Utilization management jobs in Teaneck, NJCreate job alerts

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 ...

Adheres to and participates in the agency's utilization management model. License Requirements * Current RN licensure in state of practice * Current CPR certification * Current Drivers License ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business day ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. * Follow up with assigned nurses for clinical updates to care plan. * Document within two business day ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. * Follow up with assigned nurses for clinical updates to care plan. * Document within two business day ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and mid shift Job ... management, preferably within a healthcare or hospital setting Exceptional interpersonal 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 ...

... Case Management preferred. -Five years minimum of clinical experience as a Registered Nurse. Leadership experience preferred. Experience with Care Coordination, Utilization review and discharge ...

Monitor and forecast cash flows to ensure optimal utilization of resources. * Execute short-term investments and manage borrowing requirements to maintain liquidity and funding efficiency. * Cash ...

... utilization across projects and updates project accounting systems as required. • Addresses ... Management Professional (PMP) [certified by the Project Management Institute (PMI) Global ...

The Nurse Manager (RN) will: * In conjunction with the DON and HR Manager, recruit, hire, monitor ... Monitor utilization of nursing services and staffing productivity * Provide clinical nursing ...

Responsible for case management and patient care delivery through nursing assessment, nursing intervention, patient education, patient care coordination and utilization of referral services, as part ...

Campaign Management: Lead and oversee the day-to-day management of search campaigns, including ... that team utilization is maximized through delegation of tasks to teammates. * Mentorship

Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. * Obtains a thorough and accurate member history to ...

... management of members with chronic and/or catastrophic illness, members who are frail elderly and ... Combine utilization of medical care and pharmacy, with specific focus on the transition of care ...

Participate with materials management in the review and selection of all specialty supplies, dressings, and materials for wound and ostomy care to facilitate cost-effective utilization and compliance ...

... management that is limited to utilization reviews for a health plan or a combination of hospital and health plan case management § Assessments that were all conducted telephonically and did not ...

Data from applications and services are not managed centrally, resulting in no easy mechanism to ... The position requires critical thinking and problem-solving and the utilization of industry ...

... Utilization Review activities. * Conducts medical records audits, participates in needs analyses, oversees new/revised practices as assigned. * Assists Hospice department managers and PCCs in ...

Managing a patient panel with a broad array of patient needs; conducting a mix of acute, chronic ... Utilization of your specific clinical training and opportunities to perform in-office procedures

The NP is responsible for managing protocols for study subjects enrolled in therapeutic and non ... Familiarity with database utilization, regulatory compliance and human subject's protection issues

... their utilization * Understand how to build and present AppCard's value using data and insights ... Manage a team of 3-5 CSM Requirements * 3-5 years years of experience * Management experience

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

REGISTERED NURSE The Registered Nurse reports to the Nurse Manager. This position provides ... to ensure optimal utilization of services. * Ensure quality standards set by the external ...