Utilization review nurse jobs in Englewood, NJCreate job alerts

Job Summary: • Review and evaluate the assessment and UAS information for members in the MLTC and ... nursing home admissions. • Identify opportunities to improve the quality of care by ensuring ...

Position Summary Performs concurrent utilization review activities on all patients within the ... Special Skills Registered Nurse, Licensed in State of New Jersey, Current acute care clinical ...

Reviews all new admissions to identify patients where utilization review, discharge planning, and ... Current NYS RN nursing license. * CCM certification preferred. Re-credentialing of CCM status ...

Possession of a license and registration to practice nursing and 2 years of post-licensure nursing experience, one of which must have included utilization review and/or discharge planning OR ...

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and mid shift Job ...

... on proper utilization of those medical devices. * Supervise procedures for students taking ... Review and maintain accurate and current health records in accordance with local governmental ...

Registered Nurse, RN with Director level Hospice/Hospital Case Management, experience required ... Develop, implement and evaluate case management programs, including utilization review, and ...

... to ensure optimal utilization of services. * Ensure quality standards set by the external ... Provide ongoing review of emergency equipment, biological and medications in order to maintain ...

... review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols. - Oversee the coordination and delivery of comprehensive, quality healthcare and ...

Cost effective, appropriate utilization of wound care dressings, supplies, ostomy supplies and ... Participate with materials management in the review and selection of all specialty supplies ...

Assess appropriate site of care utilization and continued medical necessity reviews for prior ... Graduate of an accredited 2-4 year nursing program * Active, unrestricted license to practice ...

New York Licensed Registered Nurse, required ... A minimum of two years experience performing utilization review, claims adjudication, medical ...

... and utilization of referral services, as part of the health care system. Assists in providing ... Reviews and analyzes trends pertinent to delivery of nursing care services and collaborates with ...

Review and interpret screening and diagnostic observations and report findings to the project ... Familiarity with database utilization, regulatory compliance and human subject's protection issues

Review and ensure effective development and execution of personalized care plans that result in ... the utilization of services and implements changes and adjustments to meet needs and goals

Complies with infection control practices such as hand washing, proper utilization of PPE, etc ... Reviews work que/email of abnormal findings from radiologist. * Make appointment for follow -up ...

NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ...

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 ...

Employment Type Full time Shift Day Shift Description Nurse - RNII - Family Medical Group ... Review and update medication list to ensure accurate and complete list in electronic medical record ...

Employment Type Full time Shift Day Shift Description Nurse - RNII - Family Medical Group ... Review and update medication list to ensure accurate and complete list in electronic medical record ...

Reviews complaints and grievances made or filed by staff. Makes appropriate reports to the Nursing Manager/charge nurse as required or as may be necessary. * Ensures that staff participates in and ...

Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home placement eligibility. * Coordination with home care ...

Visits each assigned home weekly (minimally) to provide nursing oversight and complete review of items. * Interacts with primary, medical specialists, various clinical staff as necessary. * Advocate ...

Participate in interdisciplinary team meetings and annual reviews as required by each division ... NYS Registered Nurse (RN) license * CPR certification * Solid assessment, clinical, and ...