- 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
- Virtua Health (Marlton, NJ)
- …ASCs leadership. Responsible for standardizations of contract compliance, materials management utilization , and reporting. Implements initiatives that deliver ... leadership and vendors. Identify, develop, and support opportunities for clinical integration, utilization management and cost saving measures. Track and report… 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
- Compass Group, North America (Mount Laurel, NJ)
- …Concierge team in the newly developed and enhanced role of Experience Coordinator . Experience Coordinators will be the lifeline of the modern campus environment ... and facilitate associate needs JOB DETAILS Customer Service & Relationship Management Champion client tailored customer service program Emanate genuine customer… 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
- 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