- Daiichi Sankyo, Inc. (Bernards, NJ)
- …under supervision to solve complex study problems.Responsibilities:Protocol Development, Case Report Form (CRF; review ), Statistical Analysis Plan (SAP), ... pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …supervision to solve complex study problems. Responsibilities Protocol Development, Case Report Form (CRF; review ), Statistical Analysis Plan (SAP), ... complex studies including study design, protocol development, CRF review , SAP development, analysis files development, statistical analysis accuracy validation,… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …some supervision to solve complex study problems. ResponsibilitiesProtocol Development, Case Report Form (CRF; review ), Statistical Analysis Plan (SAP), ... pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and… 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
- Mount Sinai Health System (New York, NY)
- …Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will...Supports the mission, vision, philosophy and goals of the Medical Center. + Promotes an environment that is sensitive… more
- Mount Sinai Health System (New York, NY)
- …on units as warranted. 2. Meets with Case Managers, as warranted, to review medically complex and long stay cases; refer to physician advisor as indicated. ... 10. Attends interdisciplinary rounds as necessary. 11. 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
- 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
- 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. + Manager ... Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will...Supports the mission, vision, philosophy and goals of the Medical Center. 6. Promotes an environment that is sensitive… more
- RWJBarnabas Health (Newark, NJ)
- …#:0000176342 Category:Social Work Status:Per Diem Shift:Day Facility:Newark Beth Israel Medical Center Department: Case Management Location: Newark Beth Israel ... Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Case Manager Location:Newark Beth Israel Medical Center...Per Diem + Day Essential Functions: + Timely admission review . Continued stay review performed concurrently. Applies… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Director of Case Management is responsible for the overall operation of the Case Management Department. This includes oversight of daily ... care to patients. This involves the delivery of comprehensive front-line Case Management services, including utilization management, care facilitation and discharge… more
- RWJBarnabas Health (Jersey City, NJ)
- …(RN) Case Management Full Time DayReq #:0000174226 Category:Nurse Case Manager Status:Full-Time Shift:Day Facility:Jersey City Medical Center Department: ... Case Management Location: Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302...contracts, InterQual and other classifications as designated by the Utilization/ Case Management Review Plan. Identifies trends and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information ... with Third Party Payor requirements preferred. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer… 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
- CVS Health (West Orange, NJ)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. The ICM ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...member's overall wellness. * Uses clinical tools and information/data review to conduct an evaluation of member's needs and… 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
- City of New York (New York, NY)
- …among clients. Accompany Public Health Advisors to home visits and provide in-home medical consultation for clients. Review complex and contradictory HIV ... for HIV partner and linkage to care services to medical providers and people with HIV diagnosis throughout New...to care operations, performing systematic and technical reviews of case investigations and partner services. Evaluate and consult with… more
- Mount Sinai Health System (New York, NY)
- …1-3 years related administrative or business experience Non-Bargaining Unit, BGG - Case Management - STL, Mount Sinai St. Luke's **Responsibilities** 1. Develop and ... quality and timeliness of data 9. Manages data through review , computerization, cleaning and auditing for compliance with standard...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Gilead Sciences, Inc. (Parsippany, NJ)
- …to highest levels of senior management key pharmacovigilance findings. + Oversees or performs medical review of individual case safety reports (ICSRs) and ... + Oversees or performs peer retrospective medical review quality control (MRQC) for individual case ...leadership teams, executives, and steering committees. Able to distill complex matters into a clear business case … more
- City of New York (New York, NY)
- …medical accommodations - Supervision of administrative physicians assigned to review medical accommodations - Completes Accommodation Reviews (Home ... Job Description City Medical Specialist II / Complex Care...needs at school - Reviews and assists with in-school case management - Manages complex clinical cases… more
- 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 ... in the area of nursing practice assigned; in this case , acute care utilization review . + Previous...to modify and/or add necessary services. + Performs continuing review of medical records; analyzing data trends… more
