• Utilization Review Physician

    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 (11/02/24)
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  • Utilization Review Admission…

    Mount Sinai Health System (New York, NY)
    …Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates ... testing and operating roaom time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according to medical… more
    Mount Sinai Health System (09/04/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Perth Amboy, NJ)
    …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... and serve as a leader of positive change. The ** Utilization Management Care Coordinator** is a member of the...appropriate records as required by payer agencies and initiates physician advisor's review as necessary for unwarranted… more
    Hackensack Meridian Health (10/24/24)
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  • Nurse Practitioner Physician Assistant RRT…

    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 (10/23/24)
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  • Nurse Practitioner Physician Assistant Pain…

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** **The Interventional Pain Management Nurse Practitiner or Physician Assistant for Hackensack UMC's Pain and Palliative Care performs the role utilizing ... practice, consultation/collaboration, coaching/guiding, research, and ethical decision making.** **M-F full time role in the HUMC hospital/acute setting. On call… more
    Hackensack Meridian Health (09/19/24)
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  • Nurse Practitioner Physician Assistant…

    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 (11/05/24)
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  • Nurse Practitioner Physician Assistant…

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** The Nurse Practitioner or Physician Assistant for Vascular Surgery at HackensackUMC performs the role utilizing the patient-centered coordinated ca re ... 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 (10/04/24)
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  • Nurse Practitioner-Cardiothoracic Stepdown-Mount…

    Mount Sinai Health System (New York, NY)
    …interprets the clients' responses to the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. +… more
    Mount Sinai Health System (11/07/24)
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  • RN/Case Manager-MSH-Case Management- Full

    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 ... are not limited to: a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
    Mount Sinai Health System (09/06/24)
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  • Case Manager RN-Mount Sinai West- Full

    Mount Sinai Health System (New York, NY)
    …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... are not limited to: 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
    Mount Sinai Health System (09/25/24)
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  • Nurse Practitioner - Pediatric Cardiac Intensive…

    Mount Sinai Health System (New York, NY)
    …interprets the clients responses to the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion but not less than ... to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee. 4.… more
    Mount Sinai Health System (09/06/24)
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  • Executive Director - Social Services - MSH…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Job Title: Executive Director - Social Services - MSH - Full Time - Day** The Executive Director of MSH Social Work provides financial, ... Establishes and maintains working relationships with managed care organizations and external review agencies. + Directs and supervises the social work and support… more
    Mount Sinai Health System (09/23/24)
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  • Clinical Program Manager, Clinical Command Center;…

    Mount Sinai Health System (New York, NY)
    …The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day ... patient-centered care. **Qualifications** * Must be a Licensed Registered Nurse, Physician Assistant or Nurse Practitioner Registered Nurse Bachelor's Degree in… more
    Mount Sinai Health System (09/23/24)
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  • Clinical Care Coordinator (RN) Case Management…

    RWJBarnabas Health (Jersey City, NJ)
    …and/or HMO contracts, InterQual and other classifications as designated by the Utilization /Case Management Review Plan. Identifies trends and patterns of ... Clinical Care Coordinator (RN) Case Management Full Time DayReq #:0000162365 Category:Nurse Case Manager Status:...+ Minimum of one year experience in Case Management, Utilization Management or Home Care + Successful completion of… more
    RWJBarnabas Health (10/18/24)
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  • Director Case Management-Mount Sinai West…

    Mount Sinai Health System (New York, NY)
    …to influence other services by focusing on patient processes. 10.Develops and implements Utilization Review (UR) based on internal data collection, data received ... the delivery of comprehensive front-line Case Management services, including utilization management, care facilitation and discharge planning. The Director works… more
    Mount Sinai Health System (11/05/24)
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  • ACO Value Based Program Coordinator ( Full

    RWJBarnabas Health (Somerset, NJ)
    ACO Value Based Program Coordinator ( Full -Time) - Somerset, NJReq #:0000173339 Category:Nurse Case Manager Status: Full -Time Shift:Day Facility:RWJBarnabas Health ... intervention, clinical best practice knowledge and collaboration with the patient, physician and multidisciplinary treatment team to pace care, achieve quality… more
    RWJBarnabas Health (10/25/24)
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  • Care Coordination Social Worker, Full Time

    Hackensack Meridian Health (North Bergen, 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 (10/12/24)
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  • Care Coordinator, Care Management ( Full

    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 (11/06/24)
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  • Supervisor, Emergency Dept Access Service

    RWJBarnabas Health (Elizabeth, NJ)
    …+ Provides the Director with regular updates/summaries of key performance indicators, quality review and feedback, and productivity / utilization of staff + ... Supervisor, Emergency Dept Access ServiceReq #:0000173481 Category:Leadership Status: Full -Time Shift:Evening Facility:Trinitas Regional Medical Center Department:Emergency Dept… more
    RWJBarnabas Health (11/01/24)
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  • Clinical Documentation Specialist , RN - F/T Days

    Hackensack Meridian Health (Edison, 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 (10/12/24)
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