Utilization management jobs in Passaic, 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 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...

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 ...

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 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...

Davita Kidney Care is seeking a Registered Nurse (RN) Dialysis for a nursing job in Edgewater, New Jersey. Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more. Certified Neph...

Davita Kidney Care is seeking a Registered Nurse (RN) Clinical Nurse Coordinator for a nursing job in Edgewater, New Jersey. Posted job title: Registered Nurse Clinical Nurse Coordinator Rn - $10,000 Retention Bonus. Current Registered Nurse (RN) license in the state of practice. Dialysis Charge ...

VNA Health Group is seeking a Registered Nurse (RN) Home Health Hospice for a nursing job in North Arlington, 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. Register...

Davita Kidney Care is seeking a Registered Nurse (RN) Dialysis for a nursing job in Englewood Cliffs, New Jersey. Certified Nephrology Nurse (CNN) or Certified Dialysis Nurse (CDN). Posted job title: Registered Nurse Dialysis. DaVita is seeking a Nurse who is looking to give life in an outpatient...

VNA Health Group is seeking a Registered Nurse (RN) Home Health Manager, Hospice for a nursing job in Dumont, 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 Jer...

VNA Health Group is seeking a Registered Nurse (RN) Home Health for a nursing job in Jersey City, New Jersey. VNA Health Group is currently looking for a Registered Nurse to join our team. Posted job title: Home Health Registered Nurse Home Health. Visiting Nurse Association Health Group (VNAHG) ...

Davita Kidney Care is seeking a Registered Nurse (RN) Dialysis Supervisor for a nursing job in Edgewater, New Jersey. Current Registered Nurse (RN) license in the state of practice. Dialysis Charge RN readiness approval by Clinical Nurse Manager or RN-licensed FA/GFA required. Support for you and...

VNA Health Group is seeking a Registered Nurse (RN) Home Health for a nursing job in Bloomfield, New Jersey. Posted job title: Rn-Home Health Rn Home Health. Our Continuing Education programs will keep you current, with learning and certifications to help you master your profession. Our online le...

VNS Health is seeking a Registered Nurse (RN) Home Health New Graduate for a nursing job in Ridgefield, New Jersey. The VNS Health Nurse Residency Program is designed to empower recent RN graduates with hands-on clinical experience and training to develop the next generation of expert home care c...

Montefiore Medical Center is seeking a Registered Nurse (RN) Med Surg for a nursing job in Edgewater, New Jersey. The Registered Nurse actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore Medical Center. New York State License for Registered Professional ...

VNS Health is seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in West New York, 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 servic...

VNS Health is seeking a Registered Nurse (RN) Field Supervisor for a nursing job in Edgewater, New Jersey. License and current registration to practice as a Registered Professional Nurse in New York State or Licensed Social Worker Required. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Englewood Cliffs, New Jersey. New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an R. This vacancy will be p...

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Cliffside Park, New Jersey. Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews th...

BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Englewood Cliffs, New Jersey. Posted job title: home care - registered nurse. Are you feeling burned out? Craving work-life balance?. Preventive Care Coverage for ALL employees (PRN included). ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Clinic Manager for a nursing job in Fort Lee, New Jersey. ...

VNS Health is seeking a Registered Nurse (RN) Case Management for a nursing job in North Bergen, 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...