Utilization management jobs in Garfield, NJCreate job alerts

The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilizatio...

Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows th...

The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilizatio...

Calling all healthcare rockstars! Are you a RN (Registered Nurse) with experience in Case Management (Utilization Review) If so, you might be the right fit for this travel healthcare position in Bronx, NY.

The Director of Utilization and Case Management will spearhead the strategic direction, management, continuous improvement, and overall maintenance of the Utilization and Case Management Services Unit. Lead the Utilization and Case Management Department at University Hospital, a prestigious healt...

The Care Manager under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatie...

Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows th...

The Care Manager will assist the provider in directing care to the most appropriate setting, evaluating alternative care plans, and assessing outcomes through outreach to the members. The Care Manager under the direction of the Vice President of Clinical Services, is primarily responsible for man...

Precertification: Utilization Management Nurse Consultant - SCPU.

Nurse Medical Management II - Utilization Management. Requires minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or any combination of education and experience, which would provide an equivalent background. Consults with clini...

Precertification: Utilization Management Nurse Consultant -SCPU.

As a new Director of Utilization Management at VillageCare, you can expect to oversee the utilization review process, collaborate with interdisciplinary teams to optimize patient care, and develop strategies to enhance operational efficiency. To excel as the Director of Utilization Management at ...

Case Management (Utilization Review).

A traveler facility in White Plains, NY is seeking its next amazing RN (Registered Nurse) to work in Case Management (Utilization Review). Medical Solutions also supports you with industry-leading benefits, such as:. Day-one medical, dental, and vision insurance.

Assumes responsibility for supervision of other case management care coordination managers in the absence of a Supervisor. The Supervisor, Care Management is accountable for oversight of the department's designated team member caseloads and plans effectively in order to meet staffing needs, manag...

Rutgers, The State University of New Jersey is seeking a Utilization Management Coordinator for the Utilization Management Department within Rutgers University Behavioral Health Care. The primary purpose of the Utilization Management Coordinator is to coordinator conduct utilization reviews to en...

The Director of Case Management & Utilization will be responsible for the strategic direction setting, management, continuous improvement, and maintenance of the Case Management/Utilization. Two (2) years of experience in case management/utilization review/quality improvement leadership position ...

The Director of Utilization and Case Management will spearhead the strategic direction, management, continuous improvement, and overall maintenance of the Utilization and Case Management Services Unit. Lead the Utilization and Case Management Department at University Hospital, a prestigious healt...

Case Management (Utilization Review).

Precertification: Utilization Management Nurse Consultant. Prior Authorization or Utilization Management experience. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.

Active New York State Licensed Practical Nurse (LPN) or Registered Nurse (RN) license. Utilization Management Nurse (MLTC Focus). Remote, New York (Active NY nursing license required).

The working Supervisor of Case Management is responsible for providing supervision to the Case Managers, Coordinators, and Discharge Planners. Provides oversight for the quality and resource ...

The Registered Nurse is an individual practitioner and the interdisciplinary team manager, utilizes the nursing process to integrate all aspects of the provision of care and individualizes the plan ...

Experience Minimum five years experience in utilization review management and/or case management preferred. Minimum of 5 years experience as a registered nurse required. Special Skills Registered ...