Utilization management jobs in Hoboken, NJCreate job alerts

Job DescriptionVP of SalesAbout Our Client Our client is a clean energy engineering, manufacturing, and distribution company revolutionizing the market with proprietary clean energy technologies. Through a global network of partners, they bring advanced hydropower systems to residential, commerci...

Job DescriptionSalary: Summary: Esposito Construction is seeking an experienced, self-motivated Superintendent. The right candidate should be well versed in utility pipe construction process and all that it entails. The right candidate must be able to manage utility crews and supervise the da...

Job Description Salary: $95,000 - $110,000 Other Forms of Compensation: Bonus Eligible Pay Grade: 14 At Gourmet Dining & Chartwells Higher Education, people are at the core of our business. Together we build innovative food service concepts and serve fresh, local and nutritious meals at over...

Job DescriptionWe are seeking Board Certified Psychiatric Mental Health Nurse Practitioners (PMHNP) to expand access to behavioral health care in your area. If you're passionate about making a difference in mental health and committed to providing exceptional care, we would love to discuss this o...

Job Description Linkwell Health, the premier consumer experience company serving health plans and health services organizations, seeks a Digital Engagement Manager to leverage its Customer Relationship Management (CRM) software to drive business results in its consumer engagement programs. The Di...

Lincoln Medical and Mental Health Center is one of New York Citys premier acute care hospitals.Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best p...

Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred. Behavioral Health Care Manager I - Utilization Management. Behavioral Health Care Manager- Utilization Management.

The Assistant Director of Case Management supports the Director of Case Management with the overall operation of the Case Management Department. At the direction of the Director, this includes oversight of daily activities plus the forward planning of successful strategies to assure timely and ef...

Minimum of 2 years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR.

Competencies: Evidence of excellent interpersonal skills, effective communication, negotiation and conflict management skills; creative problem solving and clinical leadership; change management, organizational and time management skills. We have an exciting opportunity to join our team as a Regi...

Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.

Your responsibilities will also include managing contracts with regulatory vendors, overseeing member and provider communications, and actively collaborating with internal stakeholders to support clinical operations and utilization management. Collaborate with other clinical operations team membe...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation ...

Utilization Management, Prior Authorization - Medical Surgical (Inpatient or Outpatient), Complex Case Management w/ exposure to UM, Concurrent or Retrospective Medical Policy Review. Health Insurance Payer experience preferred, however will accept Health System Utilization Management related exp...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation ...

Minimum 1+ years nursing experience required.Emergency Room Registered Nurse.We are seeking an experienced Emergency Room Registered Nurse to join our dynamic team in the Bronx, New York.If you thrive in fast-paced environments and have a passion for emergency care, this is an exciting opportunit...

As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.Our clinic RNs build stro...

Minimum 1+ years nursing experience required.Soliant is currently seeking a dedicated and compassionate.This is an excellent opportunity for a healthcare professional to support the well-being of students in an educational setting.Provide basic medical care to students and staff, including first ...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation ...

Minimum 1+ years nursing experience required.An opportunity awaits for a dedicated professional to provide essential health services in an educational environment.This role focuses on supporting a 1st-grade student through personalized nursing care, ensuring a safe and healthy school experience.A...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation ...

Minimum 1+ years pharmacy experience required.A fast-paced, 24/7 long-term care facility in Rochester, NY is seeking a hands-on.This is an opportunity to take full operational responsibility in a high-volume setting, overseeing pharmacy workflows, compliance, HR matters, and clinical excellence.F...

The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1.The CAP RN 2 is accountable and responsible for the provision and coordination of clinically competent care...

Minimum 1+ years pharmacy experience required.Chemo-Admix Pharmacist New Jersey.A hospital in New Jersey is looking for a skilled.This is a 13+ week contract with potential to transition into a permanent role.For more information, contact:.Day shifts with every 3rd weekend.Strong skills in chemot...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation ...

Minimum 1+ years pharmacy experience required.Pharmacist Chemotherapy Admixture | New Jersey.Day shifts with every 3rd weekend.New Jersey Pharmacist Registration.Must have hands-on experience with:.Reviewing patient-specific chemotherapy protocols for dosing accuracy.Preparing chemotherapy infusi...

Fusion Medical Staffing is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: Inquire Start Date: 07/07/2025 Duration: 13 weeks Pay: $1963 / Week.Fusion Medical Staffing is seeking a skilled Telemetry RN for a 13 week travel assignment in N...

