- VNS Health (Manhattan, NY)
- VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: Utilization ... company holidays Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal… more
- City of New York (New York, NY)
- …lien re-payment. OLR/OLT is recruiting for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer , who will: - Conduct medical ... to calculate injury related Medicaid liens pursuant to SSL-104b on cases involving Medical malpractice, mass medical torts, lead paint poisoning, traumatic brain… more
- Prime Healthcare (Newark, NJ)
- …readiness for, and adherence to complex HIV/AIDS treatments. Medical case management also includes client-specific advocacy and review of use of ... clinical team with resources, information, and performs the various steps of medical case management including completion of intakes, psychosocial assessments,… more
- Zufall Health Center (Somerville, NJ)
- Medical Case Manager Somerville, NJ 08876, USA...care from hospital to home, high utilization of services, complex medical needs or those at high risk ... to Zufall Health! Position Summary The goal of the Medical Case Manager (MCM) Nurse is to...in person and over the phone to remind and review their plan of care and progress towards their… more
- The Mount Sinai Health System (New York, NY)
- …on units as warranted. + Meets with Case Managers, as warranted, to review medically complex and long-stay cases; refer to physician advisor as indicated. + ... + Attends interdisciplinary rounds as necessary. + Meets with Case Managers to review medically complex...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- The Mount Sinai Health System (New York, NY)
- …limited to: + Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using ... Supports the mission, vision, philosophy and goals of the Medical Center. + Promotes an environment that is sensitive...experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case … more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients ... specified timeframes. * Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
- The Mount Sinai Health System (New York, NY)
- …limited to: 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using ... Supports the mission, vision, philosophy and goals of the Medical Center. 6. Promotes an environment that is sensitive...experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case … more
- NJM Insurance (Parsippany, NJ)
- …is results-oriented and will perform all aspects of utilization management: case management intervention, precertification, concurrent review , and retrospective ... . This position will require some travel. The official NJM job title is Medical Management Coordinator/Field Nurse Case Manager. Job Responsibilities: + Provide … more
- The Mount Sinai Health System (New York, NY)
- …limited to: a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using ... Supports the mission, vision, philosophy and goals of the Medical Center. f. Promotes an environment that is sensitive...experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager… more
- Travelers Insurance Company (Morristown, NJ)
- …investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim ... of policy information to facts or allegations of each case . + Work with Manager on use of Claim...as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent… more
- Travelers Insurance Company (Morristown, NJ)
- …investigating, evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims. Provides quality claim handling throughout the ... with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. +… more
- The Mount Sinai Health System (New York, NY)
- … medical leadership when appropriate + Documents authorization review for medical and pharmacy claims. + Prepares case reports, summaries, or other ... to modify and/or add necessary services. + Performs continuing review of medical records; analyzing data trends...in the area of nursing practice assigned; in this case , acute care utilization review . + Previous… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Diem PA position with the Neonatalogy Department at Hackensack University Medical Center** **Hackensack Meridian Health is seeking exceptional candidates for ... nurses, dieticians, respiratory therapists, social workers, pediatric pharmacists, physical therapists, case managers, lactation consultants and speech language pathologists to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …APP position is for the Level III Neonatalogy Department at Hackensack University Medical Center The Advanced Practice Nurse or Physician Assistant performs the role ... nurses, dieticians, respiratory therapists, social workers, pediatric pharmacists, physical therapists, case managers, lactation consultants and speech language pathologists to… more
- J&J Family of Companies (Raritan, NJ)
- Principal Medical Writing Scientist, Oncology - 2306144391W **Description** **Principal Medical Writing Scientist, Oncology** At the Janssen Pharmaceutical ... curing, and preventing some of the most devastating and complex diseases of our time. Janssen Research & Development...time. Janssen Research & Development discovers and develops innovative medical solutions to address important unmet medical … more
- J&J Family of Companies (Raritan, NJ)
- Principal Medical Writing Scientist - Immunology - 2306143143W **Description** At the Janssen Pharmaceutical Companies of Johnson & Johnson, what matters most is ... curing, and preventing some of the most devastating and complex diseases of our time. Janssen Research & Development...time. Janssen Research & Development discovers and develops innovative medical solutions to address important unmet medical … more
- Weill Cornell Medical College (New York, NY)
- …Prepares documentation, preps CAP committee members and attends annual management plan review meetings for faculty on Complex Conflicts Management Plans. Ensures ... + Addresses deficient and discrepant conflict surveys and drafts Standard and Complex Conflict Management Plans that address conflicts disclosed in conflict surveys.… more
- The Mount Sinai Health System (New York, NY)
- …with the physician and shall reflect accepted standards of nursing and medical practice. Protocols shall include provisions for case management including ... in accordance with written policies approved by nursing and medical administration and manage a clinical program throughout the...in the specific clinical area and performs a periodic review of the collaborative agreement. b. Assesses the health… more
- Intra-Cellular Therapies, Inc (Bedminster, NJ)
- …Therapies, Inc. (ITCI) assigned products. The PVSP provides guidance for medical review of post marketing individual case safety report (ICSR) and analysis ... benefit-risk analysis are required. + In-depth knowledgeable of individual case safety report medical review ,...inquiries is preferred. + Experience in addressing and managing complex medical safety issues in the pre-approval… more
