- Humana (Trenton, NJ)
- …of our caring community and help us put health first** Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market ... team. The UM Coordinator provides non-clinical support for policies and procedures related...for policies and procedures related to the administration of utilization management , ensuring the best and most… 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)
- …computer skills. 5. Familiar with hospital resources, community resources, and utilization management . 6. Excellent written and verbal communication skills. ... **Overview** The Care Coordinator , Care Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the… more
- Elevance Health (Trenton, NJ)
- …or Mercer counties to meet face to face with patients. The **LTSS Service Coordinator -RN** is responsible for overall management of member's case within the ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- Crate & Barrel (Cranbury, NJ)
- …cost carriers. + Provides guidance and/or training to other peer Transportation Coordinator when applicable + Audits Yard Management System for carrier/trailer ... inclusive mindset to join our team as a Transportation Coordinator A day in the life as a Transportation...accuracy. + Build in-depth working knowledge of the Transportation Management Systems so that you can design, test, and… more
- RWJBarnabas Health (New Brunswick, NJ)
- …ROBERT WOOD JOHNSON PLACE, NEW BRUNSWICK, NJ 08901 Job Overview: The Logistics Coordinator will provide oversight and support to the EMS operations, ensuring that ... needed to meet operational requirements and service commitment. The Logistics Coordinator is responsible for managing the transportation and logistics of supplies… more
- Hackensack Meridian Health (Old Bridge, NJ)
- …computer skills. 5. Familiar with hospital resources, community resources, and utilization management . 6. Excellent written and verbal communication skills. ... transform 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
- 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
- RWJBarnabas Health (Somerset, NJ)
- Nurse Coordinator RNReq #:0000153920 Category:ICU/Critical Care Nursing Status:Part-Time Shift:Night Facility:RWJBH Mobile Health (EMS) Department:MH Patient ... the population served, as well as experience in clinical care operations, case management and/or patient throughput + Must have a working knowledge of hospital… 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)
- …for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is ... documentation including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of process and judgement to… more
- Sunrun (Trenton, NJ)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… 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
- NJM Insurance (Trenton, NJ)
- …successful candidate is results-oriented and will perform all aspects of utilization management : case management intervention, precertification, concurrent ... position will require some travel. The official NJM job title is Medical Management Coordinator /Field Nurse Case Manager. Job Responsibilities: + Provide Case … more
- Hackensack Meridian Health (Edison, NJ)
- …and maintain relationships with community-based partners to facilitate referrals and resource utilization . + Database Management : a. Oversee the management ... patient care, encompassing responsibilities related to regulatory compliance, data management , technology integration, interdisciplinary collaboration, and data analysis for… more
- RWJBarnabas Health (Somerset, NJ)
- …and Certifications + Minimum of 5 years of experience in Health Care Nursing Management , ED or ICU patient care setting Preferred: + Bachelor's degree in Nursing + ... 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