Minimum 1+ years nursing experience required.An exciting opportunity is available for a dedicated professional seeking a role as a 1:1 School Nurse.This position is set in a supportive elementary school environment in Newark, NJ, where you will play a crucial role in promoting the health and well...

Meda Health is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Brooklyn, NY.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2773.Meda Health goes beyond travel healthcare staffing and recruitment.Whatever your personal needs and pr...

Minimum 1+ years nursing experience required.Soliant is currently seeking a dedicated and compassionate.This is an excellent opportunity for a healthcare professional to support the well-being of students in an educational setting.Provide basic medical care to students and staff, including first ...

TotalMed Staffing is seeking an experienced Postpartum Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr days Start Date: ASAP Duration: 13 weeks Pay: $2262.We find the right solution that meets your requirements for pay, benefits, employer support,or whatever els...

Now Hiring: Staff Pharmacist Pain Management Group (New Jersey). Small, specialized pain management group. Dispense and verify pain management prescriptions.

TRS Healthcare is seeking an experienced Cardiovascular Operating Room Registered Nurse for an exciting Travel Nursing job in Jersey City, NJ.Shift: 3x12 hr days Start Date: 06/23/2025 Duration: 13 weeks Pay: $2955.TRS Healthcare is seeking a Registered Nurse that is licensed in NJ to work in the...

Minimum 1+ years pharmacy experience required.Chemo-Admix Pharmacist Contract-to-Hire Opportunity | New Jersey.Day shifts + every 3rd weekend.Soliant is seeking an experienced.Review complex chemotherapy protocols and treatment plans for accuracy and appropriateness.Prepare patient-specific chemo...

Lancesoft is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2509 / Week.Two years of the following experience is required: IV Insertion and phlebotomy skill Conscious sedat...

Minimum 1+ years pharmacy experience required.If you're a pharmacist in New York looking to advance your clinical career, consider relocating to.This position offers a rare opportunity to work across both.Be part of a hospital that prioritizes your growth, with leadership that supports your caree...

SambaTraveler is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Montclair, NJ.Shift: 3x12 hr nights Start Date: 06/16/2025 Duration: 13 weeks Pay: $2580 / Week.Working in healthcare, your schedule’s always in motion.SambaCare keeps it all on beat....

Minimum 1+ years nursing experience required.Soliant is currently seeking a dedicated and compassionate.This is an excellent opportunity for a healthcare professional to support the well-being of students in an educational setting.Provide basic medical care to students and staff, including first ...

Medical Solutions is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Bronx, NY.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2436.You’ve spun your compass and landed here! A facility in Bronx, NY, is currently hiring a RN (Regist...

Minimum 1+ years pharmacy experience required.This is a great opportunity for a hospital-experienced pharmacist seeking a full time,.If youre looking for work-life balance in a high-quality inpatient setting, this assignment is for you.Schedule: MondayFriday (weekend rotations).Duration: 13 weeks...

Meda Health is seeking an experienced Cardiovascular Operating Room Registered Nurse for an exciting Travel Nursing job in Jersey City, NJ.Shift: 3x12 hr days Start Date: 06/23/2025 Duration: 13 weeks Pay: $3026 / Week.Meda Health goes beyond travel healthcare staffing and recruitment.Whatever yo...

Minimum 1+ years pharmacy experience required.Contract Pharmacist Specialty Outpatient Pharmacy | NYC (All 5 Boroughs).Multiple outpatient clinics and specialty pharmacy sites across New York City.Soliant Health is seeking a motivated and licensed.This is a fantastic opportunity for pharmacists w...

FlexCare is an award-winning nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U. We are more than a staffing agency – we're a trusted healthcare partner who builds meaningful relationships to improve lives, ad...

Minimum 1+ years pharmacy experience required.Travel Pharmacist job in the Hudson River Valley area of New York.Variable days/afternoon shifts.NY licensed, 1 years + of inpatient/clinical/infusion experience, FT availability starting ASAP, good attitude and people skills.For details, please conta...

Cynet Health is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 5x8 hr days Start Date: 06/16/2025 Duration: 13 weeks Pay: $3063.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every posi...

Typical procedures that our team does are airway management, conscious sedation, central lines, and chest tubes.

Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Bronx, NY.Shift: 5x8 hr days Start Date: 06/23/2025 Duration: 9 weeks Pay: $2861.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every positio...

The position is accountable for the daily management of the Emergency Room Operations, Monitoring of ED Track Board Maintaining Equipment, Supplies, and ensuring all are operable. Excellent communications, management, inter-personal and leadership skills required.