Trabajos utilization review en Toms River, New JerseyCrear alertas

Join BoldAge PACE and Make a Difference! Why work with us? • A People First Environment: We make what is important to those we serve important to us., • Make an Impact: Enhance the quality of life for seniors., • Professional Growth: Access to training and career development. Competitive Compensation • Medical/Dental, • Generous PTO, • 401K with Match*, • Life Insurance, • Tuition Reimbursement, • Flexible Spending Account, • Employee Assistance Program BE PART OF OUR MISSION! Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires. Registered Nurse Care Manager SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare interventions, and evaluates outcomes of care of participants on an ongoing basis. In collaboration with the interdisciplinary team (IDT), develops plans of care to meet participants’ needs. Delegates tasks to clinic, center, and homecare aides according to participant needs and care plans. Collaborates and communicates with the primary care provider, clinic staff, and other members of the IDT. Provides care to participants in the clinic, center, and participant homes as needed. ESSESNTIAL DUTIES AND RESPONSIBILITIES: • Provide high quality clinical care and serves as a member of the PACE interdisciplinary team (IDT)., • Provide nursing care in the center, clinic, contracted facilities, and participants’ homes according to each participant’s plan of care. (NJ: in accordance with the State of New Jersey Nursing Practice Act, N.J.S.A. 45:11-23 et seq., as interpreted by the New Jersey State Board of Nursing, and written job descriptions. Services provided shall be documented in the participant's medical record)., • Participate in 24/7 “on-call” process for triage of participants and their needs., • Assess, plan, and coordinate participants’ home care services. Provide input to the IDT in developing home care plan interventions. The nursing care needs of the participant shall be assessed only by a registered professional nurse., • Monitor participants’ acute and chronic care needs in all settings. Provide coordination and direct care as indicated to promote continued care in the community or promote optimal institutional care (Assisted Living, Nursing Home, Hospital, etc.) as needed., • Ensure timely follow-up by providers on specialist visits and will assist with obtaining specialist reports, facility documentation, and labs if needed., • Reconcile facility MARs for your assigned panel of participants monthly to ensure accuracy and medication adherence, notify provider of any discrepancies., • Notify participants of normal test results., • Complete timely and accurate nursing assessments in accordance with policies and regulatory requirements., • Implement nursing-related care plan interventions., • Teach participants, caregivers and families about self-care, medications, healthy lifestyles, infection control and safety to promote optimal health and safety., • Review and revises goals and approaches to participants’ care in coordination with participant, family, caregiver and interdisciplinary team., • Works collaboratively with the interdisciplinary team (IDT) to develop and implement comprehensive plans of care for participants., • Develop and maintain positive relationships and communication with co-workers, participants and their families/significant others, and members of the community., • Participate in all interdisciplinary team meetings., • Assist the interdisciplinary team members in understanding the significant nursing, self-care and functional needs related to the participant’s health problems., • Supports OT as aback up to performing the duties of Home Care Coordinator on the IDT as needed/when assigned. May perform the duties of other IDT members based on professional licensing, competencies, and experience as needed., • Actively participates in utilization review meetings and quality improvement projects / meetings., • Evaluates the competence of CNAs and Home Care Aides and delegates tasks and duties to them as indicated., • Participates in family meetings, staff meetings, in-service and training and orientation programs as required., • Follows all PACE Program Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines., • Protects privacy and maintains confidentiality of all company procedures and information about employees, participants and families., • Practices standard precautions and follows PACE Program Infection Control protocols., • Performs other duties as required or requested. EXPERIENCE, EDUCATION AND CERTIFICATIONS: • Bachelor of Science in Nursing Degree preferred., • State RN License required, • **NJ: Licensed by the New Jersey State Board of Nursing., • BLS required (have within90 days of employment)., • 1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role)., • Experience in home care, long-term care and /or managed care preferred., • 1 year experience providing care as an RN required. PRE-EMPLOYMENT REQUIREMENTS: • Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance., • Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact., • Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen., • Required immunizations BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. *Match begins after one year of employment Full-time Monday - Friday Days

\n \n \n \n \n Join BoldAge PACE and Make a Difference! \n \n Why work with us? \n \n • A People First Environment: We make what is important to those we serve important to us.\n, • Make an Impact: Enhance the quality of life for seniors. \n, • Professional Growth: Access to training and career development.\n \n \n Competitive Compensation \n \n • Medical/Dental\n, • Generous PTO\n, • 401K with Match*\n, • Life Insurance\n, • Tuition Reimbursement\n, • Flexible Spending Account\n, • Employee Assistance Program\n \n \n BE PART OF OUR MISSION! \n Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires. \n Registered Nurse Care Manager \n \n \n SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare interventions, and evaluates outcomes of care of participants on an ongoing basis. In collaboration with the interdisciplinary team (IDT), develops plans of care to meet participants’ needs. Delegates tasks to clinic, center, and homecare aides according to participant needs and care plans. Collaborates and communicates with the primary care provider, clinic staff, and other members of the IDT. Provides care to participants in the clinic, center, and participant homes as needed. \n \n ESSESNTIAL DUTIES AND RESPONSIBILITIES: \n \n • Provide high quality clinical care and serves as a member of the PACE interdisciplinary team (IDT).\n, • Provide nursing care in the center, clinic, contracted facilities, and participants’ homes according to each participant’s plan of care. (NJ: in accordance with the State of New Jersey Nursing Practice Act, N.J.S.A. 45:11-23 et seq., as interpreted by the New Jersey State Board of Nursing, and written job descriptions. Services provided shall be documented in the participant's medical record).