Utilization review nurse jobs in Jersey City, NJCreate job alerts

Are you an experienced Registered Nurse (RN) with a passion for ensuring patients receive the highest quality care while .Do you thrive in a dynamic, fast-paced environment and enjoy the flexibility of travel nursing? If so, we have an exciting opportunity for you! We are seeking a dedicated Tr.....

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Fairview, New Jersey. Job Description & Requirements* Specialty: Utilization Review* Discipline: RN* Start Date: ASAP* Duration: Ongoing* Employment Type: StaffResolves grievances, appeals and external re...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Fairview, New Jersey. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review met...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Hoboken, New Jersey. Job Description & Requirements* Specialty: Utilization Review* Discipline: RN* Start Date: ASAP* Duration: Ongoing* Employment Type: StaffLeads interdepartmental quality improvement activiti...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Edgewater, New Jersey. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review me...

Do you thrive in a dynamic, fast-paced environment and enjoy the flexibility of travel nursing? If so, we have an exciting opportunity for you! We are seeking a dedicated Travel RN specializing in Utilization Review to join our team. Are you an experienced Registered Nurse (RN) with a passion for...

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Union City, New Jersey. Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews throug...

Utilization Review Nurse/Care Manager within a Healthcare system in NJ. The Registered Nurse will provide case management/utilization review as well as routine discharge planning services to patients and their families, to facilitate safe and timely discharges, to enhance the benefits of medical ...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Edgewater, New Jersey. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review me...

The Utilization Review Nurse promotes effective utilization and monitoring of health care resources to achieve desired clinical, financial and resource outcomes. We have an exciting opportunity for a Utilization Review Nurse to work in Ramapo Ridge Behavioral Health (RRBH). Works collaboratively ...

The Case Management Analyst will be responsible for analyzing and responding appropriately to appeals from members, member representatives and providers regarding denials for services and denials of payment via oral and written communication; researching and applying pertinent Medicare and Medica...

Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews throughout the process. VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Hoboke...

VNS Health is seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in West New York, New Jersey. Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York State requiredCertified Case Manager preferredFor Select...

VNS Health is seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in Fairview, New Jersey. Posted job title: Manager, Mltc Care Coordination. ...

Use your nursing degree in a way that positively influences patient outcomes and quality of life! The Registered Nurse will interact with the entire home care team and is responsible for case management and direct patient care. The ideal candidate must have a current NJ RN License; a minimum of 1...

VNS Health is seeking a Registered Nurse (RN) Wound Care for a nursing job in Cliffside Park, New Jersey. License and current registration to practice as a Registered Professional Nurse in the State of New York within 6 mo. Plans and implements population/disease management programs and related p...

VNS Health is seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in Union City, New Jersey. Job Description & Requirements* Specialty: Acute Care Case Management* Discipline: RN* Start Date: ASAP* Duration: Ongoing* Employment Type: StaffLeads a team to ach...

Job Description & Requirements* Specialty: Utilization Review* Discipline: RN* Start Date: ASAP* Duration: Ongoing* Employment Type: StaffLeads interdepartmental quality improvement activities such as development and engagement, clinical review, clinical risk management, and patient satisfaction....

Job Description & Requirements* Specialty: Utilization Review* Discipline: RN* Start Date: ASAP* Duration: Ongoing* Employment Type: StaffResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (...

Montefiore Medical Center is seeking a Registered Nurse (RN) Med Surg for a nursing job in Fort Lee, New Jersey. Job Description & Requirements* Specialty: Med Surg* Discipline: RN* Duration: Ongoing* Shift: nights* Employment Type: StaffThis vacancy will be posted on internal Career Website for ...

VNS Health is seeking a Registered Nurse (RN) Case Management for a nursing job in Edgewater, New Jersey. Licenses and Certifications:* Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York State required* Certified Case Manager preferred* For Sel...

Montefiore Medical Center is seeking a Registered Nurse (RN) Clinical Coordinator, ED - Emergency Department for a nursing job in Edgewater, New Jersey. EDUCATION, TRAINING & EXPERIENCE:New York State License for Registered Professional Nurse and current registration or valid permit topractice in...

Montefiore Medical Center is seeking a Registered Nurse (RN) Electrophysiology Lab for a nursing job in Edgewater, New Jersey. Job Description & Requirements* Specialty: Electrophysiology Lab* Discipline: RN* Duration: Ongoing* Shift: evenings* Employment Type: StaffThe Staff Nurse will provide p...

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in West New York, New Jersey. Job Description & Requirements* Specialty: Utilization Review* Discipline: RN* Start Date: ASAP* Duration: Ongoing* Employment Type: StaffResolves grievances, appeals and extern...