Utilization review nurse jobs in Passaic, New JerseyCreate job alerts

POSITION SUMMARY: To coordinate and facilitate patient care through the Valley Hospital Health Care System as it relates to a multidisciplinary approach to patient care and utilization of resources. EDUCATION: Bachelor's degree required. ANCC case management certification preferred. EXPERIENCE: Minimum five years experience in utilization review management and/or case management preferred. Minimum 5 years experience as a registered nurse required. SPECIAL SKILLS: Registered Nurse. Licensed in State of New Jersey. Current acute care clinical knowledge with broad base medical/surgical background. Demonstrates effective interaction and communication (oral, writing, presenting) skills. Ability to perform work accurately and pay attention to details, often changing from one task to another without loss of efficiency or composure. Ability to function competently in stressful situations and a changing work environment related to changing patient needs. Ability to work cooperatively within the health-system; with patients and family members; and with multidisciplinary team members (i.e. , physicians, Rehab, Respiratory, DI, Lab, etc.). Ability to utilize effective time management to set priorities, perform job related responsibilities, and respond quickly to emergency situations. Ability to use critical thinking and clinical reasoning skills effectively problem-solve and provide case management services. Job Location The Valley Hospital-Paramus Shift Day (United States of America) Benefits • Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees), • Group Term Life Insurance and AD&D(Full Time Employees), • Flexible Spending Accounts and Commuter Benefit Plans, • Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.), • 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness, • Retirement Plan, • Tuition Assistance, • Employee Assistance Program (EAP), • Valley Health LifeStyles Fitness Center Membership Discount, • Day Care Discounts for Various Daycare Facilities Salary Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits. Pay Range: $46.64 - $58.29 (per hour) EEO Statement Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.

Job DescriptionSalary: $20/hour About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York City metro area and New Jersey, our incredible team of pediatricians, nurse practitioners, and clinical support staff practices a unique philosophy that embraces low intervention and thoughtful medicine while delivering the highest quality of service and care. About the Role: Our Medical Assistants provide direct patient care to children in a clinical setting. They team up with our pediatricians to provide a high level of service and care. Expectations include the following: • Maintain a friendly, supportive, and professional demeanor with patients and colleagues, • Patient intake, charting, and documentation in our electronic medical records system, • Measure vitals, perform in-office tests and surveys, send out labs, • Assist with vaccine administrations, • Schedule appointments, • Welcome patients, take on front desk responsibilities, • Maintain vaccine and supply inventories, • Exceptional customer service skills, • Previous experience in the medical field preferred (pre-med & CMA new grads also welcome), • Time management skills and ability to multitask, • Flexible scheduling availability, • Must be able to provide proof of vaccination against Hep B, Tdap, and MMR Compensation and Benefits: Medical Assistants start at $20/hour for their first year with us! We conduct our own in-house Medical Assistant training (3-4 weeks long), which is fully covered at your hired pay rate. • Additional monthly incentive bonuses tied to productivity, utilization, and attendance offered, • Potential assignment as a trainer after 90 day review, training bonus offered, • Annual evaluations with compensation increases, • Opportunity for upward mobility and promotion within the company Paid Time Off: Full-time employees accrue 10.67 hours per month (approximately 16 PTO days per year) Health, Dental, and Vision Benefits: Full time employees are eligible to participate in the health, dental, and vision insurance plans after 90 days of service. The base level plans are covered 100% by the company. Other level plans include a subsidy from the company. Additional Benefits: Additional benefits include entirely subsidized (read: free to you!) gym memberships at your choice of NY Sports Club, Blink Fitness, and LA Fitness. As well as others that include: an HSA plan, pet insurance, commuter benefits, voluntary supplemental insurances for Hospital Indemnity, Cancer, and Accidents, Voluntary Short-Term Disability Insurance, and Voluntary Life and AD&D. 401k and Profit Share: After 90 days, you will be eligible for participation and contribute to our 401(k) plan, administered via Principal. After your first year of employment, Tribeca Pediatrics will make an annual Safe Harbor contribution of 3% of your compensation. Eligible employees will also receive a profit share contribution. *