\n, • Participate in 24/7 “on-call” process for triage of participants and their needs.\n, • Assess, plan, and coordinate participants’ home care services. Provide input to the IDT in developing home care plan interventions. The nursing care needs of the participant shall be assessed only by a registered professional nurse.\n, • Monitor participants’ acute and chronic care needs in all settings. Provide coordination and direct care as indicated to promote continued care in the community or promote optimal institutional care (Assisted Living, Nursing Home, Hospital, etc.) as needed.\n, • Ensure timely follow-up by providers on specialist visits and will assist with obtaining specialist reports, facility documentation, and labs if needed.\n, • Reconcile facility MARs for your assigned panel of participants monthly to ensure accuracy and medication adherence, notify provider of any discrepancies.\n, • Notify participants of normal test results.\n, • Complete timely and accurate nursing assessments in accordance with policies and regulatory requirements.\n, • Implement nursing-related care plan interventions.\n, • Teach participants, caregivers and families about self-care, medications, healthy lifestyles, infection control and safety to promote optimal health and safety. \n, • Review and revises goals and approaches to participants’ care in coordination with participant, family, caregiver and interdisciplinary team.\n, • Works collaboratively with the interdisciplinary team (IDT) to develop and implement comprehensive plans of care for participants. \n, • Develop and maintain positive relationships and communication with co-workers, participants and their families/significant others, and members of the community. \n, • Participate in all interdisciplinary team meetings.\n, • Assist the interdisciplinary team members in understanding the significant nursing, self-care and functional needs related to the participant’s health problems.\n, • Supports OT as aback up to performing the duties of Home Care Coordinator on the IDT as needed/when assigned. May perform the duties of other IDT members based on professional licensing, competencies, and experience as needed.\n, • Actively participates in utilization review meetings and quality improvement projects / meetings. \n, • Evaluates the competence of CNAs and Home Care Aides and delegates tasks and duties to them as indicated.\n, • Participates in family meetings, staff meetings, in-service and training and orientation programs as required.\n, • Follows all PACE Program Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.\n, • Protects privacy and maintains confidentiality of all company procedures and information about employees, participants and families.\n, • Practices standard precautions and follows PACE Program Infection Control protocols. \n, • Performs other duties as required or requested.\n \n \n \n \n EXPERIENCE, EDUCATION AND CERTIFICATIONS: \n \n • Bachelor of Science in Nursing Degree preferred.\n, • State RN License required\n, • **NJ: Licensed by the New Jersey State Board of Nursing.\n, • BLS required (have within90 days of employment).\n, • 1 year of experience working with a frail or elderly population prefe\n \n \n \n \n \n

Job DescriptionAvenues Recovery Center is Now Hiring: Utilization Review Specialists Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation centers with eighteen locations across seven states. We provide highly individualized, evidence-based treatment in clean, modern settings across all levels of care including detox, residential, PHP, IOP, and outpatient services. Our success is driven by our people and a strong clinical model that has helped transform thousands of lives. We are seeking a Utilization Review Specialist to join our corporate team in New Jersey and support authorization, clinical documentation integrity, and continued stay coordination across our network. Position Overview Location: Corporate office - New Jersey Schedule: Full-time The Utilization Review Specialist ensures timely authorization of client services, supports appropriate level-of-care determinations, and partners closely with clinical and billing teams to maintain accurate documentation and continuity of care across facilities. This role requires strong communication, attention to detail, and the ability to collaborate across clinical, administrative, and billing departments. Key ResponsibilitiesUtilization Review & Authorization Management • Field incoming calls, emails, and documentation requests related to client authorizations, • Ensure timely approval and continuation of services at the appropriate level of care, • Manage client caseloads and support authorization workflows across facilities, • Advocate for continued stay based on clinical documentation and treatment needsClinical & Billing Collaboration, • Work closely with billing and clinical teams to identify and resolve authorization issues, • Communicate with facility leadership regarding UR status and documentation needs, • Support coordination between treatment teams and administrative departmentsDocumentation & Compliance, • Maintain accurate electronic records of all UR activity and authorization communications, • Ensure documentation meets internal standards and payer requirements, • Assist in identifying gaps in charting and supporting improvements in documentation workflowsSystems & Process Improvement, • Assist in creating standardized templates and UR workflows across facilities, • Work with site leaders to ensure consistent implementation of processes, • Support improvement of internal UR systems and efficiency initiativesQualificationsRequired / Preferred Education, • High school diploma or GED required, • Bachelor's degree preferred, • Nursing background, clinical background or healthcare knowledge strongly preferredExperience, • Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred, • Experience with utilization review, insurance authorization, or medical billing strongly preferredCore Skills, • Strong communication (written and verbal), • Excellent interpersonal and collaboration skills, • Strong attention to detail and documentation accuracy, • Ability to manage multiple cases and deadlines, • Sound judgment and critical thinking, • Flexible, team-oriented, and adaptable in a fast-paced environment Willing to train Why Join Avenues? At Avenues, our people are our greatest strength. We foster a culture of support, collaboration, and purpose-driven work, where every team member is valued and empowered to make an impact. We provide the tools, resources, and benefits needed to help you succeed both personally and professionally. Comprehensive Benefits • 401(k) with employer match, • Medical, Dental, and Vision Insurance, • Accident, Critical Illness, and Hospital Indemnity coverage, • Employer-paid Life and AD&D Insurance, • Short- and Long-Term Disability options, • Legal coverage and Identity Theft Protection, • Pet Insurance, • Employee Assistance Program (EAP), • Flexible Spending Accounts (Medical & Dependent Care) Join our growing team and discover the magic here at Avenues! Apply today! Job Posted by ApplicantPro

