Rn chart review jobs in Hillside, New Jersey (NJ) State

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Secaucus, New Jersey. Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews througho...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Secaucus, New Jersey. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review met...

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Fulfills the obligation of requested and/or accepted case assignments. ...

NJ RN License, Solid Case Management Medical/Surgical and Behavioral Health Background, InterQual and Milliman Care Guidelines Experience, Leadership and Management Skills, Excellent Computer Competence, High Degree of Oral, Written and Interpersonal Skills, Organized, Energetic, Resourceful, Hig...

The Integrated Case Management Services program (ICMS) provides “in vivo” case management services to adults with a severe and persistent mental illness with co-occurring substance abuse. ...

The Preferred Communities Supplemental Services CHEA Case Manager will be responsible for building resilience of clients and their families by providing case management support to clients facing barriers in achieving long-lasting self-sufficiency and integration. Preferred Communities Cuban/Haiti...

Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Community Care Case Ma...

The Case Manager will work within an interdisciplinary team and collaborate with physicians, family members, nurses, and other hospital team members throughout the patient’s continuum of care. The Case Manager will provide compassionate quality care and concurrent assessment while assisting patie...

This position reports to the University Director of Student Health Services (SHS) and provides on-site primary care including in-depth health assessment and treatment for common mental health problems of students.Clinical decision making for identified health problems is done in consultation with...

Catholic Charities of the Archdiocese of Newark is currently seeking  Per Diem On Call Case Manager  for our  Mobile Response and Stabilization Services Program  located in  Jersey City, NJ. ...

Fulfills the obligation of requested and/or accepted case assignments. ...

Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Community Care Case Ma...

RN Case Manager – Central NJ . Team with On Call/Case Management/Visits to aid in coverage and call outs. Must have a State Certified RN license. If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a...

The Case Manager is responsible for conducting face to face visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS). The case manager is responsible for coordinating and collaborating care with the member/...

In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of inte...

Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. Certified Case Manager is preferred. Our Integrated Care Management (ICM) Care Managers are frontline ad...

Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. Certified Case Manager is preferred. Our Integrated Care Management (ICM) Care Managers are frontline ad...

The Integrated Case Management Services program (ICMS) provides “in vivo” case management services to adults with a severe and persistent mental illness with co-occurring substance abuse. Case Managers work from home 2 days per month. To maintain a caseload of up to 25 consumers and provide linka...

MUST HAVE UM experience, inpatient utilization management review. Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. Responsible for the review and evaluation of clinical information and documentation. Reviews documentation ...

Utilization Review Nurse/Care Manager within a Healthcare system in NJ. The Registered Nurse will provide case management/utilization review as well as routine discharge planning services to patients and their families, to facilitate safe and timely discharges, to enhance the benefits of medical ...

Benefits of becoming a Case Manager with us:. The Case Manager, assesses the social work needs of the patient and provides social work intervention as part of the discharge planning process. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning M...

Establish and maintain an ongoing therapeutic relationship and case load as skill level permits. Provides case management to individuals. ...

Currently seeking a Case Manager-. ...