Utilization review jobs in Lakewood, New Jersey (NJ) State

We are currently seeking a skilled Utilization Review Nurse or Registered Nurse (RN) to join our team. As a Utilization Review Nurse specializing in substance use disorders, you will be responsible for conducting thorough reviews of patient charts to assess medical necessity and obtain authorizat...

Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...

As a Utilization Review Nurse specializing in substance use disorders, you will be responsible for conducting thorough reviews of patient charts to assess medical necessity and obtain authorizations for necessary treatments. We are currently seeking a skilled Utilization Review Nurse or Registere...

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 ...

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 ...

BAYADA Home Health Care is seeking a Registered Nurse (RN) New Graduate for a nursing job in Lakewood, New Jersey. BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center’s Commission on Accre...

CCMC (Commission for Case Manager Certification) preffered. ACM (American Case Management Association) preffered. ...

The primary responsibility of this role is to review incoming clinical information from sending facilities to determine if the patient is appropriate for admission and the level of care needed. Review patient clinical histories from sending facilities to determine the appropriate level of care. R...

Primarily responsible for applying the nursing process to the care of veteran patients undergoing surgical procedures in the operating room.This includes, but is not limited to, assuring that appropriate documentation reflects assessment of patient needs, interdisciplinary treatment plans, clinic...

QUALIFICATIONS:+ Graduate from an accredited School of Nursing+ Current New Jersey RN license+ Current AHA BLS Certification+ Completion of required skill level courses. ADDITIONAL INFORMATION:We offer a great work environment, competitive rates and excellent benefits, including:+ Medical/Dental/...

NICU nurses specialize in caring for patients with complex, serious illnesses or injuries that require close monitoring. Practices within the limits of the state's Nurse Practice Act and health care facility and nursing administrative policies. Earn exclusive rewards and perks as you clock hours ...

QUALIFICATIONS:* Graduate from an accredited School of Nursing* Current New Jersey RN license* Current AHA BLS Certification* Completion of required skill level courses. ADDITIONAL INFORMATION:We offer a great work environment, competitive rates and excellent benefits, including:* Medical/Dental/...

N); three-year diploma from accredited diploma program may be substituted for nursing degree* You might also have experience in the following that can be helpful but not required* Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience* ...

PURPOSE AND SCOPE:**Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Commu...

Registered Nurse RN - Orthopedics Unit (3E) - Full Time NightReq #:0000124089Category:NursingStatus:Full-TimeShift:NightFacility:Community Medical CenterDepartment:Orthopedics Unit (3E)Location:CMC Nursing, 99 Highway 37 West, Toms River, NJ 08755At Community, our employees make the difference, w...

Nurse sign-on bonus (RN OR LPN) Fulltime $6,000 and Part time $3,000 (Must work at least 3 days per week and that includes every other weekend) . A current unencumbered active license to practice as an RN in this state is required. ...

Travel Registered Nurse is needed in New Jersey. Some of the industry-leading benefits enjoyed by Aureus Medical Group travel nurses and travel allied healthcare professionals include:. ...

Job DescriptionAs a Registered Nurse (RN) at Summit Health you are a full integral partner in a multidisciplinary care team providing individualized team-based care. Manages Clinical Nurse/Assigned inbox* Obtains vital signs: BP, temp, pulse, height & weight accurately and completely as required....

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 deliveringa be...

We offer a multitude of paid training to our nurses to feel comfortable and competent on their first shift. ...

Pride Health is hiring an RN Case Manager for a client in NJ! (contract). Schedule and participate in family conferences, team meetings, and team case presentations. May write verbal orders from Provider in the chart in compliance with the state RN practice laws, and in compliance with individual...

We are seeking an RN Case Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients. ...

DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in the Lakewood, NJ area * Must live locally*. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will support some of our most complex patients, assisting them in navigating a ch...

Do you want to make a difference in the lives of others? Join our team today as a Registered Nurse Case Manager to positively impact the experiences of patients and families. Coordinate clinical, psycho-social and spiritual services as indicated by Plan of Care through case management. ...