Job Description The Housing Supports Program (HSP) offers a supportive housing service aimed at helping individuals secure safe and stable housing, as well as providing assistance in maintaining a stable living environment. Case managers deliver the necessary support within each participant's home and the wider community. HSP renders outreach and case management services to participants, facilitating access to, acquisition of, and effective utilization of resources tailored to their individual needs. Additionally, HSP provides outreach and case management services focused on fostering the development and execution of independent living skills. Position Title: Temp Housing Supports Case Manager Position Type: Full-time- temp 35 hours per week Benefits Eligible: no Location: Bayville/Ocean County Department: HSP/Adult Residential Services Salary: $21.00 Hourly Responsibilities: • Provide supervision and support to clients, including:, • Helping clients identify their housing-related needs and setting goals to address those needs, • Assisting with transportation, recreational activities, and medical or psychiatric appointments, • Supporting clients in learning and implementing daily living skills to enhance their independence, • Delivering case management services to help clients sustain their benefits and housing, • Consult with clinical staff regarding client concerns and requirements, • Conduct therapeutic rehabilitative skill development, • Contribute to intake assessment, needs assessments and housing support plans, • Review support plans collaboratively with clients Requirements • High School Diploma with life experience. Experience with working with Health Insurance companies a plus. Benefits • Opportunities for training/education/Continuing Education Credits, • Opportunities for Tuition Discounts from Participating Institutions

Job Description Registered Nurse (RN) Care Manager Role Summary: The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient-centered care across a variety of settings, including clinics, centers, and patient homes. This position is responsible for assessing patient needs, developing and implementing care plans, coordinating services, and evaluating outcomes to ensure holistic and high-quality healthcare delivery. Working collaboratively with a dedicated team, the RN Care Manager helps patients achieve optimal health, independence, and quality of life. Key Duties and Responsibilities: Deliver compassionate, high-quality nursing care in the clinic, center, contracted facilities, and patients’ homes according to individualized care plans and regulatory standards. Participate in a 24/7 on-call rotation for patient triage and support. Assess, plan, and coordinate home care services, ensuring that nursing needs are identified and met appropriately. Monitor and manage both acute and chronic patient conditions in various settings, promoting continuity of care and supporting transitions between home, assisted living, nursing, or hospital care as needed. Facilitate communication and collaboration among providers, obtaining specialist reports, lab results, and documentation to ensure seamless patient care. Perform monthly medication reconciliation for assigned patients, ensuring accuracy and adherence, and promptly address discrepancies. Communicate test results and updates to patients in a timely and compassionate manner. Complete accurate and timely nursing assessments in accordance with policy and regulatory requirements. Implement care plan interventions and educate patients, caregivers, and families on self-care, medication management, healthy living, and safety practices. Collaborate with patients, families, caregivers, and the team to regularly review and revise care goals and approaches. Participate actively in team meetings, quality improvement projects, and utilization review discussions. Evaluate and delegate tasks to CNAs and Home Care Aides, ensuring competency and compliance with care plans. Support and mentor fellow team members, contributing to an environment of learning, respect, and collaboration. Protect patient privacy, maintain confidentiality, and adhere to safety and infection control protocols. Uphold all organizational policies and promote a culture of excellence and integrity in every aspect of care delivery. Perform additional duties as assigned or required. Required Qualifications: Active, unrestricted Registered Nurse (RN) license in the applicable state. Bachelor of Science in Nursing (BSN) preferred. Basic Life Support (BLS) certification (must be obtained within 90 days of employment). Minimum of one year of RN experience. Reliable transportation, valid driver’s license, and current auto insurance. Ability to meet health and immunization requirements for direct patient care. Successful completion of a comprehensive background check, including criminal history, license verification, and drug screening. Desired Qualifications: Experience working with elderly or medically complex populations preferred (training provided if not present). Background in home care, long-term care, or managed care settings. Strong understanding of person-centered care, patient advocacy, and self-determination. Familiarity with managed care environments, quality metrics, and cost-effective care models. Excellent communication, teamwork, and problem-solving skills. Proficiency with Electronic Medical Records (EMR) systems and Microsoft Office applications (Outlook, Word, Excel, PowerPoint). A commitment to continuous learning, quality improvement, and evidence-based practice. Flexibility, empathy, and the ability to thrive in a fast-paced, collaborative healthcare environment. Work Environment and Physical Requirements: Work may take place in clinics, community centers, contracted facilities, or patient homes. Moderate noise levels and temperature-controlled environments. Manual dexterity, hand-eye coordination, and ability to lift up to 30 pounds using proper body mechanics. Ability to communicate effectively in person and by telephone. May involve exposure to typical healthcare-related conditions including bodily fluids, infectious diseases, and medical equipment. Reasonable accommodations will be made for individuals with disabilities in accordance with ADA guidelines. Work Type: On-site with travel to patient homes as needed; some hybrid flexibility may be available depending on program needs. About the Organization: This role is part of a mission-driven healthcare organization dedicated to improving the lives of older adults and individuals with complex medical needs. The team fosters a compassionate, inclusive, and collaborative culture, where nurses are empowered to lead, innovate, and make a lasting difference in patients’ lives. If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951. I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!

