Trabajos utilization management en Union City, NJCrear alertas

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...

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.

At the direction of the Director, this includes oversight of daily activities plus the forward planning of successful strategies to assure timely and efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management, care facilitation ...

Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.

Utilization Management, Prior Authorization - Medical Surgical (Inpatient or Outpatient), Complex Case Management w/ exposure to UM, Concurrent or Retrospective Medical Policy Review. Working knowledge of case/care and utilization management principles. Registered Nurse | Utilization Management A...

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.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...

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.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...

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 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...

The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1.This position is accountable and responsible for the provision and coo...

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...

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.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...

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...

Medical Solutions 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: $1962.You’ve spun your compass and landed here! A facility in New York, NY, is currently hiring a RN (Reg...

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 ...

Meda Health is seeking an experienced Nurse Department Manager Registered Nurse for an exciting Travel Nursing job in Brooklyn, NY.Shift: 5x8 hr days Start Date: 07/07/2025 Duration: 13 weeks Pay: $3540.Meda Health goes beyond travel healthcare staffing and recruitment.Whatever your personal need...

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 ...

SambaTraveler is seeking an experienced Post Anesthesia Care Unit Registered Nurse for an exciting Travel Nursing job in Hackensack, NJ.Shift: 3x12 hr days Start Date: 06/09/2025 Duration: 11 weeks Pay: $2504 / Week.Working in healthcare, your schedule’s always in motion.SambaCare keeps it all on...

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...

Medical Solutions is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2196.Are you ready to choose your next adventure in care? We’re seeking a hardworking, hard-playing RN (Reg...

Minimum 1+ years pharmacy experience required.Travel Pharmacist job in the Hudson River Valley area of New York.Variable days/afternoon shifts.NY licensed, 1 years + of inpatient/clinical/infusion experience, FT availability starting ASAP, good attitude and people skills.For details, please conta...

Cynet Health is seeking an experienced Postpartum Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr nights Start Date: 06/30/2025 Duration: 9 weeks Pay: $2457.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every pos...

Small, specialized pain management group. Dispense and verify pain management prescriptions. Oversee inventory management and controlled substance compliance.

Lancesoft is seeking an experienced Lactation Consultant Registered Nurse for an exciting Travel Nursing job in Forest Hills, NY.Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $3000 / Week.We are seeking an experienced and compassionate Registered Nurse (RN) with Lactation expertise ...

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...

Fusion Medical Staffing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: Inquire Start Date: 06/15/2025 Duration: 11 weeks.Fusion Medical Staffing is seeking a skilled Labor and Delivery RN for a 11 week travel assignment in N...

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...

Medical Solutions is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2022.Are you ready to choose your next adventure in care? We’re seeking a hardworking, hard-playing RN (Registe...

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 Telemetry Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $1954.Are you ready to choose your next adventure in care? We’re seeking a hardworking, hard-playing RN (Registe...

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...

Two years case/resource management and utilization management is required. Care Management experience is preferred.

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

Stability Healthcare is seeking an experienced Postpartum Registered Nurse for an exciting Travel Nursing job in New York, NY.Shift: 4x12 hr nights Start Date: 06/30/2025 Duration: 13 weeks Pay: $3292 / Week.Stability HealthCare is a premier Per Diem and Travel Nurse Company.We provide the most q...

The position is accountable for the daily management of the Emergency Room Operations, Monitoring of ED Track Board Maintaining Equipment, Supplies, and ensuring all are operable. Excellent communications, management, inter-personal and leadership skills required.

Medical Solutions is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Bronx, NY.Shift: 3x12 hr days Start Date: ASAP Duration: 13 weeks Pay: $2722.This ER (Emergency Room) in RN (Registered Nurse) job in Bronx, NY could be the next chapter in your story...

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

CrossMed Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Newark, NJ.Shift: 12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2120.At CrossMed Healthcare Staffing, we aim to create lasting impressions wherever we go.Embark on your hea...

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

Atlas MedStaff is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Bronx, NY.Shift: 5x8 hr days Start Date: 06/10/2025 Duration: 13 weeks Pay: $2584.Atlas Medstaff is currently seeking candidates in the RN, Med/Surg profession for a 13 week contract i...