- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... Legal and Quality Assurance regarding records Retention and Training Coordination . Demonstration and successful execution of departmental operating processes… more
- ProKatchers (Bowling Green, NY)
- Specific Skills : Care Coordination Utilization review Discharge planning Education : Bachelor's Degree required Job Category : Nonclinical Industry :
- VNS Health (Manhattan, NY)
- …to impact the health and recovery of our members .Fosters collaboration and coordination between physical health and behavioral health care to enhance integrated ... subcommittees such as Compliance and Pharmacy.Develops, implements, monitors and evaluates Utilization and Care Management metrics specific to Behavioral health… more
- The Mount Sinai Health System (New York, NY)
- …social workers, nursing staff Monitors and coordinates the designation of alternative level of care with the UM Manager and/or Program Manager and Physician. ... admission is approved Identifies and refers to the UM Manager &/or Administrator and/or Physician problematic utilization ...of accurate data for approvals, denials and appeals (in coordination with UM Manager and management). Prioritizes… more
- VNS Health (Manhattan, NY)
- …of services. + Provides health education to member/caregiver. + Assess SDoH and provide care coordination to reduce/remove barriers of care to include ... management services using evidence-based practices to ensure effective utilization of benefits, services, and care is...What You Will Do + Coordinates and/or oversees the coordination of benefits and services for all members on… more
- VNS Health (Manhattan, NY)
- …of services. + Provides health education to member/caregiver. + Assess SDoH and provide care coordination to reduce/remove barriers of care to include ... of emergency room (ER) and hospital service. + Increases utilization of primary care , specialty care...in the State of New York required. + Population Care Coordination Certification preferred. + Care… more
- Atlantic Health System (Summit, NJ)
- …of selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary ... assessment and multidisciplinary collaboration. 2. Ensures daily chart review, utilization reviews, coordination of discharge planning activities and… more
- RWJBarnabas Health (Somerset, NJ)
- …+ Experience in either Utilization Management, Case Management, Disease Management, Care Coordination , or Discharge Planning Preferred: + Bachelors Degree in ... Nurse Care Manager - Somerset, NJReq #:0000166859...residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The NP Manager is responsible for coordination , and assurance of comprehensive health care using advanced practice nursing process and ... chief and department administrators to ensure that systems supportive of clinical care function smoothly. * Promotes utilization of Advanced Practice Providers… more
- The Mount Sinai Health System (New York, NY)
- … and (appropriate) discharge planning. + Interacts with patient/family to discuss plan of care and coordination of services based on clinical needs and available ... Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge...utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum… more
- CenterLight Health System (Ridgewood, NY)
- …an environment dedicated to improving experience, enhancing satisfaction and retention. Provides care coordination in a manner that is sensitive to age, ... the Virtual IDT as needed. + Serve as a manager on call during non-operational hours of the physical...interventions to determine the effectiveness of the plan of care and the utilization of services and… more
- FlexStaff (Ridgewood, NY)
- …an environment dedicated to improving experience, enhancing satisfaction and retention. Provides care coordination in a manner that is sensitive to age, ... the Virtual IDT as needed. + Serve as a manager on call during non-operational hours of the physical...interventions to determine the effectiveness of the plan of care and the utilization of services and… more
- The Mount Sinai Health System (New York, NY)
- …and (appropriate) discharge planning. 9. Interacts with patient/family to discuss plan of care and coordination of services based on clinical needs and available ... preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge...utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum… more
- St. Joseph's Health (Wayne, NJ)
- Nurse Care Manager Job ID2024-25326 LocationWayne, New Jersey ShiftRegular Full-Time Apply Now (https://careers-sjhmc.icims.com/jobs/25326/nurse- care - ... Passaic County, and one of the nation's "100 Best Places to Work in Health Care ". Job Overview Responsible for the coordination and implementation of systems and… more
- The Mount Sinai Health System (New York, NY)
- …information as it relates to care management and the transition of care . The Case Manager actively participates in specific clinical initiatives focused on ... **JOB DESCRIPTION** The Case Manager is responsible for all aspects of case...planning. * Interacts with patient/family to discuss plan of care and coordination of services based on… more
- Molina Healthcare (Brooklyn, NY)
- …Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare ... integrated) performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity,… more
- RWJBarnabas Health (Somerset, NJ)
- Manager of Clinically Integrated Network Growth - Somerset, NJReq #:0000157539 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas ... Health Corporate Services Department:Accountable Care Organization Location: SBC Corporation, Somerset, Somerset, NJ 08873...NJ 08873 Job Overview: We are looking for a Manager of Clinically Integrated Network Growth to expand the… more
- RWJBarnabas Health (Livingston, NJ)
- …in a hospital setting + Minimum of one year experience in Case Management/ Utilization Management or Home Care + Successful completion of all Orientation ... Case Manager Registered Nurse (RN), Case ManagementReq #:0000166882 Category:Nursing...on other classifications of patients as designated by the Utilization /Case Management Review Plan. Coordinates patient care ,… more
- Hackensack Meridian Health (Edison, NJ)
- …services. + Provides patients and families with community resources and discharge care coordination options. + Participates actively on appropriate workgroups, ... to plan in collaboration with the Transitions Assistant. + Facilitates communication and coordination between members of the health care team and involves the… more
- The Mount Sinai Health System (New York, NY)
- …transfer center, quality, and delivery of care . The Clinical Program Manager , Clinical Command Center participates in the coordination of global clinical ... **JOB DESCRIPTION** The Clinical Program Manager , Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages… more