Job Description IntegrityRX is looking for a part time every other weekend Pharmacist to work at our retail pharmacy in Brick Township. The person in this position is part of the team concept in the Center's health delivery system, which is devoted to the delivery of primary care with emphases on prevention and health maintenance. The primary purpose of this position is to assist patients with their health care needs by filling prescriptions and providing excellent customer service. The candidate is also required to perform all tasks in a safe manner consistent with company policies and state and federal laws. The candidate is responsible for the functions below, in addition to other duties as assigned: Ensure the accuracy and appropriateness of all prescriptions filled by completing Drug Utilization Review and Final Quality Assurance, applicable to state and federal Board of Pharmacy regulations. Provide excellent customer service by assisting customers with medical-related issues and providing healthcare counseling. Supervise the work completed by Pharmacy Technicians and/or other support staff while on duty. Assist Pharmacy Manager to train, coach, and manage pharmacy staff. Assume management responsibility over the entire pharmacy in the absence of the Pharmacist-in-Charge. Maintain appropriate security of the Pharmacy department. Comply with all federal and state laws and regulations. Handle and resolve customer issues, complaints, and questions to build customer trust and loyalty. Interact with physicians and resolve any issues that arise. Assist with maintaining the Pharmacy department by keeping it clean and in order. Ensure all tasks are completed in a timely manner. Essential Functions/ Requirements Proficiency in Rx30 is strongly preferred but not required. Committed to providing customer service that patients feel welcome, important, and appreciated. Ability to work within strict time frames and deadlines. Excellent customer service skills. Perform different tasks on different days, as necessary. Respond to interruptions and then return seamlessly to task at hand. Handle stressful situations while maintaining a sense of calm. Proficient in clinical interpretation: drug-drug, drug-disease, drug-food interactions, and allergies Ability to read, write, speak, and understand the English language. Excellent interpersonal skills and well-developed verbal and written communication skills Ability to work flexible hours, which includes weekends, and holidays. Effective multitask. Execute day-to-day operations in the pharmacy. Ensure that the pharmacy is following all local, state, and federal rules and regulations regarding the practice of pharmacy. Ensure that the pharmacy is following all third-party payer contract rules and regulations by which the pharmacy is bound. Supervise the pharmacy staff to ensure proper order entry, workflow, security of the pharmacy area. Follow all applicable government regulations including HIPAA. Complies with company policies regarding safety, attendance, and dress code. Other duties as assigned. Competencies Attention to detail Collaboration Skills Communication Decision Making Discretion Problem Solving/Analysis Reliability Teamwork Technical Capacity *Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Education Requirements Bachelor's degree (BS), Doctoral degree (PHARM.D.) from an accredited School of Pharmacy. Licensed through the State of New Jersey

Job Description Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient-centered care across a variety of settings, including clinics, centers, and patient homes. This position is responsible for assessing patient needs, developing and implementing care plans, coordinating services, and evaluating outcomes to ensure holistic and high-quality healthcare delivery. Working collaboratively with a dedicated team, the RN Care Manager helps patients achieve optimal health, independence, and quality of life. Key Duties and Responsibilities: Deliver compassionate, high-quality nursing care in the clinic, center, contracted facilities, and patients’ homes according to individualized care plans and regulatory standards. Participate in a 24/7 on-call rotation for patient triage and support. Assess, plan, and coordinate home care services, ensuring that nursing needs are identified and met appropriately. Monitor and manage both acute and chronic patient conditions in various settings, promoting continuity of care and supporting transitions between home, assisted living, nursing, or hospital care as needed. Facilitate communication and collaboration among providers, obtaining specialist reports, lab results, and documentation to ensure seamless patient care. Perform monthly medication reconciliation for assigned patients, ensuring accuracy and adherence, and promptly address discrepancies. Communicate test results and updates to patients in a timely and compassionate manner. Complete accurate and timely nursing assessments in accordance with policy and regulatory requirements. Implement care plan interventions and educate patients, caregivers, and families on self-care, medication management, healthy living, and safety practices. Collaborate with patients, families, caregivers, and the team to regularly review and revise care goals and approaches. Participate actively in team meetings, quality improvement projects, and utilization review discussions. Evaluate and delegate tasks to CNAs and Home Care Aides, ensuring competency and compliance with care plans. Support and mentor fellow team members, contributing to an environment of learning, respect, and collaboration. Protect patient privacy, maintain confidentiality, and adhere to safety and infection control protocols. Uphold all organizational policies and promote a culture of excellence and integrity in every aspect of care delivery. Perform additional duties as assigned or required. Required Qualifications: Active, unrestricted Registered Nurse (RN) license in the applicable state. Bachelor of Science in Nursing (BSN) preferred. Basic Life Support (BLS) certification (must be obtained within 90 days of employment). Minimum of one year of RN experience. Reliable transportation, valid driver’s license, and current auto insurance. Ability to meet health and immunization requirements for direct patient care. Successful completion of a comprehensive background check, including criminal history, license verification, and drug screening. Desired Qualifications: Experience working with elderly or medically complex populations preferred (training provided if not present). Background in home care, long-term care, or managed care settings. Strong understanding of person-centered care, patient advocacy, and self-determination. Familiarity with managed care environments, quality metrics, and cost-effective care models. Excellent communication, teamwork, and problem-solving skills. Proficiency with Electronic Medical Records (EMR) systems and Microsoft Office applications (Outlook, Word, Excel, PowerPoint). A commitment to continuous learning, quality improvement, and evidence-based practice. Flexibility, empathy, and the ability to thrive in a fast-paced, collaborative healthcare environment. Work Environment and Physical Requirements: Work may take place in clinics, community centers, contracted facilities, or patient homes. Moderate noise levels and temperature-controlled environments. Manual dexterity, hand-eye coordination, and ability to lift up to 30 pounds using proper body mechanics. Ability to communicate effectively in person and by telephone. May involve exposure to typical healthcare-related conditions including bodily fluids, infectious diseases, and medical equipment. Reasonable accommodations will be made for individuals with disabilities in accordance with ADA guidelines. Work Type: On-site with travel to patient homes as needed; some hybrid flexibility may be available depending on program needs. About the Organization: This role is part of a mission-driven healthcare organization dedicated to improving the lives of older adults and individuals with complex medical needs. The team fosters a compassionate, inclusive, and collaborative culture, where nurses are empowered to lead, innovate, and make a lasting difference in patients’ lives. If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951. I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!

