ...

Utilize evidence-based strategies to prevent hospitalization and inappropriate ER utilization ... Review and authorize service requests according to workflows and timelines. * Collaborate with ...

Assess appropriate site of care utilization and continued medical necessity reviews for prior ... Graduate of an accredited 2-4 year nursing program * Active, unrestricted license to practice ...

New York Licensed Registered Nurse, required ... A minimum of two years experience performing utilization review, claims adjudication, medical ...

In this hybrid role, you'll conduct in-home and remote assessments for individuals seeking ... Review medical records and referrals to provide informed evaluations. * Accurately input and code ...

... and utilization of referral services, as part of the health care system. Assists in providing ... Reviews and analyzes trends pertinent to delivery of nursing care services and collaborates with ...

Review and interpret screening and diagnostic observations and report findings to the project ... Familiarity with database utilization, regulatory compliance and human subject's protection issues

This position is 3 days on site, 2 days remote and offers an opportunity to be part of one of the ... Review assessments to determine if the correct conclusion for eligibility of services was reached ...

Document medical information of patients and review patient history at each visit * Request ... Remote-first culture401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...

Two days remote and 3 days in the field work week These are the highlights of the assessment nurse ... Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in ...

Complies with infection control practices such as hand washing, proper utilization of PPE, etc ... Reviews work que/email of abnormal findings from radiologist. * Make appointment for follow -up ...

Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare ... remote since the pandemic), but you are part of the Atlas Community. If you don't have this kind of ...

Discipline: RN * Start Date: 01/13/2025 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours ... Check out our industry leading reviews on Google and Indeed to see how much our clinicians enjoy ...