RN Utilization Case Manager Part Time Day Job at Valley Health System, Ridgewood, NJ

cWxMM2dVSlIvN3VLaHBJT1JITDhzZldxYmc9PQ==
  • Valley Health System
  • Ridgewood, NJ

Job Description

Job Description

Position Summary

Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on appropriate utilization review guidelines and documentation in accordance with CMS regulations and Commercial payors guidelines. Monitors and intervenes on LOS, resource utilization and denial management/ prevention within the assigned caseload.

Education

Bachelor's degree (BSN) in nursing required.

Experience

Minimum 5 years experience in clinical nursing, minimum of 3 years in case management/ utilization.

Special Skills

Registered Nurse, Licensed in State of New Jersey, Current acute care clinical knowledge with broad-base medical / surgical background. Demonstrates effective interaction and communication skills. Strong critical thinking, clinical reasoning skills and effective problem-solving. Ability to perform work accurately and pay attention to details, often changing from one task to another without loss of efficiency or composure. Ability to function competently in stressful situations and changing work environment, Ability to work collaboratively within the health- system with patients and families; and with multidisciplinary team members.

Area of Talent: Nursing

Organization: The Valley Hospital

Department: VH CARE COORDINATION

Shift: Day

Status: Part Time (20+ hrs/week)

Schedule: 8:00 am - 4:30 pm

req16082

United States

Job Tags

Shift work,

Similar Jobs

Pfizer

Sr Director, Pfizer for All Lead Job at Pfizer

 ...dynamic leader will drive success of PfizerForAll as a single, integrated destination for direct-to-patient digital experiences across Pfizer's U.S. Commercial organization. PfizerForAll aims to make healthcare and managing health and wellness more seamless for people... 

Equinox

Personal Trainer, Upper West Side Job at Equinox

 ...reimbursement program.Eligibility to begin a higher Tier & pay rate based on previous experience and education (Degree in the field) Current CPR/AED certification Certification opportunities available for non-certified applicants Possess passion, ambition, drive, and knowledge... 

Avery Dennison

Ingeniero de Proyectos Job at Avery Dennison

 ...Implementar mejoras continuas en los procesos de gestin de proyectos.Requisitos 1. Conocimiento en herramientas de gestin de proyectos (Smartsheet, JIRA, etc.).2. Habilidades para identificar problemas y proponer soluciones efectivas.3. Conocimientos de ISO 9001.4.... 

Universal Language Service, Inc.

Russian In-Person Interpreter Job at Universal Language Service, Inc.

 ...Russian In-Person Interpreter (IPI) Job Title: Russian Interpreter Location: Colville, onsite servicing Stevens County Job Type: Independent Contractor Position Overview: The Russian In-Person Interpreter is responsible for facilitating onsite communication... 

Twitch

Junior UX Designer - Advertising Job at Twitch

 ...Collaborate with a development team of product managers, engineers, and designers.Learn from streamers and viewers about the ways they use our...  ...experiences which bring joy to people all over the world. UX designers are involved in every step of the process, from early...