RWJBarnabas Health, the largest integrated health system in NJ, is currently seeking Physician Advisors for full-time employment. The Physician Advisor will form a collaborative partnership with local and corporate administration, the medical staff, and the case management department leadership. This partnership will provide a comprehensive clinical resource management program that includes utilization management, progression of care management, social work services, and complex discharge planning. Available Locations: • Clara Maass Medical Center in Bellville, New Jersey, • Community Medical Center in Toms River, New Jersey, • Robert Wood Johnson University Hospital in New Brunswick, New Jersey Responsibilities: • Establishing and maintaining a standardized practice for Physician Advisor Services:, • Throughput/Length of Stay, • Observation Hours, • Next Site of Care planning, • Leading multidisciplinary rounds, • Participates in the review and development of medical guidelines and policies geared toward quality and efficiency of care Performance Metrics: • Meets Defined Length of Stay Goals, • Medicare LOS to align with Geometric/Arithmetic Benchmarks, • Commercial LOS, • Meets Organizational Goals for Hours in Observation, • Meets Goals related to Next Site of Care Qualifications: • Board Certified/Board Eligible and Valid NJ License, • 2+ years of Clinical Practice Experience, • Previous Utilization Management Experience in Acute Care Setting, • Prior leadership experience required, • CHCQM certified, • Knowledge of CMS Regulations and Knowledge of Nationally Accepted Guidelines such as MCG and InterQual, • Excellent Communication and Interpersonal Skills, • Proficient Computer Skills, • Strong Organizational Skills with Ability to Multi-task and Set Priorities We offer a great work environment, competitive rates and excellent benefits, including: • Medical/Dental/Vision plans, • 401 (k), • PTO, • Short & Long Term Disability, • Basic Life & Accidental Death Insurance, • Tuition Reimbursement If you are interested in learning more about this position or wish to apply directly, please contact us.

Avenues Recovery Center is Now Hiring: Utilization Review Specialists. We are seeking a Utilization Review Specialist to join our corporate team in New Jersey and support authorization, clinical documentation integrity, and continued stay coordination across our network. The Utilization Review Speci

Job Description Counselor Full-time M-F 5:30a-2p Must have a NJ CADC or other Counselor License Pinnacle’s Voice: A Tale of Transformation & Recovery “I found myself like a lot of people in a position I never thought I would be in. I needed help bad… It all started with a call… one of the easiest and hardest things I’ve ever done. Every day I wake up and think how good it feels and how lucky I am to have found this place.” -Patient, Pinnacle Treatment Centers About Us: Pinnacle Treatment Centers is a leading provider of comprehensive addiction treatment services, committed to transforming lives through compassionate care. Our approach is rooted in evidence-based practices, focusing on the holistic well-being of our patients, and treating our teammates with the same level of individualized compassion and empathy. We believe in providing a supportive and inclusive environment for both our patients and our dedicated team of professionals. Pinnacle transforms the lives of more than 35,000 individuals daily resulting in a network of care spanning across the country. Position Overview: As a Counselor, you will play a crucial role in the recovery journey of our patients. Pinnacle’s unique approach combines compassionate care with innovative treatment methods to address the diverse needs of individuals seeking help for substance use disorders. Join us in making a positive impact on the lives of those we serve. Teammate Appreciation Benefits: At Pinnacle Treatment Centers, we value our teammates and offer a variety of benefits to support their personal and professional growth. • Variable Pay Structure: Competitive compensation based on experience, education, and licensure., • Defined Career Pathing: Clear advancement opportunities through our Counselor Tier Program, designed to reward achievement in education, licensure, and credentials., • Bonus Incentives: Recognizing and rewarding quality patient care with monthly performance-based bonuses., • STAR LRP Eligibility: 90% of our facilities are eligible for the Student Loan Repayment Program. This federal program selects applicants to forgive 100% of their student loans., • Continuing Education: Free access to over 600 CEU courses to enhance your skills and knowledge., • Paid Time Off: 18 days of PTO and 8 paid holidays to maintain a healthy work-life balance., • Diversity, Equity, and Inclusion Initiatives: Be part of a workforce that reflects the diversity of our patient population., • Free Clinical Supervision: Available based on licensure and availability to support your professional growth. Key Responsibilities: • Conduct individual and group counseling sessions using evidence-based practices., • Collaborate with a multidisciplinary team to develop and implement comprehensive treatment plans., • Monitor and assess patient progress, adjusting interventions as needed., • Contribute to the overall success of the treatment center through participation in team meetings and professional development activities., • Develop the patient discharge/continuum of care plan to ensure movement to the appropriate levels of care., • Maintain patient caseload (including all case management and utilization review updates, treatment planning duties, and clinical charting as required)., • Other duties as assigned. Pay range - $18-32/hr depending on licensure and experience Qualifications: • Tier 1 Counselor (min requirements for consideration), • High School Diploma / GED and, • Counselor Intern, • Tier 2 Counselor (min requirements for consideration), • High School Diploma / GED and, • CADC, • LAC, • LSW, • Tier 3 Counselor (min requirements for consideration), • Master’s degree and, • LCADC, • LCSW, • LPC Join our Team & Start Saving Lives Today

