Trabajos utilization review en Bloomfield, New Jersey (NJ) State

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

Medix is currently hiring for a Utilization Review Nurse/Care Manager within a Healthcare system in NJ. We are looking for RN's that have strong inpatient clinical background or experience in Care Management/Utilization Review. The Registered Nurse will provide case management/utilization review ...

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

Supports & Participates in pre-admission review, utilization management, and concurrent and retrospective review process. The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical r...

Supports & Participates in pre-admission review, utilization management, and concurrent and retrospective review process. The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical r...

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 ...

Utilization Review Nurse/Care Manager within a Healthcare system in NJ. We are looking for RN's that have strong inpatient clinical background or experience in Care Management/Utilization Review. The Registered Nurse will provide case management/utilization review as well as routine discharge pla...

MUST HAVE UM experience, inpatient utilization management review. Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. Responsible for the review and evaluation of clinical information and documentation. Reviews documentation ...

Supports & Participates in pre-admission review, utilization management, and concurrent and retrospective review process. The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical r...

The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance improvement activities for the case managers. The Supervisor Case Management is accountable for the department's designated staff caseload and plans effectively in order to ...

The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance improvement activities for the case managers. The Supervisor Case Management is accountable for the department's designated staff caseload and plans effectively in order to ...

BAYADA Home Health Care is seeking a Registered Nurse (RN) Manager, Educator for a nursing job in Moonachie, New Jersey. Current New Jersey RN license in good standing for a minimum of 2 years. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age...

VNS Health is seeking a Registered Nurse (RN) Wound Care for a nursing job in Union City, New Jersey. Current License and registration to practice as a Registered Professional Nurse in NYS required. Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities     ...

VNS Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Secaucus, New Jersey. Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York State required. Internal mobility, generous tuition reimbursement, CEU credits, and advance...

VNS Health is seeking a Registered Nurse (RN) Educator for a nursing job in Secaucus, New Jersey. Evaluates e-learning usage and effectiveness; identifies opportunities for distance learning. Licensure: Current license and registration to practice as a Registered Professional Nurse. Internal mobi...

Montefiore Medical Center is seeking a Registered Nurse (RN) Assistant Director of Nursing for a nursing job in Dumont, New Jersey. As the academic medical center and University Hospital for Albert Einstein College of Medicine, Montefiore Medical Center is nationally recognized for clinical excel...

BAYADA Home Health Care is seeking a Registered Nurse (RN) Float for a nursing job in New Milford, New Jersey. We are looking for RNs to join our STAT team in Northern NJ!. BAYADA Home Health Care has immediate overnight opportunities on our STAT team, to work alongside our Hospital at Home ICU (...

Telemetry and/or ICU nursing experience+ CCRNCertifications and Licenses Required:+ BLS upon hire and ACLS Certification within 6 months of start date+ Active New Jersey Registered Nurse License+ Documented completion of TCAR Trauma Care After Rescusitation every 2 years+ Completion of Critical C...

Registered Nurse (RN), Livingston, NJ, Burn Step Down Unit, Full Time (Nights, 7P-8A)Req #:0000147238Category:NursingStatus:Full-TimeShift:NightFacility:Cooperman Barnabas Medical CenterDepartment:2100 Burn Step Down UnitLocation:Cooperman Barnabas Medical Ctr, 94 Old Short Hills Road, Livingston...

RN needed for home health in Saddle Brook, NJ,. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. You can earn our Club CoreMed vacation by working contracts and referring other travel professional...

Alaris Health at Cedar Grove, a 217 bed-skilled nursing Center in Cedar Grove, New Jersey, seeks a registered nurse (RN) to help oversee nursing personnel, tend to the unit’s daily operations and fulfill other responsibilities, including but not limited to:. Current registered nurse license from ...

Our Emergency Department (ED) RNs must be ready to care for patients when they need us most. In addition to providing specialized and innovative services, we need our ED RNs to be equipped to handle an array of emergency situations for patients of all ages. Our Emergency Department (ED) nurses ar...

Registered Nurse (RN) Pediatric Intensive Care Unit (Per Diem)Req #:46219Category:Pediatric NursingStatus:Per DiemShift:NightFacility:Newark Beth Israel Medical CenterDepartment:CH-Intensive Care UnitLocation:Newark Beth Israel Medical Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027Job Overview:Firs...

Pet Insurance)* Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!Choosing RWJBarnabas Health!RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a ...