Outcomes Manager (RN) - Utilization & Denial Expert
Virtua Medical Group
Virtua Medical Group is seeking an experienced RN to support utilization review and revenue cycle processes in New Jersey. You will apply payer-specific tools to determine level of care and medical necessity, and collaborate with physicians and case management to ensure appropriate care. Responsibilities include documentation, denial management, audits, and contributing to quality and compliance initiatives. A NJ RN license and relevant experience are required. #J-18808-Ljbffr Virtua Medical Group
$38.33 - $59.58 per hour
...length of stay and promotes efficient utilization of resources. Acts as a clinical expert and maintains ongoing knowledge of... ...plan of care in EMR and case management documentation system. Metrics-... ...Minimum 3 years clinical nursing (RN) experience or Social Work Minimum...SuggestedHourly payFull timeTemporary workPart timeLocal areaRemote workFlexible hoursShift workWeekend workDay shiftWeekday work- A health care organization is seeking an Outcomes Manager to coordinate patient care and improve care quality in Pennsauken, NJ. The position requires a licensed RN or MSW with significant case management experience. Candidates should possess excellent communication skills...SuggestedDaily paidPart time
$79.72k - $123.93k
## Outcomes Manager, Case Management - RN/LSW - Willingboro - FTApplylocations: Burlington Hospital - 218 A Sunset... ...around. Our medical and surgical experts are among the best in the country.... ...of stay and promotes efficient utilization of resources. Acts as a clinical expert...SuggestedFull timeTemporary workPart timeLocal areaRemote workFlexible hoursShift workDay shift$38.33 - $59.58 per hour
...effective, patient‑centered outcomes. Acts as a resource to... ...and AA, to support utilization review and revenue... ...Responsibilities Utilization Management Utilize payer‑specific... ...and retroactive denials through communication... ...accredited School of Nursing; RN licensure in New...SuggestedHourly payDaily paidTemporary workLocal areaFlexible hours$38.33 - $59.58 per hour
...effective and positive patient outcomes. Acts as a resource to other... ...Position Responsibilities Utilization Management Utilizes Payer specific... ...concurrent and retroactive denials through communication with attending... ...: 3 years clinical nursing (RN) experience and 1 year UR/CM...SuggestedHourly payDaily paidFull timeTemporary workPart timeLocal areaFlexible hours- ...healthcare organization looking for hybrid RN Case Manager in Camden County! This is a field-based... ...today! Duties: The Case Manager utilizes a collaborative process of assessment,... ...to promote optimal, cost-effective outcomes. Through the use of clinical tools and...Temporary workWork experience placementShift work
- Virtua in New Jersey is seeking an experienced registered nurse to assess, plan, implement, and evaluate patient care within a dedicated healthcare team. The role involves coordinating care, educating patients and families, and participating in decision-making while maintaining...Weekend work
$37.21 - $57.68 per hour
Join to apply for the Outcomes Manager, Per Diem, Float, BSN, MSW role at... ...around. Our medical and surgical experts are among the best in the... ...stay and promotes efficient utilization of resources. Acts as a... ...Required Required: Must be RN or Masters prepared Licensed...Hourly payDaily paidFull timeTemporary workPart timeLocal areaFlexible hoursShift workDay shift3 days per week- ...Hybrid Rn Case Manager Market leading national healthcare organization looking for hybrid RN Case Manager in Camden County! This is a... ...telephonic role. Great opportunity! Duties: The Case Manager utilizes a collaborative process of assessment, planning, facilitation...
$2,200 per week
...The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Minimum Requirements: Current RN licensure in state practicing...Weekly payFull timeContract workWork at officeLocal area$96k - $120k
...Job #: 136375 Title: RN CASE MANAGER Location: marlton Salary Range: 96,000 - 120,000 Position... ...implementing, and evaluating patient care through outcome identification and evidence based -... ...delivery of quality care and efficient utilization of agency resources. Position...Permanent employmentWork experience placement- ...member of the PPHP program. Utilizing effective communication skills... ...promote quality, cost-effective outcomes, including care coordination... ...gEHRimed EMR • Outcomes management and evaluation of the achievement... ...: • Current unrestricted RN license for the state in...