Job Description Counselor Full-time, on-site M-F 11:30a-7:30pm Pinnacle’s Voice: A Tale of Transformation & Recovery “I found myself like a lot of people in a position I never thought I would be in. I needed help bad… It all started with a call… one of the easiest and hardest things I’ve ever done. Every day I wake up and think how good it feels and how lucky I am to have found this place.” -Patient, Pinnacle Treatment Centers About Us: Pinnacle Treatment Centers is a leading provider of comprehensive addiction treatment services, committed to transforming lives through compassionate care. Our approach is rooted in evidence-based practices, focusing on the holistic well-being of our patients, and treating our teammates with the same level of individualized compassion and empathy. We believe in providing a supportive and inclusive environment for both our patients and our dedicated team of professionals. Pinnacle transforms the lives of more than 35,000 individuals daily resulting in a network of care spanning across the country. Position Overview: As a Counselor, you will play a crucial role in the recovery journey of our patients. Pinnacle’s unique approach combines compassionate care with innovative treatment methods to address the diverse needs of individuals seeking help for substance use disorders. Join us in making a positive impact on the lives of those we serve. Teammate Appreciation Benefits: At Pinnacle Treatment Centers, we value our teammates and offer a variety of benefits to support their personal and professional growth. • Variable Pay Structure: Competitive compensation based on experience, education, and licensure., • Defined Career Pathing: Clear advancement opportunities through our Counselor Tier Program, designed to reward achievement in education, licensure, and credentials., • Bonus Incentives: Recognizing and rewarding quality patient care with monthly performance-based bonuses., • STAR LRP Eligibility: 90% of our facilities are eligible for the Student Loan Repayment Program. This federal program selects applicants to forgive 100% of their student loans., • Continuing Education: Free access to over 600 CEU courses to enhance your skills and knowledge., • Paid Time Off: 18 days of PTO and 8 paid holidays to maintain a healthy work-life balance., • Diversity, Equity, and Inclusion Initiatives: Be part of a workforce that reflects the diversity of our patient population., • Free Clinical Supervision: Available based on licensure and availability to support your professional growth. Key Responsibilities: • Conduct individual and group counseling sessions using evidence-based practices., • Collaborate with a multidisciplinary team to develop and implement comprehensive treatment plans., • Monitor and assess patient progress, adjusting interventions as needed., • Contribute to the overall success of the treatment center through participation in team meetings and professional development activities., • Develop the patient discharge/continuum of care plan to ensure movement to the appropriate levels of care., • Maintain patient caseload (including all case management and utilization review updates, treatment planning duties, and clinical charting as required)., • Other duties as assigned. Pay Range: • $27-37/hr depending on licensure and experience Qualifications: • Tier 2 Counselor (min requirements for consideration), • High School Diploma / GED and, • CADC or, • LAC or, • LSW, • Tier 3 Counselor (min requirements for consideration), • Master’s degree and, • LCADC or, • LCSW or, • LPC Join our Team & Start Saving Lives Today

Job Description:\n\nBenefits:\n\n 401(k)\n 401(k) matching\n Dental insurance\n Health insurance\n Paid time off\n Vision insurance\n\nAbout UsRenew360°ree; is a detoxification and residential substance use disorder treatment facility in Toms River, New Jersey, dedicated to helping individuals begin their journey to lasting recovery. We provide compassionate, evidence-based care that focuses on healing the mind, body, and spirit, recognizing that recovery is a personal journey and that every pathway deserves respect and support.\n\nOur multidisciplinary team of licensed counselors, medical professionals, and addiction specialists works collaboratively to deliver high-quality, individualized care that improves lives. If you are passionate about making a meaningful difference and want to be part of a team that values compassion, integrity, collaboration, and excellence, we'd love to have you join us as we empower individuals, foster hope, and create opportunities for lasting change.\n\nJOB PURPOSEUnder the direction of the Director of Nursing, the Nurse Manager/Director of Nursing Designee provides day-to-day operational and clinical leadership for nursing services at Renew360. The position serves as the designated representative of the Director of Nursing when assigned and is responsible for ensuring safe, evidence-based, trauma-informed, and patient-centered nursing care in accordance with New Jersey Department of Health regulations, applicable federal requirements, ASAM Criteria, accreditation standards, and organizational policies.\n\nThe Nurse Manager promotes excellence in nursing practice through staff development, quality improvement, regulatory compliance, interdisciplinary collaboration, and continuous monitoring of patient outcomes.\n\nWhen formally designated by the organization and only during the absence or unavailability of the Director of Nursing, the Nurse Manager serves as the Director of Nursing Designee. In this capacity, the DON designee assumes delegated operational and administrative responsibilities necessary to maintain continuity of nursing services. The Nurse Manager does not permanently assume the Director of Nursing position and exercises only those responsibilities specifically delegated by the Director of Nursing or organizational leadership.