Field-Based RN: Care Coordination & Utilization Mgmt
$70.5k - $94.4kHorizon Blue Cross Blue Shield of New Jersey - Headquarters
A health solutions provider in New Jersey is looking for a Field-Based Clinical Assessment Specialist to perform assessments for PCA and MDC services. The ideal candidate should hold an active NJ RN license and possess at least two years of clinical experience. Responsibilities include evaluating patient care needs, coordinating services, and documenting care standards. The position offers a competitive salary range of $70,500 - $94,395 along with comprehensive benefits including health, retirement, and generous PTO. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey
$70.5k - $94.4k
...seeking a dedicated Registered Nurse for care management responsibilities. This role involves... ...assessing patients' clinical needs, coordinating care plans, and ensuring the delivery of... ...years clinical experience and an active NJ RN License are required. The position offers...Suggested- ...meaningfully. Note: New Jersey RN Active License is... ...This is a Field work contract role for a Utilization Review Nurse. The Utilization... ...medical records, coordinating discharge planning,... ...receive appropriate care while optimizing the... .... This is a Field Based position. This...FieldContract workRemote work
$39.4 - $51.47 per hour
...in providing progressive, quality patient care with significant investments in our... ...and specialty care, as well as hospital-based services, to patients throughout the region... ...clinical information to conduct continued stay utilization review activities with payers on a daily...SuggestedFull timeTemporary workPart timeWork at officeLocal areaImmediate startFlexible hoursNight shiftWeekend workDay shift- ...global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves... ..., reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license in New Jersey, strong analytical...FieldContract workRemote work
$79.1k - $105.95k
...innovations that improve health care quality, affordability... ...the Role This field based position is... ...provided. Develops, coordinates and assists in implementation... ...coordinate resource utilization and evaluation of... ...Active Unrestricted NJ RN License Required...FieldLive inLocal area$79.1k - $105.95k
...is seeking a dedicated professional for a field-based position focused on assessing clinical needs and developing individualized care plans. The ideal candidate will have a high... ...years of clinical experience. An active NJ RN License is required. The role involves monitoring...Field$79.1k - $105.95k
...Blue Shield of New Jersey is looking for a field-based Clinical Assessment professional to... ...clinical needs and develop personalized care plans. The ideal candidate will have strong... ...communication skills, and must possess an active NJ RN license. This position requires a high...Field- ...specialist responsible for developing member-centric care plans and evaluating service appropriateness... ...a High School Diploma/GED, active NJ RN License, and at least two years of clinical experience. The role involves field-based tasks, requiring daily local travel, strong...FieldLocal area
$70.5k - $94.4k
...innovations that improve health care quality, affordability... ...the Role This field based position is... ...provided. Develops, coordinates and assists in implementation... ...coordinate resource utilization and evaluation of... ...Active Unrestricted NJ RN License Required....FieldLive inLocal area- ...responsible for performing RN initial and... ...appropriate level of care as well as planning... ...stay reviews utilizing MCG or Medical Policy... ...• Monitors and coordinates services rendered outside... ...and comprehensively based on the standards of... ...a health related field OR accredited diploma...FieldLocal areaWeekend work
- ...Registered Nurse-Utilization Review One of our... ...room or intensive care units. We get a... ...responsible for performing RN duties using... ...provided. Coordinates and assists in implementation... ...comprehensively based on the standards... ...a health related field OR accredited...FieldLocal area
$70.5k - $94.4k
...that improve health care quality,... ...responsible for performing RN duties using... ...procedures provided. Coordinates and assists in... ...coordinate resource utilization and evaluation of... ...and comprehensively based on the standards... ...a health related field OR accredited diploma...FieldLive inLocal area$71.1k - $97.8k
...Become a part of our caring community The Utilization Management... ...interpret and support the coordination, documentation and communication... ...make determinations based on information... ...Registered Nurse (RN) license in your... ...degree in a related field Additional Information...FieldBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- ...Assessment Specialist to assess clinical needs and coordinate care services. Candidates should possess an active NJ RN License and have at least two years of clinical... ...travel and ensuring members receive appropriate care based on established guidelines. Competitive salary...FieldLocal area
$1,935 - $2,059 per week
