Trabajos utilization management en North Bergen, NJCrear alertas

Job Description Company Overview: NRS is a leading provider of transportation & supply chain management services, and a family-owned and operated company that has been providing smart logistics solutions for the world's leading retailers and manufacturers for 60+ years. Whether it’s NRT, Keyst...

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.

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...

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.

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...

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.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...

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 pharmacy experience required.Soliant is hiring a Pharmacist t for a health system in Hackensack, NJ.In this role, the Pharmacistwill work in a Clinic setting.The pharmacist will work closely with physicians to ensure effective medication therapy for patients.Focus will be not onl...

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.Soliant Health is seeking an experienced.This position offers the opportunity to work in a highly specialized inpatient setting and may transition into a.Shift Options: 6:30 AM3:00 PM, 7:30 AM4:00 PM, or 8:00 AM4:30 PM.Every third weekend rotation req...

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.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...

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 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...

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.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...

Stability Healthcare is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in Passaic, NJ.Shift: 5x8 hr PMs Start Date: ASAP Duration: 13 weeks Pay: $2313 / Week.Stability HealthCare is a premier Per Diem and Travel Nurse Company.We provide the most qualifie...

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...

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 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 ...

Years of Exp preferred: 2-5 med-surg, 2 years case management.

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...

TotalMed Staffing is seeking an experienced Cath Lab Registered Nurse for an exciting Travel Nursing job in Hackensack, NJ.Shift: 5x8 hr PMs Start Date: ASAP Duration: 15 weeks Pay: $2967.We find the right solution that meets your requirements for pay, benefits, employer support,or whatever else ...

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...

You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review.

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...

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.A dedicated School Nurse (RN) is sought to provide essential health services to a 1:1 student in an elementary school setting.This role focuses on supporting a first-grade student with specific medical needs, ensuring a safe and conducive learning envi...

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 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 ...

KPG Healthcare Nursing is seeking an experienced Cardiovascular Operating Room Registered Nurse for an exciting Travel Nursing job in Jersey City, NJ.Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $3264 / Week.Travel Cardio OR Registered Nurse - $3,264 per week in taxable pay and non...

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

A Home Health Registered Nurse (RN) delivers direct nursing care to patients in their homes, ensuring comfort, stability, and effective management of their medical conditions. Home Health RNs assess patient conditions, develop care plans, administer treatments, and educate patients and caregivers...

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...

Stability 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: $3009 / Week.Stability HealthCare is a premier Per Diem and Travel Nurse Company.W...

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

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...

PRIDE Health is seeking a travel Pharmacist for a travel job in Brooklyn, New York.Job Description & Requirements.A Pharmacist is responsible for dispensing medications, providing advice on proper usage, and ensuring patient safety.Responsibilities include reviewing prescriptions, managing medica...

Cynet Health is seeking an experienced Wound Care Registered Nurse for an exciting Travel Nursing job in Bronx, NY.Shift: 5x8 hr days Start Date: 06/10/2025 Duration: 13 weeks Pay: $2827.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every position...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Edgewater, New Jersey.Job Description & Requirements.Provides professional nursing care to assigned patients.Assesses patients, develops and documents nursing care and discharge plans, and ...