\n\nTIME COMMITMENTFull time, in-person onsite position, consisting of 40 hours per week depending on organizational needs. \n\nESSENTIAL FUNCTIONS AS DIRECTOR OF NURSING DESIGNEEThe Nurse Manager serves as the Director of Nursing Designee only when formally designated by the organization and during the temporary absence, leave, or unavailability of the Director of Nursing. While serving in this capacity, the Nurse Manager is authorized to perform delegated operational and administrative functions necessary to ensure continuity of nursing services, including:\n\n Providing operational oversight of nursing services. \n Supervising nursing staff and making day-to-day staffing decisions. \n Responding to regulatory, licensing, and survey-related issues requiring nursing leadership. \n Coordinating with the Medical Director, Executive Director, and other department leaders regarding patient care operations. \n Reviewing and approving nursing documentation, reports, and operational matters within delegated authority. \n Addressing urgent personnel, patient care, and safety issues requiring nursing leadership. \n Ensuring continued compliance with New Jersey regulations, organizational policies, and accreditation standards. \n Communicating significant issues and actions taken to the Director of Nursing upon their return. \n Reporting back to the DON all items \nThe Nurse Manager/Director of Nursing Designee does not independently establish departmental policy, make permanent organizational decisions reserved for the Director of Nursing, or assume responsibilities beyond those specifically delegated by the Director of Nursing or executive leadership. Authority as Director of Nursing Designee is temporary and limited to the period of official assignment.\n\nThe Nurse Manager/Director of Nursing Designee is expected to maintain detailed documentation of significant decisions, incidents, staffing changes, regulatory communications, quality concerns, and operational actions taken while serving in the delegated role. Upon the Director of Nursing's return, the designee will conduct a formal handoff to ensure continuity of leadership, patient care, regulatory compliance, and departmental operations. This includes but is not limited to:\n\n A formal transition of leadership. \n Documentation of actions taken. \n Accountability for decisions made during the delegated period. \n Immediate return of authority to the Director of Nursing. \n Continuity of patient care and regulatory compliance.\n\nESSENTIAL FUNCTIONS OF NURSE MANAGER Clinical Leadership\n\n Supervise daily nursing operations for detoxification and residential treatment programs. \n Ensure delivery of nursing care consistent with evidence-based practices and ASAM Criteria. \n Monitor patient acuity and staffing needs to ensure safe nursing coverage. \n Participate in admission, transfer, discharge, and care coordination activities. \n Promote trauma-informed, culturally responsive, and recovery-oriented nursing care. \n Assist with implementation of Medication-Assisted Treatment (MAT) protocols under the direction of licensed medical providers. \n Monitor patient response to treatment and communicate significant clinical changes to medical providers. \n Participate in interdisciplinary treatment team meetings. \n When officially assigned and only during the absence of the Director of Nursing, serve as the Director of Nursing Designee by carrying out delegated administrative and operational responsibilities to ensure uninterrupted nursing leadership and regulatory compliance.\n\nAdministrative Leadership & Staff Supervision/Oversight \n\n Serve as the Director of Nursing Designee in the absence of the Director of Nursing. \n Assist in development and implementation of nursing policies and procedures. \n Participate in strategic planning related to nursing services. \n Ensure nursing operations support organizational goals and regulatory requirements. \n Coordinate nursing schedules to maintain required staffing levels. \n Manage daily workflow and assignment of nursing personnel. \n Participate in recruitment, interviewing, onboarding, and retention of nursing staff. \nWhen assigned and under the direction of the Director of Nursing, provide supervision of:\n\n Registered Nurses (RN) \n Licensed Practical Nurses (LPN) \n Other Agency nursing personnel \nResponsibilities include:\n\n Orientation \n Clinical coaching \n Staff education \n Clinical mentoring \n\nQuality Improvement & Regulatory Compliance\n\n Monitor nursing quality indicators. \n Conduct routine chart audits. \n Review medication administration records (MARs). \n Review incident reports and adverse events. \n Monitor infection prevention activities. \n Assist with Quality Assurance Performance Improvement (QAPI) initiatives. \n Track nursing performance metrics. \nEnsure nursing services comply with:\n\n New Jersey Department of Health regulations \n ASAM Criteria \n HIPAA \n OSHA \n CDC infection prevention guidance \n DEA medication security requirements \n Controlled substance regulations \n Organizational policies \n Accreditation standards (CARF, Joint Commission, or other applicable accrediting bodies) \nPrepare nursing services for:\n\n State inspections \n Accreditation surveys \n Internal audits \n Licensing reviews \n\n Medication Management\n\nCollaborate with:\n\n Medical Director \n Advanced Practice Nurses \n Physicians \n Pharmacy Consultant \nto ensure:\n\n Safe medication administration \n Controlled substance accountability \n Medication reconciliation \n Narcotic count accuracy \n Medication error reduction \n Medication storage compliance \n MAT protocol implementation \n\nInfection Prevention\n\n Monitor infection prevention activities. \n Ensure compliance with universal precautions. \n Conduct infection surveillance. \n Review exposure incidents. \n Monitor vaccination requirements where applicable. \n Coordinate infection prevention education. \n Participate in outbreak management. \n\nPatient Safety\n\nPromote a culture of safety by monitoring:\n\n Falls \n Medication errors \n Medical emergencies \n Withdrawal complications \n Suicide precautions \n Patient observation procedures \n Emergency response readiness \n Participate in emergency preparedness planning and drills.