- Follows departmental workflows for utilization review activities, including admission reviews, denials, and communication with insurance companies.
- Evaluates medical records for admissions to ensure documentation requirements are met.
- Reviews inpatient charts for admission appropriateness based on clinical criteria.
- Participates in committees, identifying and referring quality issues for review.
- Collaborates with the multidisciplinary team to support length of stay reduction goals.
- Maintains competencies and completes training in relevant platforms.
- BSN or in progress degree required. Effective decision-making and leadership skills.
- Excellent communication and computer skills.
- Familiarity with hospital and community resources.
- NJ State RN License and Health Care Life Support Certification required.
- Care Management certification within 1 year.
-
SAP IT Business Consultant Data Protection
2 weeks ago
NovaWorks Solutions Greencastle, United StatesGreencastle is responsible for managing the entire digital infrastructure and all software solutions for companies within the Schwarz Group. This includes selecting, providing, operating, and continuously developing IT infrastructures, platforms, and business applications. In ord ...
-
Care Coordinator
3 weeks ago
Hackensack Meridian Health Brick Township, United States Part timeOur team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive b ...
-
Human Resources Coordinator
19 hours ago
The Arc of Ocean County Brick Township, United States Full timeBackground · For 60 years, The Arc, Ocean County Chapter, Inc. has been creating opportunities for people with intellectual and developmental disabilities. The Arc began as a group of parents and concerned individuals who wanted more for their children. It continues to be a grass ...
-
Unit Secretary
19 hours ago
Hackensack Meridian Health Brick Township, United States Part timeOur team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive b ...
-
Secretary III- PT- Day
3 weeks ago
Hackensack Meridian Health Brick Township, United States Part time with BenefitsOverview · "Our team members are the heart of what makes us better. At Hackensack Meridian · Health we help our patients live better, healthier lives — and we help one another to · succeed. With a culture rooted in connection and collaboration, our employees are · team members ...
-
Counselor/Therapist
3 weeks ago
MTK with Pinnacle Treatment Centers Brick Township, United StatesMTK with Pinnacle Treatment Centers - We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth. · Our organization is a growing leader in addiction treatment services. We provide care across the nation touching the lives of 30,0 ...
-
Patient Access Specialist- PT- Day
2 weeks ago
Hackensack Meridian Health Brick Township, United States Part time with BenefitsOverview · "Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, c ...
-
Unit Based Pharmacist
2 weeks ago
Hackensack Meridian Health Brick Township, United States Full timeOur team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive b ...
-
Mental Health Specialist
2 weeks ago
Hackensack Meridian Health Brick Township, United States Full time with BenefitsOverview · Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, co ...
-
Mgr, Plant Engineering- Ft- Day
5 days ago
Hackensack Meridian Health Township of Brick, United StatesOverview: · "Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, ...
-
Lead cleaner
2 weeks ago
ABM Industries Greencastle, United StatesOverview · The Lead Cleaner III is responsible for giving direction, motivation, and guidance to a team of cleaners. · Benefit Information: · Position Summary Details · The Cleaner position provides the cleaning and upkeep of an assigned area. · Payrate $20.00 per hour. · The p ...
-
Production Coordinator
3 weeks ago
PeopleShare Greencastle, United States TemporaryPeopleShare is hiring a production coordinator in a fast-paced manufacturing facility Entry level and experienced opportunities availableWhy Should You Work Here?Excellent benefits · Promotional opportunities · Training opportunities · 24/7 virtual wellness benefit · Job Details ...
-
Assistant Manager(04437)
5 days ago
Domino's Franchise Greencastle, United States Full timeJob Description · ABOUT THE JOB You were born to be the boss. We know. You get up in the morning and make sure everyone else in the house is doing what they need to do. Then you go to work and make sure everyone there is doing what they need to do, even your boss. You just do tha ...
-
DePauw University Greencastle, United States Part timeJob Description · DePauw University is an Equal Employment Opportunity Employer: Women, members of underrepresented groups, and persons with disabilities are encouraged to apply. · Position will remain open until filled. · Please go to University Profile for more information a ...
-
LTSS Service Coordinator
5 days ago
Elevance Health Greencastle, United StatesLocation: Field associates spend 4-5 days per week in-person with patients, members or providers · The LTSS Service Coordinator- RN is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians partic ...
-
XN Line Coordinator
3 days ago
SIEMENS AG Roebuck, United StatesAs an XN Line Coordinator, your responsibilities will include but will not be limited to the following:Reviewing the Tracker for set duct by date and move carts with set duct to both Line A and Line B prior to start of the shift. Updating Tracker thr Coordinator, Healthcare, Tran ...
-
Continuous Skills Development Manager
1 week ago
Wal-Mart Stores , Inc. Greencastle, United StatesLocation GREENCASTLE, IN Career Area Supply Chain and Logistics Job Function Supply Chain Management Employment Type Regular/Permanent Position Type Salary Requisition WD What you'll do at Position Summary...Coordinates, completes, and oversees job-related activities and assignme ...
-
Construction project coordinator
6 days ago
gpac Roebuck, United StatesJob Description · Join Our Elite Team as a Commercial/Residential Project Coordinator · Are you ready to take your career to the next level? Do you thrive in a collaborative environment where everyone works together to achieve excellence? If so, we have the perfect opportunity fo ...
-
hr specialist
1 week ago
ResCare Community Living Greencastle, United StatesOur Company · ResCare Community Living · Overview · The Human Resource Specialist is responsible for performing administrative HR-related duties. This position carries out responsibilities in the following functional areas: employee hiring/recruitment, employee onboarding, fil ...
-
Continuous Skills Development Manager
3 weeks ago
Walmart Greencastle, United StatesWhat you'll do at · Position Summary... · Coordinates, completes, and oversees job-related activities and assignments by developing and maintaining relationships with key stakeholders; supporting plans and initiatives to meet customer and business needs; identifying and communi ...
Utilization Management Coordinator - Brick Township, United States - Hackensack Meridian Health
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Our team members are essential to our success at Hackensack Meridian Health. We strive to improve the lives of our patients and each other. Our culture values collaboration and connection, where employees work together as a team. Competitive benefits are just the start - we focus on supporting each other and our community. Together, we continuously enhance our mission to revolutionize healthcare and lead positive change.
Care Management, Care Coordinator, Utilization Management at Hackensack Meridian Health:
*This position focuses on Utilization Review in the ED.