...Registered Nurse (RN) | Psych Location: Montgomery... ...diagnosis and plan of care. They collaborate with... ..., evidence-based care in mental health settings... ...care plans Provide and coordinate patient care with other... ...and allied healthcare fields. We offer competitive pay...FieldFull timeContract workTemporary workShift work- ...Now Hiring: MDS Coordinator We are currently seeking a dedicated and experienced MDS Coordinator... .... Monitor and update resident care plans based on assessment findings and changes in... ...Qualifications: Current RN license in the state of New Jersey....Immediate start
$66.58k - $142.58k
...a Registered Nurse Case Manager based in Mercer County, NJ. This remote position involves up to 75% field travel, focusing on developing personalized care plans and coordinating services for members. Candidates must possess an active RN license in New Jersey and have at...FieldRemote workFlexible hours$45.78 - $53.15 per hour
...Home Health RN Penn Medicine is dedicated... ...highest level of care to patients,... ...future leaders in the field of medicine. Working... ...Range: $45.78-$53.15, based on years of... ...Improvement (CQI): The nurse utilizes data and QI methods... ...compassionate and coordinated care based on...FieldFull timeSummer workShift work$49.96 - $68.99 per hour
...Registered Nurse RN PD Tier III - Periop... ...the highest level of care to patients,... ...future leaders in the field of medicine. Working... ...Improvement, Evidence Based Practice and... ...to facilitate the coordination of care across the... ...Improvement (CQI): The nurse utilizes data and QI methods...FieldHourly payRelief- ...Become a part of our caring community Are... ...programs. The Utilization Management Behavioral... ...Registered Nurse (RN) Intern will... ...advanced evidence-based clinical guidelines... ...Communication and Coordination: Communicate with... ...professional onsite, field, or remote based...FieldFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management RN will collaborate with other health care givers... ...or bachelor's degree in a related field Active and unrestricted Compact... ...a good faith estimate of starting base pay for full time (40 hours per week...FieldBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeWeekend work- ...Clinical Coordinator Nurse Midwife (CNM) - Central NJ Penn Medicine... ...providing the highest level of care to patients, conducting innovative... ...future leaders in the field of medicine. Working for this... ...200.00 - $208,000.00/Annually based on 40 hours per week As part of...FieldFull time
$65k - $88.6k
...Become a part of our caring community... ...is looking for a Utilization Management Behavioral... ...knowledge to support the coordination, documentation,... ...from home, from the field, from our offices,... ...Registered Nurse (RN) ~ Or another... ...estimate of starting base pay for full time...FieldBi-weekly payFull timeTemporary workApprenticeshipPrivate practiceWork at officeRemote workWork from homeHome officeMonday to FridayWeekend work$79.1k - $105.95k
...innovations that improve health care quality, affordability,... ...for performing RN duties for the Primary... ...needs. Develops, coordinates and assists in implementation... ...to coordinate resource utilization and evaluation of... ...accurately and comprehensively based on the standards of...Live inLocal area$47.68 - $63.56 per hour
...progressive, quality patient care with significant... ...care, as well as hospital-based services, to patients... ...Manager, and Director. Utilizes the nursing process to... ...working directly with RN Team Leader to insure optimum... ...to the surgeon. Coordinates and integrates services...Full timeTemporary workPart timeFlexible hours- ...Job Title: Appeal Analyst RN I Job Location: Hopewell, NJ... ...verification, DRG validation (utilization review audits), and credit balances... ...discovered during audits and coordinate referrals for improper claim... ...department within an acute care hospital or healthcare...Daily paidContract work
- ...Coordinator RN An RN Coordinator job involves overseeing patient care, acting as a liaison between patients, families, and providers, developing care plans, coordinating services (like home health, specialists), managing staff/operations in a unit, ensuring documentation...Full timeFlexible hoursDay shift
- ...MDS Coordinator (RN) Lawrence Rehabilitation Hospital Join our team at Lawrence Rehabilitation... ...years clinical experience in long-term care Prior MDS/RAI experience Strong clinical... ...of any kind. We do not discriminate based on race, color, religion, sex, sexual...Full timeLocal areaMonday to FridayDay shift
$55 - $65 per hour
...seeking a local contract nurse RN Home Health for a local... ...Registered Nurse (RN) – Home Care Location: North Princeton,... ..., and home care techniques Coordinate care with physicians, therapists... ...experienced by professionals in these fields. Our mission is to facilitate...FieldHourly payContract workLocal areaShift workWeekend work$70.5k - $94.4k
...innovations that improve health care quality, affordability,... ...for performing RN duties using... ...and procedures provided.Coordinates and assists in implementation... ...to coordinate resource utilization and evaluation of services... ...accurately and comprehensively based on the standards of...Live inLocal areaWeekend workDay shift2 days per week
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