Utilization Review Nurse Jobs in New Jersey

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492 New Jersey Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 492
Judge Healthcare is actively seeking a full time Utilization Review Registered Nurse for one of our biggest and best healthcare clients!! This position is located in the Trenton, NJ area. The right candidate must possess the following qualifications: Active RN license in the state of New Jersey. RECENT Utilization Review/Utilization Management experience REQUIRED. Please send your MOST UP TO ...
Judge Healthcare is actively seeking a full time Utilization Review Registered Nurse for one of our biggest and best healthcare clients!! This position is located in the Trenton, NJ area. The right candidate must possess the following qualifications: Active RN license in the state of New Jersey. RECENT Utilization Review/Utilization Management experience REQUIRED. Please send your MOST UP TO ...
RN -Nurse. Must haves: NJ License, Utilization Management or Review, Clinical Experience Job Description:Utilization Management and Clinical experience Job Summary: This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as ...
QualCare, a progressive Managed Care Company, is currently seeking an individual to join our team in our Care Management Department as a: Concurrent Review Nurse This position provides telephonic concurrent review of inpatient admissions and discharge planning. Candidates must be an RN /BSN with current NJ License; 2-4 years previous concurrent review experience in Managed Care with strong clin...
Title: Utilization Management Nurse JOB SUMMARY: The Utilization Management Nurse is responsible for conducting utilization and quality management activities in accordance with Utilization Management policies and procedures. The position responsibilities include the management of medical costs through timely prospective, concurrent and retrospective review activities. Minimum Qualifications: E...
UnitedHealth Group Inc Newark, NJ
Position 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, ...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
This is a full time Work at Home (WAH) position. POSITION SUMMARY This position utilizes clinical experience and critical thinking in a collaborative process to review and facilitate appropriate healthcare services/benefits for members Fundamental Components The Utilization Management Nurse Consultant is an integral member of the care management team. Utilizing clinical skills in a collaborati...
Wellcare Health Plans Inc Newark, NJ
Manager, Care Management (Utilization Management - Registered Nurse required) Newark, NJ-1409458 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well...
WellCare Health Plans Inc. Newark, NJ, 07101
Manages the activities of supervisory associates and their subordinate work group(s), and/or exempt individual contributors for assigned area of responsibility. Works with the Care Managers to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the health of the member. Essential Functions: Manages and develops direct reports who include supervisory and/or...
Aetna Inc. Princeton, NJ
Job Description POSITION SUMMARY The Concurrent Review Nurse utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program which includes using Milliman (MCG) or nationally recognized medical necessity criteria guidelines and reviewing medical necessity for inpatient and nursing facility admissions to assure appropriate level of care. ...
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 and their families who participate in our health plans. UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be inno...

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Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager in New Jersey
(313 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
41.2%
Master's
30.6%
Associates
22.7%
(216 Respondents)
Source: Monster.com Careerbenchmarking Tool

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