Utilization Manager Jobs in New Jersey
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Search Results - Utilization Manager Jobs in New Jersey
North Bergen
as a leader of positive change.
The Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...
icims.com -
CareCentrix-East Brunswick (NJ)
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care...
MH Renal Services MSO LLC-Manchester (NJ)
including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
By focusing on increasing access to evidence-based...
EVERSANA-Newark
initiatives.
Obtain and maintain knowledge and understanding of payer landscape, including Specialty Pharmacy and utilization management criteria, on a national, regional and local level.
Continuously strive to understand the alignment of the Payer/PBM/SP...
resume-library.com -
LHC Group-Nutley
to ensure we are meeting the demands of our patients.
• Adheres to and participates in the agency's utilization management model.
Education And Experience
License Requirements
• Current RN licensure in state of practice
• Current CPR certification...
US Tech Solutions, Inc.-Hopewell (NJ)
and internet applications.
Prefers working knowledge of case/care management principles.
Prefers working knowledge of principles of utilization management.
Prefers basic knowledge of health care contracts and benefit eligibility requirements.
Prefers...
resume-library.com -
US Tech Solutions-West Orange (NJ)
in the use of intranet and internet applications.
• Prefers working knowledge of case/care management principles.
• Prefers working knowledge of principles of utilization management.
• Prefers basic knowledge of health care contracts and benefit...
NR Consulting LLC-Piscataway
physician orders.
Communicates pertinent data to RN and/or physician.
Documents accurately and thoroughly.
Consults and seeks guidance from the RN as necessary.
At the direction of the RN, participates in Utilization Management or Interdisciplinary Care...
resume-library.com -
1 similar job: High Point
CareAbout Health-Florham Park
sub-acute, skilled facility, home care, ambulatory care management, or managed health plan.
• 5 years of direct patient care experience required.
Role Requirements:
• Principles of utilization management; Case/care management principles; Health care...
mindmatch.ai -
Amerihealth Caritas-Robbinsville (NJ)
at;www.amerihealthcaritas.com.;
PerformCare provides access to the NJ Children’s System of Care.; The Behavioral Health Care Manager is responsible for the clinical department’s daily functions, including triage of calls, care coordination, and utilization management...
Neptune (NJ)
as a leader of positive change.
The Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...
icims.com -
Doctor's Choice Placement Services, Inc-Newark
or older (adult), excluding obstetrical.
• Providing medical coordination and inpatient utilization management for surgical patients.
• Closed Medicine ICU and CCU, Open Surgery ICU - Nocturnists admit patients to Surgery ICU but not required to do...
appcast.io -
LHC Group-Saddle Brook
Adheres to and participates in the agency's utilization management model.
Education And Experience
License Requirements
• Current RN licensure in state of practice
• Current CPR certification
• Current Drivers License, vehicle insurance, and access...
Doctor's Choice Placement Services, Inc-Jersey City
or older (adult), excluding obstetrical.
• Providing medical coordination and inpatient utilization management for surgical patients.
• Closed Medicine ICU and CCU, Open Surgery ICU - Nocturnists admit patients to Surgery ICU but not required to do...
appcast.io -
Capital Health (US)-Pennington (NJ)
progression of care or patient flow barriers using the Avoidable Days tool in the Utilization software program.
• Consults with medical staff, care team and case managers as necessary to resolve immediate progression of care barriers through appropriate...
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