\n\nDocumentation Oversight\n\nWhen assigned and under the direction of the Director of Nursing, ensure nursing documentation is:\n\n Accurate \n Timely \n Complete \n Legible \n Consistent with regulatory requirements \nReview documentation for:\n\n Nursing assessments \n Withdrawal monitoring tools (e.g., CIWA-Ar, COWS) \n Medication administration \n Progress notes \n Physician orders \n Treatment coordination \n\nEducation and Staff Development\n\nWhen assigned and under the direction of the Director of Nursing, develop and coordinate nursing education including:\n\n Orientation \n Annual competencies \n Emergency procedures \n MAT education \n Withdrawal management \n Infection prevention \n Medication administration \n Documentation standards \n Regulatory updates \n\nCollaboration\n\nTo ensure integrated patient care, collaborate with the Director of Nursing in addition to:\n\n Medical Director \n Director of Nursing \n Clinical Director \n Executive Director \n Coordinator Utilization Management \n Recovery Support Services \n Pharmacy Consultant \n Laboratory Services \n Director of Quality Assurance.\n\nKNOWLEDGE, SKILLS, AND ABILITIES\n\n Strong clinical assessment skills. \n Knowledge of withdrawal management protocols. \n Leadership and staff development skills. \n Excellent communication and conflict resolution abilities. \n Ability to manage multiple priorities in a fast-paced environment. \n Strong organizational and documentation skills. \n Knowledge of electronic medical records (EMR). \n Understanding of quality improvement methodologies. \n Knowledge of New Jersey Administration\n Ability to interpret healthcare regulations and accreditation standards. \n Commitment to patient-centered, trauma-informed, and culturally responsive care. \n\nPHYSICAL REQUIREMENTS\n\n Ability to stand and walk for extended periods. \n Ability to lift up to 50 pounds with assistance when appropriate. \n Ability to respond rapidly to medical emergencies. \n Frequent bending, reaching, and movement throughout the facility. \n Ability to safely perform patient care activities.\nREQUIRED EDUCATION\n\n Graduate of an accredited school of nursing.\n Current, unrestricted licensure as a Registered Professional Nurse (RN) in the State of New Jersey, in good standing with the New Jersey Board of Nursing.\n Bachelor of Science in Nursing (BSN) required.\n\nPreferred Education\n\n Master's degree in Nursing (MSN), Healthcare Administration, Public Health, Business Administration, or a related healthcare field preferred.\n Certification in Addiction Nursing (CARN), Psychiatric-Mental Health Nursing, Nurse Executive (NE-BC), or another relevant specialty certification is preferred or expected within an established timeframe following hire.\n\nRequired Experience\n\n Minimum of five (5) years of progressively responsible nursing experience.\n Minimum of two (2) years of supervisory or management experience in a healthcare setting.\n Experience in substance use disorder treatment, behavioral health, psychiatric services, medical detoxification, residential treatment, emergency medicine, or a comparable clinical setting strongly preferred.\n Demonstrated knowledge of withdrawal management, medication-assisted treatment (MAT), behavioral health nursing, infection prevention, and emergency response.\nRequired Knowledge\n\n Knowledge of New Jersey Department of Health regulations governing Treatment licensed residential substance use disorder treatment programs.\n Working knowledge of the ASAM Criteria for Levels 3.5 and 3.7-WM.\n Knowledge of applicable federal and state laws and regulations, including HIPAA, OSHA, DEA controlled substance requirements, and standards established by accrediting organizations such as CARF or The Joint Commission, as applicable.\n Experience with electronic medical records (EMR), quality improvement processes, medication management, and regulatory survey preparedness.\nRequired Certifications\n\n Current Basic Life Support (BLS) certification.\n Advanced Cardiovascular Life Support (ACLS) certification preferred or required based on organizational policy.\n Crisis Prevention Intervention (CPI) or equivalent de-escalation training preferred.\n Valid New Jersey driver's license\n\nContinuing Education\n\n The Nurse Manager/Director of Nursing Designee is expected to maintain all licensure and certifications required by the State of New Jersey and to complete all mandatory continuing education required by the New Jersey Board of Nursing, the organization, and applicable licensing or accrediting agencies. \n The Nurse Manager/Director of Nursing Designee is also expected to participate in ongoing professional development related to addiction medicine, withdrawal management, behavioral health, leadership, quality improvement, and regulatory compliance.\n\nADDITIONAL DUTIESOrganizational Responsibilities:\n\n Align with Renew360’s mission, vision, and values.\n Foster a diverse, inclusive, and respectful workplace.\n Support departmental and organizational strategic goals.\n Adhere to all policies, including Code of Conduct and Employee Handbook.\n Maintain professionalism and confidentiality (HIPAA, 42 CFR, NJ Statutes).\n Attend required meetings and complete training on time.\n Work independently and as a collaborative team member.\n Perform other organizational duties as needed or assigned.\n\nWORKING CONDITIONS\n\n Indoor environment (95%)\n Must wear required PPE and designated attire\n Frequent sitting, standing, walking, bending, reaching, and grasping\n Occasional twisting, squatting\n Repetitive motions and manual dexterity required\n Lift/carry up to 20 lbs frequently; push/pull 21–75 lbs occasionally\n Good hearing and vision required\n Must be able to drive as part of job duties\n Possible exposure to communicable diseases\n Business casual dress code \n\nPreferred:\n\n Knowledge of addiction and mental health issues\n At least 1 year experience in detox/residential treatment leadership\n Experience with using ASAM criteria

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