Utilization management jobs in Teaneck, NJCreate job alerts

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...

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...

Calling all healthcare rockstars! Are you a RN (Registered Nurse) with experience in Case Management (Utilization Review) If so, you might be the right fit for this travel healthcare position in Bronx, NY.

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.

The Care Manager will assist the provider in directing care to the most appropriate setting, evaluating alternative care plans, and assessing outcomes through outreach to the members. The Care Manager under the direction of the Vice President of Clinical Services, is primarily responsible for man...

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).

Case Management (Utilization Review).

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...

Precertification: Utilization Management Nurse Consultant. Prior Authorization or Utilization Management experience. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.

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...

Mentor junior staff in the utilization of security tools, report generation, and issue resolution ... Enhance visibility and detective capability in a fully managed Azure/AWS environment. * Conduct ...

... utilization & storage, battery storage, transport electrification and biofuels). This new group ... Management Responsibilities : * This role will have access to junior resources All qualified ...

Utilization Review * Discipline: RN * Start Date: 11/25/2024 * Duration: 13 weeks * 40 hours per ... Travel Must have 1 year of inpatient case management experience. Prefer prior critical care ...

Monitors and intervenes on LOS, resource utilization and denial management/ prevention within the assigned caseload. Education Bachelor's degree (BSN) in nursing required. Experience Minimum 5 years ...

Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...

... utilization of services across the continuum of care. Assist the entire Care Management interdisciplinary team in managing members with Care Management needs. Responsibilities * Assess and evaluate ...

Utilization Management * Participate in utilization review and management. * Maintain focus on key strategic priorities including patient experience, access to care, increased market share, and ...

Complete Readmission screen in the Care Management Module (CarePort). * Conduct Utilization review via Chart Review. * Conduct timely concurrent reviews and responses to third party payors request ...

Utilization of knife cuts in a fast, efficient and safe manner. * Ability to manage multiple tasks and projects on a consistent basis. * Strong communication, time and resource management and ...

Experience with Care Coordination, Utilization review and discharge planning Computer literacy ... Master's Degree and Bilingual Spanish Certification in Case Management preferred. BLS-AHA #HCRR RS ...