Bachelor's degree in a human services field and 3 years of utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards,...

Registered Nurse (RN) - MDS Coordinator. We are seeking an experienced and compassionate Registered Nurse (RN) - MDS Coordinator to join our team. Minimum of 2 years of MDS Coordinator experience in a...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coord...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, cul...

The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained thr...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, cul...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, cul...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, cul...

The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained thr...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, cul...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, cul...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, cul...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, cul...

The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1.The CAP RN...

HonorVet Technologies is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Bronx, New York. Two years case/resource management and utilization management is requ...

The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and c...

The professional registered nurse.Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1.This position is accountable and respon...

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing...

United Review Services is a managed care company providing services since 1988.

HonorVet Technologies is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Bronx, New York. Note - only Two years case/resource management and utilization manag...

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing...

The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1.The CAP RN...

The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and c...

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performancedescribe a competent level of behavior in the professional role, including activities related to: ethics, culturally ...

Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN p...

As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatme...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coord...

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coord...

The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through...

Care Hospice is seeking a per diem / prn nurse RN Case Manager, Hospice for a per diem / prn nursing job in Red Bank, New Jersey.Job Description & Requirements.Our Holisticare Hospice team is looking ...

Care Hospice is seeking a per diem / prn nurse RN Case Manager, Hospice for a per diem / prn nursing job in Red Bank, New Jersey.Job Description & Requirements.Our Holisticare Hospice team is looking ...

IDR Healthcare is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Township, New Jersey.

Care Hospice is seeking a Registered Nurse (RN) Case Manager, Hospice for a nursing job in Bloomfield, New Jersey.Job Description & Requirements.Our Hospice of New Jersey team is looking for a Full-Ti...

Bachelor’s degree in a human services field and 3 years of utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards,...

Pediatric Affiliates is now hiring for LPN or RN for a busy pediatric office in .Jackson, Toms River, Manahawkin and Lakewood (Ocean County, NJ).Part Time positions available with opportunity to becom...

Pediatric Affiliates is now hiring for LPN or RN for a busy pediatric office in .Jackson, Toms River, Manahawkin and Lakewood (Ocean County, NJ).Part Time positions available with opportunity to becom...

Responsible for contacting external case managers and managed care organizations for pre-authorization, concurrent reviews and appeals/denials management throughout the duration of a consumer’s stay. ...

Perform concurrent utilization review applying identified criteria at prescribed review points, and retrospective focus reviews in concordance with department objectives. The Utilization Management Co...

Perform concurrent utilization review applying identified criteria at prescribed review points, and retrospective focus reviews in concordance with department objectives. The Utilization Management Co...

We are looking for a Full Time Utilization Review Coordinator. In this role you will assist in screening patients to ensure that criteria are met, perform admission clinical reviews, facilitate discha...