- Hackensack Meridian Health (Belle Mead, NJ)
- …to transform healthcare and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of ... appropriate alternative level of care setting for continued treatment. Employs the utilization management process to assist in setting priorities, planning,… more
- St. Luke's University Health Network (Allentown, PA)
- …utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… more
- CVS Health (Marlton, NJ)
- …and procuring community resources and durable medical supplies. The Care Coordinator tracks population disease management practices, commits to recognize ... of a clinical operation leader and local leader, the Retail health coordinator will communicate with plan and retail health identified members telephonically on… more
- Penn Medicine (Princeton, NJ)
- …5. Coordinates scheduling and performance management for the Registration Coordinator and Utilization Management Reviewers. 6. Completes precertification ... Health Inpatient Admissions Department to include but not limited to Schedgistration and Utilization Management . Supervises the Utilization Management … more
- United Methodist Communities (Collingswood, NJ)
- …nursing experience. + Experience with RAI/MDS completion, reimbursement, and clinical resource utilization and/or case management . + 3-5 years of related ... NJ 08108, USA | Salary | Full Time MDS Coordinator Full Time Days and Evenings | Hybrid Experience...experience including RAI/MDS completion, reimbursement and resource utilization /case management preferred. + Holds a current… more
- Elevance Health (Trenton, NJ)
- …or Mercer counties to meet face to face with patients. The **LTSS Service Coordinator -RN** is responsible for overall management of member's case within the ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- Virtua Health (Marlton, NJ)
- …ASCs leadership. Responsible for standardizations of contract compliance, materials management utilization , and reporting. Implements initiatives that deliver ... leadership and vendors. Identify, develop, and support opportunities for clinical integration, utilization management and cost saving measures. Track and report… more
- Penn Medicine (Philadelphia, PA)
- …Directors to assure efficient patient flow and quality patient care. Nursing Clinical Coordinator also works collaboratively with the Bed Management RN and the ... you living your life's work? Summary: + The Nursing Clinical Coordinator actively participates in a collaborative/consultative/supportive role with the Chief Nursing… more
- RWJBarnabas Health (Somerset, NJ)
- …+ Associates in Nursing from an accredited school, required + Experience in either Utilization Management , Case Management , Disease Management , Care ... ACO Value Based Program Coordinator (Part-Time) - Somerset, NJReq #:0000173345 Category:Nurse Case...years' registered nurse experience in critical care, population health management , or acute care, preferred + Prior telephonic care… more
- RWJBarnabas Health (Hamilton, NJ)
- … for Inpatients to determine appropriateness of continued stay, care planning, utilization management and discharge planning. Required: + BSN required + ... RN Case Manager (Patient Care Coordinator ) - Hamilton, NJReq #:0000157940 Category:Nurse Case Manager...Utilization review and discharge planning experience + Case Management certification Certifications and Licenses Required: + Current license… more
- Penn Medicine (Philadelphia, PA)
- …database and discharge/census reports. .Maintains database for the department and the utilization management requirements for the hospital information system and ... Team Leads. .Supports the activities of the Clinical Resource Coordinator in all phases of the Clinical Quality and... in all phases of the Clinical Quality and Utilization Management functions including but not limited… more
- FirstEnergy (Flemington, NJ)
- …+ Fostering a high-performing safety culture through personal conduct and utilization of human performance principles. + Coordinating and supervising smaller to ... risks on a transmission construction project. Implementing a construction risk management plan for anticipated construction risks. + Documenting project site… more
- Sevita (Delran, NJ)
- …services for infants, children, adolescents, Military Service Members and Veterans. **Case Coordinator - Delran Day Program - No weekends!** **DSP or Caregiver ... where you can actively make a difference in people's lives? As Case Coordinator , you will be responsible for providing organizational assistance and program support,… more
- RWJBarnabas Health (Somerset, NJ)
- Nurse Coordinator RNReq #:0000174755 Category:ICU/Critical Care Nursing Status:Part-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:MH ... the population served, as well as experience in clinical care operations, case management and/or patient throughput + Must have a working knowledge of hospital… more
- Virtua Health (Pennsauken, NJ)
- …transportation to and from physician appointments where necessary. + The Care Transition Coordinator will work with the divisional Case Management team obtaining ... and connects consumers interested in Virtua Health to appointments, referrals and utilization of services available across the continuum. Serves as a liaison to… more
- Penn Medicine (Philadelphia, PA)
- …thinking skills and being a strong patient advocate.The case manager conducts utilization management activities, communication with insurers, team, and physician ... hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management … more
- Holtec International (Camden, NJ)
- …prioritization, tiered emergency response, automated emergency dispatch, and resource utilization follows department protocols. + To perform priority CCTV ... of generating investigative leads. + To monitor and evaluate resource utilization metrics, proactive alignment, quantitative and qualitative levels of crime… more
- Sunrun (Trenton, NJ)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… more
- Virtua Health (Bordentown, NJ)
- …processes and maintains required documentation and reports such as productivity/ utilization , medical records, customer surveys, audits, financial reports, staff ... certifications/licenses.* Schedules management appointments, meetings, conferences. Prepares meeting minutes and memos. May maintain calendars/itinerary for … more
- Penn Medicine (Plainsboro, NJ)
- … staff, Nursing Leadership and Medical Staff. 7. Collaborates with the Chair, Utilization Management Committee and hospital leadership to set annual priorities ... leadership, planning, managing and monitoring of the outcomes of the Care Management staff (Case Managers, Utilization Managers, Physician Advisors and Denials… more