- Evolent (Trenton, NJ)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Evolent (Trenton, NJ)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Penn Medicine (Princeton, NJ)
- …needed. 6. Coordinates scheduling and performance management for the Registration Coordinator and Utilization Management Reviewers. 7. Attend morning ... Health Inpatient Admissions Department to include but not limited to Registration and Utilization Management . Supervises the Utilization Management team… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …to transform healthcare and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of ... appropriate alternative level of care setting for continued treatment. Employs the utilization management process to assist in setting priorities, planning,… more
- Hackensack Meridian Health (Edison, NJ)
- …expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills. ... healthcare and serve as a leader of positive change. The **Care Coordinator , Care Management ** is a member of the healthcare team and is responsible for… more
- RWJBarnabas Health (Hamilton, NJ)
- … for Inpatients to determine appropriateness of continued stay, care planning, utilization management and discharge planning. Required: + BSN required + ... RN Case Manager (Patient Care Coordinator ) - Hamilton, NJReq #:0000157940 Category:Nurse Case Manager...Utilization review and discharge planning experience + Case Management certification Certifications and Licenses Required: + Current license… more
- RWJBarnabas Health (Somerset, NJ)
- Nurse Coordinator RNReq #:46572 Category:ICU/Critical Care Nursing Status:Per Diem Shift:Day Facility:RWJBarnabas Health Corporate Services Department:MH Patient ... skills; Triage, Critical Thinking, Multitasking? Then the PTC RN Coordinator Role is for you! This position provides comprehensive...as well as experience in clinical care operations, case management and/or patient throughput + Must have a working… more
- FirstEnergy (Flemington, NJ)
- …+ Fostering a high-performing safety culture through personal conduct and utilization of human performance principles. + Coordinating and supervising smaller to ... risks on a transmission construction project. Implementing a construction risk management plan for anticipated construction risks. + Documenting project site… more
- Sunrun (Trenton, NJ)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Hackensack Meridian Health (Edison, NJ)
- …post-procedure phase. **Responsibilities** A day in the life of an Orthopedic Coordinator in the **Operating Room** at Hackensack Meridian includes: 1. Acts as ... room and equipment in established time frame to ensure quick and efficient utilization of areas. Turnover procedures meet the time frame established to ensure… more
- Highmark Health (Trenton, NJ)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Virtua Health (Bordentown, NJ)
- …processes and maintains required documentation and reports such as productivity/ utilization , medical records, customer surveys, audits, financial reports, staff ... certifications/licenses.* Schedules management appointments, meetings, conferences. Prepares meeting minutes and memos. May maintain calendars/itinerary for … more
- Penn Medicine (Plainsboro, NJ)
- … staff, Nursing Leadership and Medical Staff. 7. Collaborates with the Chair, Utilization Management Committee and hospital leadership to set annual priorities ... leadership, planning, managing and monitoring of the outcomes of the Care Management staff (Case Managers, Utilization Managers, Physician Advisors and Denials… more
- Bristol Myers Squibb (Princeton, NJ)
- …and make a difference. Position Summary The Associate Director of Portfolio Management plays a pivotal role within Finance Strategic Operations overseeing and ... Operations & Data Strategy, the Finance Associate Director of Portfolio Management will be responsible for strategically managing, monitoring and overseeing the… more
- NJM Insurance (Trenton, NJ)
- …prior experience in clinical nursing (Med-Surg or Critical Care preferred), Utilization Management Review/Hospital concurrent reviews, and/or Case Management ... to the Medical Management Supervisor and indirectly to the Medical Management Administrator and Medical Services, the Precert Coordinator supports our… more
- Penn Medicine (Plainsboro, NJ)
- … of the following areas: + Quality Improvement Plan + Unit budget + Resource Utilization + Human Resource Management + Master Unit Staffing Plan + Unit Risk ... medical unit, central monitoring room, and Congestive Heart Failure Coordinator . This is a registered professional nurse responsible for... Management + Patient Satisfaction **Essential Job Duties and Responsibilities:**… more
- RWJBarnabas Health (Somerset, NJ)
- …+ Bachelor's degree in Nursing + 5 years of experience in Health Care Nursing Management , ED or ICU patient care setting + Two years of supervisory experience + ... even functioning of departments during absences + Consults and advises management on departmental problems affecting overall operations and appropriate corrective… more
- Hackensack Meridian Health (Old Bridge, NJ)
- …as a leader of positive change. The **House Supervisor-Administrative Coordinator ** directs and coordinates nursing administrative services. Promotes the concepts ... of clinical nursing management and interdisciplinary care delivery. Promotes patient satisfaction, utilizing the principles of the Pride in Caring Program. Works… more