Utilization review nurse jobs in Paterson, 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 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.