Job DescriptionSalary: $22/hour About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York City metro area and New Jersey, our incredible team of pediatricians, nurse practitioners, and clinical support staff practices a unique philosophy that embraces low intervention and thoughtful medicine while delivering the highest quality of service and care. About the Role: Our Certified Medical Assistants provide direct patient care to children in a clinical setting. They team up with our pediatricians to provide a high level of service and care. Expectations include the following: • Hosting Flu Clinics in our Jersey City Office, • Administer Vaccines when required, • Maintain a friendly, supportive, and professional demeanor with patients and colleagues, • Patient intake, charting, and documentation in our electronic medical records system, • Measure vitals, perform in-office tests and surveys, send out labs, • Assist with vaccine administrations, • Schedule appointments, • Welcome patients, take on front desk responsibilities, • Maintain vaccine and supply inventories, • Adhere to practice policies around HIPAA compliance and staff and patient safety About You: • Exceptional customer service skills, • Previous experience in the medical field preferred (pre-med & CMA new grads also welcome), • Time management skills and ability to multitask, • Flexible scheduling availability, • Must be able to provide proof of vaccination against Hep B, Tdap, and MMR Compensation and Benefits: Certified Medical Assistants in NJ start at $22/hour for their first year with us! We conduct our own in-house Medical Assistant training, which is fully covered at your hired pay rate. • Additional monthly incentive bonuses tied to productivity, utilization, and attendance offered, • Potential assignment as a trainer after 90 day review, training bonus offered, • Annual evaluations with compensation increases Full-time employees accrue 10.67 hours per month (approximately 16 PTO days per year) Health, Dental, and Vision Benefits: Full time employees are eligible to participate in the health, dental, and vision insurance plans after 90 days of service. The base level plans are covered 100% by the company. Other level plans include a subsidy from the company. Additional Benefits: Additional benefits include entirely subsidized (read: free to you!) gym memberships at your choice of NY Sports Club, Blink Fitness, and LA Fitness. As well as others that include: an HSA plan, pet insurance, commuter benefits, voluntary supplemental insurances for Hospital Indemnity, Cancer, and Accidents, Voluntary Short-Term Disability Insurance, and Voluntary Life and AD&D. 401k and Profit Share: After 90 days, you will be eligible for participation and contribute to our 401(k) plan, administered via Principal. After your first year of employment, Tribeca Pediatrics will make an annual Safe Harbor contribution of 3% of your compensation. Eligible employees will also receive a profit share contribution. *

Job Description Advanced Practice Registered Nurse (APRN) Boca Recovery Center Website Location: On Site - Englewood, NJ Department: Medical Services Reports to: Medical Director Salary: Competitive, based on licensure and experience About Boca Recovery Center Founded in 2016, Boca Recovery Center is a nationally recognized addiction treatment provider specializing in substance use disorders and co-occurring mental health conditions. With locations in Florida, New Jersey, Indiana, and Massachusetts, we deliver evidence-based clinical care in a supportive, structured environment. Our team is committed to providing trauma-informed, client-centered services that promote lasting recovery. Position Overview We are seeking an experienced and dedicated Advanced Practice Registered Nurse (APRN) to join our multidisciplinary medical team in Englewood, NJ. The APRN plays a key clinical role in delivering psychiatric and medical services to individuals in detox and residential treatment. This role requires clinical expertise in psychiatric evaluations, medication management, and a collaborative approach to patient care. Requirements Key Responsibilities • Provide advanced nursing expertise for the design and execution of medical and clinical activities in accordance with each patient’s treatment plan., • Conduct psychiatric and physical assessments, medication management, and consultations within scope of APRN practice., • Assess and assure the appropriateness of patient admissions and ongoing care., • Provide after-hours on-call coverage for emergency psychiatric or medical needs., • Attend and contribute to interdisciplinary team meetings to coordinate patient care., • Deliver in-service training to staff as needed., • Participate in facility performance improvement and utilization review activities., • Conduct peer reviews and contribute to the development and evaluation of policies and procedures., • Assist in developing a network of community resources for post-discharge continuity of care., • Collaborate with executive and clinical leadership on policies related to patient care., • Ensure timely and accurate documentation of assessments, orders, progress notes, and discharge summaries., • Provide consultation to patients and their families as appropriate., • Maintain a current collaborative agreement and prescriptive authority with the Medical Director., • Provide on-site services according to facility schedule and agreement., • Support and comply with infection control standards and collaborate with the Infection Control Nurse., • Ensure compliance with state and federal regulations and Joint Commission standards., • Uphold all safety, risk management, and workplace policies., • Licensed to practice as an APRN in the state of New Jersey., • Active NPI and DEA registration (X-Waiver preferred but not required)., • Current CPR certification., • Maintains all state-required certifications and licenses., • Minimum of 2 years’ experience in psychiatric or addiction treatment settings preferred., • Essential Knowledge, Skills & Attributes, • Proficiency in verbal and written communication., • Strong knowledge of addiction, dual-diagnosis treatment, and trauma-informed care., • Adherence to state Board of Nursing Scope of Practice and professional Code of Ethics., • Understanding of Infection Control protocols and Joint Commission standards., • Familiarity with HIPAA, Drug-Free Workplace, Workplace Violence Prevention, and Corporate Compliance., • High competency in electronic health records (EHR) systems., • Cultural sensitivity and ethical approach to diverse patient populations. Boca Recovery Center offers a comprehensive benefits package, including: • Health Insurance, • Retirement Plans, • Disability Coverage, • Paid Time Off

