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

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),...

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 Leads interdepartmental quality improvement activities such as development and engagement, clinical review, clinical risk management, and patient satisfaction. VNS...

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 ...

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...

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...

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...

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 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) New Graduate for a nursing job in Short Hills, 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 Ac...

Core Medical-Perm is seeking a Registered Nurse (RN) Med Surg for a nursing job in Nutley, New Jersey. You can earn our Club CoreMed vacation by taking a permanent position and referring other travel and permanent professionals Just starting your permanent job search? Here are some of the FREE & ...

Job Overview:The Trinitas Department of Behavioral Health and Psychiatry, part of Trinitas Regional Medical Center and an RWJBarnabas Health facility, offers comprehensive treatments for daily stress, aging challenges, child development, and chemical dependency alternatives. The nurse, along with...

Clinical decision making for identif Nurse Practitioner, Case Manager, Psychiatric, Part Time, Manager, Nurse, Healthcare, Education. ...

Practices in accordance with the State Nurse Practice Act, American Nurses Association Standards of Practice, Code of Ethics for Nurses, Department of Health Regulations, TJC requirements and other regulatory agencies. Job Overview:Since 1865, Cooperman Barnabas Medical Center, formerly known as ...

Join our team as a day shift, full time, Medical Surgical Floor 5W Registered Nurse in Montclair, NJ. ResponsibilitiesThe Registered Nurse --Medical/Surgical provides professional nursing care for the comfort and well-being of patients. ...

Overview Full-Time Days Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in hospice as a case manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U. Regularly commun...

Target Openings1What Is the Opportunity?**Under moderate supervision, provide office based telephonic and/or in-person medical case management supporting Concierge locations with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving ...

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Benefits and Perks:* Retirement Plans* 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 mann...

Earn 20% higher hourly rates than the local Registered Nurse (RN) rates + bonuses!. If you're a Registered Nurse (RN), you can now easily add part-time work into your unpredictable schedule or find full-time nursing positions when you join ShiftMed’s nursing team. Registered Nurse (RN) Benefits:....

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. ...