- Atlantic Health System (Morristown, NJ)
- …of all team members. Offerings vary based on role level (Team Member, Director , Executive ). Below is a general summary, with role-specific enhancements ... issues to Physician Advisors or Designees in compliance with department procedures with timely follow up as indicated 6....collection of avoidable days 7. Coordinates with the CM RN and/or CMA to identify and complete the process… more
- Fresenius Medical Center (Teaneck, NJ)
- …Human Resources on employee matters. + Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues ... an understanding of current business trends. Has a larger range within the department . + Responsible for supporting and driving FMS quality standards through meeting… more
- Fresenius Medical Center (Union, NJ)
- …Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our most important ... you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters… more
- Atlantic Health System (Basking Ridge, NJ)
- …Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work 8AM- 4PM in the Somerset County area, including ... Program- Associates Degree 2. Current state licensure as a Registered Nurse . 3. BLS certification. Preferred: 1....members. Offerings vary based on role level (Team Member, Director , Executive ). Below is a general summary,… more
- Elevance Health (Morristown, NJ)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... time,** **with rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out… more
- Veterans Affairs, Veterans Health Administration (Kings County, NY)
- …level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12854137. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, ... (one to five years) are determined by the VHA Education Loan Repayment Services program office after review...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Chatham Hills Subacute Care Center (Chatham, NJ)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... a week 37.5 - 40 hours per week Respiratory Nurse ( RN ) We are searching for a.... Maintaining close communications within the facility with the director of nursing, nurse managers, and admissions… more
- Northwell Health (Sleepy Hollow, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more
- Centene Corporation (New York, NY)
- …clinical license; and a NYS Driver's License or Identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical ... beneficiary and the Network Provider. + Provides first level RN review for all outpatient and ancillary...necessity using appropriate criteria, referring those requests that fail review to the medical director for second… more
- Molina Healthcare (Yonkers, NY)
- …managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... For this position we are seeking a ( RN ) Registered Nurse who...(Team will work on set schedule) Looking for a RN with experience with appeals, claims review ,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Preferred: 1. Not Applicable. Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. Advance Practice Nurse License. 3. ... **The Per Diem Advanced Practice Nurse (APN) for Utilzation Review utilizes...and safety needs. Minimum of 1 holiday per year.** ** Education , Knowledge, Skills and Abilities Required: 1. Graduate of… more
- Molina Healthcare (Yonkers, NY)
- …managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of… more
- Mount Sinai Health System (Long Island City, NY)
- …a registered nurse . State Certification: Certified by the New York State Department of Education as a Nurse Practitioner with current registration as ... follows: a.Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR...+ State Certification: Certified by the New York State Department of Education as a Nurse… more
- Mount Sinai Health System (New York, NY)
- …Assistant Program, Masters preferred Nurse Practitioner Certified by the New York State Department of Education as a Nurse Practitioner 1. Five (5) years ... and supporting patient-centered care. **Qualifications** Must be a Licensed Registered Nurse , Physician Assistant or Nurse...setting 2. Two (2) years of critical care and/or emergency department experience preferred 3. Two (2)… more
- Mount Sinai Health System (New York, NY)
- …Experience Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager ... **Job Description** ** RN /Case Manager MSH Case Management FT Days** The...a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management… more
- Mount Sinai Health System (New York, NY)
- …registered nurse . 2. State Certification: Certified by the New York State Department of Education as a Nurse Practitioner with current registration as ... VIII, Article 139 section 6910 of the New York Education Law is a RN who has...follows: 3. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- The New Jewish Home (Bronx, NY)
- …job functions.) Job Qualifications: + Current license and registration to practice as a Registered Nurse in New York State. + Bachelor's Degree in Nursing. + ... New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job...Monitors quality of care delivered by staff through record review , conferences, supervisory visits and review of… more
- Atlantic Health System (Summit, NJ)
- …is the largest and most experienced in the state. We also have a satellite emergency department in Union, NJ, which treats about 40,000 emergency cases ... assessment, including SDOH and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities… more
- Northwell Health (Staten Island, NY)
- …case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. + Keeps ... utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of...Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Calvary Hospital (Bronx, NY)
- …identify the expected length of stay (ELOS). The RNCM participates in the Utilization Review , Discharge Planning, Risk Management, and Quality Assessment and ... getting a job, you're joining a family. Requirements The RN Case Manager (RNCM) will be responsible for all...in nursing or health care related field preferred. + Registered professional nurse , currently unencumbered NYS licensure.… more