Utilization Review Nurse Jobs in New Jersey


8 New Jersey Utilization Review Nurse jobs found on Monster.

Jobs 1 to 8 of 8
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm) The Utilization Management Nurse is responsible for utilization management, utilizatio...
Job Summary: This position is accountable for the detection, investigation, resolution and prevention of utilization abuse and mismanagement of BCBS benefits by providers and subscribers. Assists in the development and implementation of all projects and programs, which support the Plan's Cost Containment efforts. Responsibilities: Identify possible cases of abusive billing or inappropriate treatme...
Description: Complex Care Nurse Practitioner, Brooklyn, NY Optum a division under the greater UnitedHealth Group has exciting Nurse Practitioner opportunities available! We have 9 teams of Nurse Practitioners spread across the NY metro market and are looking to expand the team in 2014. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nurse Pra...
Job Summary: The position is responsible for leading a specific clinical care team in a hands-on manner to provide exceptional service to the customer and contain medial claims cost. This is accomplished through active involvement and leading of the day-to-day operations of a clinical care team and ensuring staff is consistent with Horizon's policies and procedures and are compliant with contractu...
Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The role of the Senior Clinical Quality Analyst RN is to ensure members in a home community based setting or long term care s...
RESPONSIBILITIES/ACCOUNTABILITIES: • Interact with patients both telephonically and in person in order to serve the daily case management needs of patients. • Act as a comprehensive care coordinator for assigned patients, develop interventions, assess the patient’s need accordingly and facilitate communication amongst other providers caring for the patient. • Perform comprehensive assessments of p...
Looking for a way to influence the health and healthcare of many? If so, we’d love to hear from you! Our mission-driven organization is focused on the “Triple Aim” – Better Health, Better Healthcare and Lower Costs to individuals participating in our health plans. UNITEHERE HEALTH serves 90,000+ workers in the hospitality and gaming industry and their families nationwide. Our desire to be innovati...
SUMMARY:Responsible to ensure the delivery of high quality home support services and care, within budget, while meeting the Community’s quality of service standards and client expectations. Responsible for compliance with federal, state, and local regulations and Agency policies and procedures. Responsible for the marketing, public relations and growth of Home Support. ESSENTIAL DUTIES AND RESPONS...
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Nurse Manager


$53,600.00 - $103,400.00
Typical Salary for Nurse Manager in New Jersey
(310 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

(214 Respondents)
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