- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Utilization Review Physician collaborates with the healthcare team in the** **management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review ,** **hospital reimbursement, clinical compliance, case management, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack University Medical Center Night Shift RRT Nurse Practitioner or Physician Assistant performs the role utilizing the patient-centered coordinated care ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Hackensack Meridian Health (Paramus, NJ)
- **Overview** **The Neurology Nurse Practitioner or Physician Assistant performs the role utilizing the patient-centered coordinated care model demonstrated through ... of specialty practice.** **5. Participates in APRN interviewing, credentialing, and peer review process as requested.** **6. Participates in a minimum of one… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Surgical Nurse Practitioner or Physician Assistant at Hackensack UMC performs the role utilizing the patient-centered coordinated care model ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Neurocritical Care Advanced Practice Nurse or Physician Assistant performs the role utilizing the patient-centered coordinated care model ... of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional… more
- Hackensack Meridian Health (Hackensack, NJ)
- …inclusive of free text fields, to support the case management, utilization review process. 5. Retrieves information for the Physician Advisors as needed. 6. ... Checks admission and discharge dates. 8. Enters LAD into EPIC. 9. Keeps Utilization Review RN current on updates needed for payors. 10. Enters all documentation… more
- Atlantic Health System (Florham Park, NJ)
- …plan, including transfer eligibility, level of care, resource prioritization & utilization , timely acceptance, and appropriate priority and mode of transport. + ... condition, medical eligibility, and appropriateness for transfer. + Determines type of physician required and contacts said physician resources to facilitate… more
- Hackensack Meridian Health (Hackensack, NJ)
- …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... worksheet and computer system as appropriate. + Extensively reviews all physician and clinical documentation, lab results, diagnostic information and treatment plans… more
- Hackensack Meridian Health (Maywood, NJ)
- …duties with attention to detail and in a timely manner. + Collaborates with Utilization Review Nurses. + Provides Important Message, ABN, Observation letter as ... and develop an individualized plan in collaboration with the physician and other members of the health care team....patient management. + Knowledge of health care delivery system, utilization and review and case review… more
- RWJBarnabas Health (Newark, NJ)
- …Care Cardiac Cath Lab FT DaysReq #:0000180082 Category:Leadership Status: Full -Time Shift:Day Facility:Newark Beth Israel Medical Center Department:Cardiac Cath ... department schedule, providing continuous and high-quality service for the patient, physician , and staff * Relates effectively with entire department for continuity… more
- Hackensack Meridian Health (Hackensack, NJ)
- …assess needs and develop an individualized care plan in collaboration with the physician and other members of the health care team. + Facilitates communication and ... workgroups, and or meetings. + Identifies and refers quality issues for review to the Quality Management Program. + Participates in multidisciplinary rounds,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as possible, thus driving positive clinical outcomes, patient, family and physician satisfaction and preventing avoidable readmissions to the hospital. They will ... with key stakeholders: physicians, hospital leaders, floor nursing staff, physician advisors, care managers, social workers, physical therapist, occupational… more
- RWJBarnabas Health (Livingston, NJ)
- …contracts, and on other classifications of patients as designated by the Utilization /Case Management Review Plan. Coordinates patient care, in conjunction with ... Manager Registered Nurse - Case Management (FT/Days)Req #:0000179789 Category:Nursing Status: Full -Time Shift:Day Facility:Cooperman Barnabas Medical Center Department:Case Management Location:… 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 ... the administrator in development of the annual budget. Appropriate and effective utilization of staff. Managing key operations and financial levers to achieve budget… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is Seeking a Full -Time Lead Advanced Practice Clinician for Neurocritical Care in Morristown Atlantic Health System, one of New Jersey's ... largest non-profit healthcare networks, is seeking a Full -Time Lead Advanced Practice Clinician (APC) to join the...initiatives of the NCC APP service in collaboration with physician and nursing leaders. + Participates in performance improvement… more
- Hackensack Meridian Health (Edison, NJ)
- …plans. + Responsible for oversight of the care coordination, social work and utilization review department's processes in accordance with federal, state, and ... and makes recommendations for program development. + Meets with physician leaders in development of processes and protocols to...of information relative to Care Coordination, Social Work and Utilization Review . Able to interpret and provide… more
- Fresenius Medical Center (Orange, NJ)
- …staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible ... for strong Director and physician relationships and facilitating staff relationships with physicians. +...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …clinical procedures for nurses providing care to trauma patients, performs all utilization review and risk management activities. 3. Supervises, develops, and ... practice agreement with section physicians. 15. Interviews and recommend Physician Assistant/Advanced Practice Nurse candidates as needed. 16. Identifies educational… more
- IQVIA (Bridgewater, NJ)
- …commercial business + Prior healthcare data experience, including working knowledge of physician and patient claims; IQVIA data preferred + Prior working experience ... Targeting; Promotion: Allocation, Optimization, Sales Force, ROI; Tracking: Tracking, Utilization , Usage, SOB, LOT, Etc.; Forecasting and Launch: Model Building;… more
- Vitalief (Newark, NJ)
- …enthusiastic Clinical Research Study Supervisor to join our exceptional team (as full -time, fully benefited Vitalief employee) to support our mission and our ... patterns, schedules, and making recommendations to ensure appropriate staff coverage and utilization of staff. + Works closely with the Management team in… more