Utilization management jobs in South Plainfield, NJCreate job alerts

Clean Harbors is looking for a Director of Fleet Operations to join our safety conscious team! The Director will be responsible for overseeing and managing the Company's fleet of vehicles, including direct oversight of assigned area maintenance garages on a national level with functional oversigh...

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...

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. CVS Health also offers numerous well-being programs, education ...

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...

Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health.This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Anchored in our brand — with heart at its ce...

Care Management, Care Coordinator, Utilization Management. 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...

A traveler facility in Bronx, NY is seeking its next amazing RN (Registered Nurse) to work in Case Management (Utilization Review).

The Utilization Management Registered Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Previous experience in ut...

Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc. Informs member and provider of Utilization Management determinations and treatment alternatives. Assists all departments with the resolut...

Precertification: Utilization Management Nurse Consultant - SCPU.

Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc. Informs member and provider of Utilization Management determinations and treatment alternatives. Performs all Utilization Management acti...

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...

Precertification: Utilization Management Nurse Consultant.

Active New York State Licensed Practical Nurse (LPN) or Registered Nurse (RN) license. Utilization Management Nurse (MLTC Focus). Remote, New York (Active NY nursing license required).

Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process. Nurse Medical Management II - Utilization Management. Ensures medically appropriate, high quality, cost effective care through as...

Care Management, Care Coordinator, Utilization Management. 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...

Precertification: Utilization Management Nurse Consultant.

... and management; integrated behavioral health services. * Residents and Fellows are encouraged to ... care, to utilization of data to individually tailor our services for continual improvement in ...

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

This partnership will provide a comprehensive clinical resource management program that includes utilization management, progression of care management, social work services, and complex discharge ...

As a rangeland management specialist, you will collaborate with landowners and conservation ... utilization standards. KEY REQUIREMENTS Must be a U.S. citizen, a U.S. national, or lawfully ...

Clinical Document-Coding Mgmt Saint Peter's is the 5th hospital worldwide to earn Magnet status SIX ... The Utilization Review Nurse Per Diem will: * Identify appropriate medical information necessary to ...