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Flexible schedule, • Paid time off POSITION SUMMARY: Leads field staff in delivering exceptional client service, clinical care, quality, and adherence to policies and procedures. Accountable for internal case management and field staff evaluation and development. Conducts on-site initial and ongoing client assessments to identify needs and plan for services; monitors the care plan implementation to ensure achievement of desired outcomes; evaluates the performance and skills of the care providers to ensure appropriateness and compliance with standards; participates in orientation and education programs; and assumes clinical management responsibilities to ensure services provided are consistent with the mission of the organization. PRIMARY RESPONSIBILITIES: 1. Demonstrate and communicate the core values of CareTen, Inc., 2. Demonstrates high flexibility in working with service office team., 3. Maintain high client satisfaction scores., 4. Demonstrates expertise in conflict management skills., 5. Conduct client assessments and complete the care planning process including development, implementation, and updates to the clients individualized plan of care., 6. Responsible for clinical and client case management, 7. Provide clinical oversight to field staff, Certified Home Health Aides and LPNs., 9. Assists in agency evaluation activities., 10. Participates in state and national organizations, meetings. Seminars, workshops, and activities relating to the health professions and health care services, when appropriate., 11. Serves on and periodically reviews policies relevant to patient care with the Professional Advisory Committee., 12. Oversees all CQI and utilization review activities., 13. Oversees the implementation and evaluation of client care services inclusive of regulatory licensure and certification criteria and accreditation standards., 14. Be available at all times during operating hours and flexible schedule after hours and weekends., 15. Successfully oversee and manage all service and employment related content made to the office after normal business hours as necessary.

Job Description POSITION SUMMARY: Conducts on-site initial and ongoing client assessments to identify needs and plan for services; monitors the care plan implementation to ensure achievement of desired outcomes; evaluates the performance and skills of the care providers to ensure appropriateness and compliance with standards; participates in orientation and education programs; and assumes clinical management responsibilities to ensure services provided are consistent with the mission of the organization. This can be a Full time or Part time (flexible for the right candidate). This would be a great opportunity for a candidate looking for flexible schedule and a work life balance. MINIMUM QUALIFICATIONS: 1. Exemplifies characteristics of The CareTen Promise: trust, empathy, and nurture., 2. Holds a current NJ license in good standing as a Registered nurse. BSN preferred., 3. Have a minimum of two (2) years recent, verifiable, related clinical experience as a RN, including at least one (1) year preferably in home care., 4. Demonstrated track record of strong interpersonal skills., 5. Competence in basic PC skills required to perform job functions., 6. Completed criminal background check and federal/state exclusion checks., 7. Completed Continuing Education Requirements (CEUs) as required by regulation. PRIMARY RESPONSIBILITIES: 1. Demonstrate and communicate the core values of CareTen, Inc., 2. Be available at all times during operating hours and flexible schedule after hours and weekends., 3. Demonstrates high flexibility in working with service office team., 4. Maintain high client satisfaction scores, 5. Demonstrates expertise in conflict management skills., 6. Completes comprehensive patient assessments to evaluate needs and determine eligibility for the requested home care services., 7. Develops individualized care plans and orients the assigned field employee., 8. Conducts supervisory visits to ensure needs are being met in accordance with client expectations and standard requirements., 9. Documents supervisory visits in accordance with company policies and federal and state regulations., 10. Conducts reassessments and adjusts the client’s care plan in accordance with needs identified in assessment data., 11. Assures timely completion of all required documentation., 12. Instructs family caregivers responsible for assisting with client’s personal care., 13. Monitors compliance with environmental safety and instructs clients and caregivers on preventive measures., 14. Monitors compliance with standard precautions and provides instruction as needed during supervisory visits., 15. Performs assessments of paraprofessional performance and competency as required by regulations and policies., 16. Works cooperatively with office staff, caregivers, clients and their families to ensure understanding of responsibilities for care plan implementation., 17. Communicates with physicians, authorized case managers, other care providers as required by payor sources and or indicated by client condition., 18. Participates in Performance Improvement Program activities to include a review of outcomes of care and record reviews for compliance with standards and utilization of services., 19. Assumes “on-call” responsibility during assigned service hours and on a scheduled “as needed” basis after hours OTHER RESPONSIBILTIES: 1. Demonstrates a team attitude and approach., 2. Communicates effectively with personnel in service offices., 3. Coordinates DME, supplies, and any in-services needed to during the client transition to the home., 4. Arriving on time and staying late when necessary., 5. Dressing in accordance with the CareTen Handbook.