Utilization review jobs in Jersey City, NJCreate job alerts

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.  As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providin...

The Director of Case Management & Utilization will be responsible for the strategic direction setting, management, continuous improvement, and maintenance of the Case Management/Utilization. Two (2) years of experience in case management/utilization review/quality improvement leadership position ...

Continually adapt warehouse layout to ensure efficient space utilization of Facilities/Building Maintenance * Review and approve all Operational Invoices for payment * Learn and continually re ...

Conducts patient interview, explains policies and procedures to patient/significant others, reviews patients chart and answers questions correctly and courteously; * Assesses gastrointestinal ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business day ...

... Coordination, Utilization Review, and Discharge Planning About Talent4Health A leader and innovator, offering comprehensive talent solutions for the healthcare industry across the nation

Experience with Care Coordination, Utilization review and discharge planning Computer literacy required 1. RN Licensed as a Registered Nurse in the State of New York required. 2. Baccalaureate degree ...

Utilization Management * Participate in utilization review and management. * Maintain focus on key strategic priorities including patient experience, access to care, increased market share, and ...

Other non-qualifying experience including, but is no limited to, experience in experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review ...

The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and ...

... utilization review plan for the Residence; monitors compliance and reports regularly to the Regional Director on the status of compliance efforts. • Reports all untoward incidents and directs ...

... g. utilization reviews, case conferences, administrative meetings) • Work with a multidisciplinary team. • Performs other related duties, as required. SKILLS AND QUALIFICATIONS: • Master ...

Assess appropriate site of care utilization and continued medical necessity reviews for prior authorization to vendors. * Ensure communication with MD offices in relation to Site of Care program

Based on a comprehensive review of the client's overall condition, prepares, continually reviews and evaluates plans of nursing intervention to ensure that such interventions are consistent with the ...

Responsibilities Manages client revenue/budgets and client profitability Analytical review of revenue and employee utilization Assists in prioritizing assignments through daily and weekly updates to ...

... utilization of health benefits. * Obtains a thorough and accurate member history to develop an ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...

This CARM role will manage a team responsible supporting SPGI's acquisition, utilization, and distribution of market data sourced from stock exchanges globally. The primary focus will be to review ...

... 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 ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. * Follow up with assigned nurses for clinical updates to care plan. * Document within two business day ...

... utilization of the firm's technology, the deployment of resources, and by helping to engineer ... Review & Close Phase Assisting the Senior Legal Project Manager with: * Supporting the post-matter ...

The position also involves reviewing outcomes, coding, and utilization data to enhance participant health and reduce unnecessary utilization. Benefits * Medical, Vision, Dental, and Life Insurance

... team utilization, advising on full-time and freelance staffing needs. * Coordinate freelance ... Review and proof proposals for accuracy and alignment with standards. Administrative & General ...

Participates in helping to review and develop medical guidelines and policies geared toward quality ... Previous Utilization Management Experience in Acute Care Setting * Prior leadership experience ...

Develop and/or review detailed project plans, including timelines, milestones, and resource ... Ensure effective utilization of resources and manage project budgets. Qualifications: * Bachelor ...