Remote utilization review nurse jobs in Jersey City, NJCreate job alerts

Reviews complaints and grievances made or filed by staff. Makes appropriate reports to the Nursing Manager/charge nurse as required or as may be necessary. * Ensures that staff participates in and ...

: The Registered Nurse position is responsible for ensuring clinical planning, coordination ... Review patient charts for missing labs, reports, and/or open orders * Triage urgent same day or ...

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 ...

Triage Staffing is seeking a travel nurse RN Pediatrics for a travel nursing job in Newark, New Jersey. Job Description & Requirements * Specialty: Pediatrics * Discipline: RN * Start Date: 12/23 ...

... RN Case Manager / TH Senior Staff Associate. The successful candidate will: * Review patient ... Conduct Utilization review via Chart Review. * Conduct timely concurrent reviews and responses to ...

Talent4Health is seeking a travel nurse RN Care Manager for a travel nursing job in New York City ... Utilization Review, and Discharge Planning About Talent4Health A leader and innovator, offering ...

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 ...

... utilization of health benefits. * Obtains a thorough and accurate member history to develop an ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...

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 ...

Utilization Management * Participate in utilization review and management. * Maintain focus on key strategic priorities including patient experience, access to care, increased market share, 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 ...

... 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 ...

Mon- Fri. 35 hours/week. 8 to 4 or 9 to 5 ** 3-4 days a week on site and only 1-2 days remote and ... Ability to review and interpret clinical cases for efficiency of care. Skills Required: EPIC ...

Pediatrics * Discipline: RN * Start Date: 12/16/2024 * Duration: 13 weeks * 36 hours per week ... Check out our industry leading reviews on Google and Indeed to see how much our clinicians enjoy ...

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 ...

... utilization of supplies or equipment and regular profits and loss review. * Responsible for all ... Graduate of an accredited School of Nursing (RN). * Current appropriate state licensure. Experience ...

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 ...

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 ...

This is a Hybrid position with 2 days in the office and 3 days remote. Responsibilities: The Nurse ... Review, develop and modify day to day workflows to ensure timely follow up * Perform ongoing ...

Reviews member data to identify trends and improve operating performance and quality care in ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

... Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patient's values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care. 3. Establishes and ...

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

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 and mid shift Job ...