$37 per hour
...Outcomes Manager An Outcomes Manager is an RN with at least 5 years; clinical experience related to patient population(s) of specification. Strong analytical skills necessary to develop, implement, and monitor an outcome-based reporting system for high-risk diagnoses...- ...Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options... ...available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license in NJ or compact...
- ..., is looking for a Nurse Case Manager II for their Surrounding area... ...Responsibilities: The Case Manager utilizes a collaborative process of... ...optimal, cost-effective outcomes. Through the use of clinical... ...: ~ Requires an RN with unrestricted active license...
- Virtua Medical Group in Willingboro Township is seeking an Outcomes Manager for Case Management. The role involves coordinating care with... ...multidisciplinary teams, ensuring effective communication and resource utilization. The ideal candidate must have a minimum of 3 years clinical...Work experience placement
- A leading engineering firm is seeking a Utility Designer located in Hainesport Township, New Jersey. The role involves creating precise construction drawings using Microstation and AutoCAD, emphasizing quality and safety compliance. Candidates should have a high school...
- ...Case Manager The Case Manager is a registered nurse responsible... ...supports effective resource utilization, and facilitates the patient'... ...clinical, financial and quality outcomes. The Case Manager analyzes... ...Required Multi State Compact RN License Required Or Temple...Daily paid
- ...Lead Case Manager RN The Lead Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient... ...Detailed Notice of Discharge and follow-up with the outcome. ~ Takes weekend/holiday "on call" for clinical or...Shift workWeekend work
$37 per hour
...Job Title RN Job Description This RN is a professional caregiver who, as a... ...and who provides care to these patients utilizing the nursing process including the therapeutic... ...and interpersonal skills. Excellent time management skills. Salary Min ($) USD $37.00...- ...Registered Nurse Unit Manager – is responsible for overseeing the care management of a population of patients within... ...Practice Act of Registered Nurse licensure. The RN Unit Manager coordinates resource utilization, timely and appropriate care interventions, and interdisciplinary...
- ...A Registed Nurse Care Manager (RNCTM) contributes to... ...barriers and improving health outcomes, as well as health... ...DOM) prior authorization denial rate, which also... ...the reputation of AHF by utilizing core principles of Risk... ...CA Registered Nurse (RN) License required. Multistate...Relocation
- ...compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for... ...factors that influence long-term outcomes. In this role, you will engage members... ...and collaboration allows you to fully utilize your clinical expertise while continuing...Remote jobWork at officeWork from homeFlexible hours
$17 - $20 per hour
A leading fast-food restaurant is seeking a Shift Manager to assist in managing operational tasks, ensuring excellent customer service, and overseeing product quality. The role includes daily inventory checks, food safety audits, and providing training for crew members....Hourly payShift work- ...RN, Case Manager We're building a world of health around every individual shaping a more... ...admissions, driving efficient resource utilization, and ensuring effective team-based care... ...change and measurably improving health outcomes for Medicare patients Paid vacation...Relocation packageFlexible hours
$87k - $95k
...Overview Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through meaningful moments of care? Lighthouse Hospice is seeking a Full Time...Full timeMonday to Friday- ...Job Details The Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient population to facilitate patients through the continuum of care. Coordinates all aspects of discharge planning and establishes a...Daily paidFull timeTemporary workPart timeFlexible hoursShift work
$40 - $45 per hour
...Solutions has a client that is immediately hiring for a Care Management Coordinator/RN Position type: Part - Time - Contract to Hire... ...judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination...Hourly payContract workTemporary workPart timeWork experience placementImmediate startWorldwideFlexible hours$71.64k - $107.46k
...together. As the Registered Nurse Case Manager, you will assume full nursing... ...Qualifications: Current and unrestricted RN licensure in the state of practice Current... ...addresses health disparities and improves health outcomes - an enterprise priority reflected in our...Minimum wageFull timeWork experience placementLocal area- ...involves extensive collaboration with other health care team members and patient education. Applicants must hold a valid New Jersey RN license and possess strong communication skills. The position offers opportunities for professional growth and improvement in patient...
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