Utilization review jobs in Kearny, NJCreate job alerts

Minimum of two (2) years utilization review/case management experience or social work experience. Licensed professional nurse may be considered. Commission for Case Management Certification (CCMC) or Association of Rehabilitation Nurses).

Minimum of two (2) years utilization review/case management experience or social work experience.

Minimum of two (2) years utilization review/case management experience or social work experience.

Minimum of two (2) years utilization review/case management experience or social work experience.

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this. At Host Healthcare, we are dedicated to empowering the life and healthcare career you deserve. Travel Happy With Host Healthcare!.

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Bronx, New York, 10457!. When you work with us, you can trust that we will help you with everything from travel, to housing, and acting as the liaison between you and the facility. We know that you are so muc...

LRS Healthcare has flexible travel RN jobs nationwide with top facilities. TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in White Plains, New York, 10601!. Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support...

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Syracuse, New York, 13210!. When you work with us, you can trust that we will help you with everything from travel, to housing, and acting as the liaison between you and the facility. We know that you are so ...

Our Client is currently seeking Case Management for positions in White Plains, NY for a 4x10 Days shift. You must have a License and at least 1 years of recent experience as a Case Management.

Healthcare is seeking a Case Manager Registered Nurse for 16 weeks for immediate opening in Syracuse , NY.Looking for candidates with 1 year Case Manager experience.Fortus Healthcare Resources and QCI Healthcare are now stronger together as Job.Healthcare believes in an environment where you fe...

TravelNurseSource is working with Fusion Medical Staffing to find a qualified Case Manager RN in Syracuse, New York, 13210!. Registered Nurse - Case Manager. Case Manager Registered Nurse travel assignment.

ARMStaffing is looking for RN - Case Management in West Orange, New Jersey.Shift: 8 Hour Day, 07:00:00-15:00:00, 8.Unit Details: Case Manager - 5650.At ARMStaffing we take care of our nurses! We offer:.Health & Retirement Benefits.Day-1 access to extensive benefits including Medical, Vision, Den

Our client in White Plains NY has a.The ideal candidate must have at least 2 years of experience, with active RN license and BLS and/or ACLS (if required) certified by the American Heart Association.What makes Go Healthcare Staffing Different?.From the first conversation with your Go Recruiter to...

Must Have 2+ Years of recent Case Manager experience.Six things that won’t happen if you apply to this job:.You won’t have to guess what the downsides are.You won’t show up on day 1 and find out this is not what you signed up for.We won't leave your phone call ringing when it's inconvenient.Bu

Conduct Utilization review via Chart Review. * Conduct timely concurrent reviews and responses to third party payors request for clinical reviews. * Work collaboratively with ED Case Managers and ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and mid shift Job types available: full time, part time, and per diem Employer features: Cross training ...

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 ...

Actively participates in Quality Assurance/Performance Improvement and Utilization Review activities. * Conducts medical records audits, participates in needs analyses, oversees new/revised practices ...

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

A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required; OR * Three years of ...

... 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 ...

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

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 ...

... therapy utilization, client no visit, missing TIF OASIS, agent visit time, missed visit ... review/audits to ensure complete, appropriate, and accurate submission of all documentation by ...