Utilization review jobs in Palisades Park, NJCreate job alerts

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. Licensed professional nurse may be considered. Commission for Case Management Certification (CCMC) or Association of Rehabilitation Nurses).

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in West Orange, New Jersey, 07052!.Host Healthcare is an award-winning travel healthcare company with an immediate opening for this.Passionate and transparent team members have made Host Healthcare the agency of...

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, and a responsive, traveler-first culture.What are you waiting for? Apply t...

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in West Orange, New Jersey, 07052!.

Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if required) certified by the American Heart Association.What makes Mindlance Health different?Mindlance Health has thousands of rewarding travel assignments throughout the country...

Prime Time Healthcare is a nationwide leader in staffing Allied Health Professionals, RN Travel Nurses, Travel CNAs, and Travel LPNs.

Facility requirements may vary; your Recruiter will review these requirements with you as you consider this and other positions. QS Nurses is looking for the best of the best! We're here to help you accomplish your goals and your dreams. We offer major medical and supplemental insurance with a ca...

You’ve spun your compass and landed here! A facility in Syracuse, NY, is currently hiring a RN (Registered Nurse) to work in Case Management (Utilization Review). Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruite...

... Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patient's values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care. 3. Establishes and ...

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

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 & productivity and determine the steps needed to prepare for future staffing needs ... Develop / implement process improvements. • Assist employees with P&L Management - P&L review ...

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

NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ...

Participate in Utilization reviews and remaining available for emergency consultations. • Analyze the best medications or therapy treatment to help patient maximize quality of life. * Maintain ...

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

... 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 ...

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 ...

... 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 ...

Reviews and implements all nursing procedures and systems. * Assesses and evaluates the systems which facilitate the delivery of quality guest care and performance of staff. * Uses a systematic ...

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 ...

... and utilization of referral services, as part of the health care system. Assists in providing ... Reviews and analyzes trends pertinent to delivery of nursing care services and collaborates with ...