Utilization management jobs in Livingston, NJCreate job alerts

Responsible for planning, managing, implementing, and evaluating the operations of the Department of Case Management, which includes oversight of effective resource utilization and the provision of high quality and excellent care.Work in collaboration with administration and physician leadership ...

Board Certified/Board Eligible and Valid NJ License * Minimum of 2 years of Clinical Practice Experience * Previous Utilization Management Experience in Acute Care Setting * Prior leadership ...

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...

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...

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...

This Case Management (Utilization Review) in RN (Registered Nurse) job in Bronx, NY could be the next chapter in your story of personal and professional growth.

Previous experience in utilization management required. The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ...

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...

Precertification: Utilization Management Nurse Consultant - SCPU.

Assists all departments with the resolution of members’ problems related to utilization management issues. Performs all Utilization Management activities in compliance with all regulatory agency requirements. Conducts medical record reviews as appropriate to case management functions.

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...

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...

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...

Precertification: Utilization Management Nurse Consultant.

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every m...

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...

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want ev...

Vascular and Neurovascular Angiography, Pain Management and Diagnostic Imaging areas of Ultrasound, Computed Tomography (CT), Magnetic Resonance (MRI), X-ray, Nuclear Medicine and Mammography. The ...

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

... and utilization management that promotes positive patient outcomes (for example but not limited to, therapy utilization, client no visit, missing TIF OASIS, agent visit time, missed visit ...

Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization ...