Utilization management jobs in Montclair, NJCreate job alerts

Works collaboratively with the Utilization Management team, Denial Manager, Physician Advisor, Physician staff, Nursing staff, Case Management, Finance, Clerical Support staff and payer liaisons. Clinical Documentation, Performance Improvement, Case Management or Utilization Management experience...

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...

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 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...

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...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Northern NY/NJ. Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred. In ad...

VNA Health Group is seeking a Registered Nurse (RN) Home Health for a nursing job in North Arlington, New Jersey. Visiting Nurse Association Health Group (VNAHG) is one of the nation’s largest nonprofit independent providers of home health, hospice and community-based care serving New Jersey and ...

VNA Health Group is seeking a Registered Nurse (RN) Home Health Hospice for a nursing job in Cedar Grove, New Jersey. The Registered Nurse will be responsible for providing direct or indirect skilled comprehensive nursing care to a specified (or variety) of age and diagnostic groups. The RN is a ...

VNA Health Group is seeking a Registered Nurse (RN) Home Health Manager, Hospice for a nursing job in Little Ferry, New Jersey. RN with BSN; oncology/hospice and palliative care certification preferred. Posted job title: Home Health Rnassistant Clinical Manager, Hospice. Visiting Nurse Associatio...

VNA Health Group is seeking a Registered Nurse (RN) Home Health Manager, Hospice for a nursing job in Maywood, New Jersey. Visiting Nurse Association Health Group (VNAHG) is one of the nation’s largest nonprofit independent providers of home health, hospice and community-based care serving New Je...

VNS Health is seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in Union City, New Jersey. Posted job title: Manager, Mltc Care Coordination. ...

BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in East Rutherford, New Jersey. Registered Nurse (RN) Benefits:. Registered Nurse (RN) Responsibilities:. Qualifications for a Registered Nurse (RN):. ...

VNS Health is seeking a Registered Nurse (RN) Home Health Field Supervisor for a nursing job in Hoboken, New Jersey. Current license to practice as a Registered Nurse in New York State  . By providing case management support including clinical intervention, development of care plans, and follow-u...

VNS Health is seeking a Registered Nurse (RN) Skilled Nursing for a nursing job in Union City, New Jersey. License and current registration to practice as a Registered Professional Nurse in the State of New York requiredCPR/BLS Certification required. Minimum of two years in a clinical background...

VNS Health is seeking a Registered Nurse (RN) Case Management for a nursing job in Secaucus, New Jersey. Participates in case conferences with management. Provides input and recommendations for design and development of, processes and procedures for effective member case management, efficient dep...

VNS Health is seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in Hoboken, New Jersey. Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York State requiredCertified Case Manager preferredFor SelectHealth...

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

VNS Health is seeking a Registered Nurse (RN) Case Management for a nursing job in Hoboken, New Jersey. License and current registration to practice as a Registered Professional Nurse in NYS required or. ...

VNS Health is seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in Hoboken, New Jersey. Posted job title: Sh Rn Rn Care Manager. Certified Case Manager preferred. Manages providers, members, team, or care manager generated requests for medical services and...

BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Union City, New Jersey. Registered Nurse (RN) Benefits:. Registered Nurse (RN) Responsibilities:. Qualifications for a Registered Nurse (RN):. ...

VNS Health is seeking a Registered Nurse (RN) Case Management for a nursing job in Union City, New Jersey. Certified Case Manager - Commission for Case Manager Certification within 1 year of employment required. Provides telephonic clinical care management services using evidence-based practices ...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Union City, New Jersey. Posted job title: Rn Utilization Review. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the desig...