- Graduate of an accredited school of nursing required.
- Current licensure as a Registered Nurse in the State of New Jersey
-
Registered Nurse
4 days ago
BAYADA Home Health Care Egg Harbor Township, United States Full timeCome for the Flexibility, Stay for the Culture · Looking for a new career to call home? Now offering up to $4k in bonuses · BAYADA Offers Our RNs: · One on one care · Flexible scheduling based on your preferences · Weekly pay · Preventive Care Coverage for ALL employees (PRN incl ...
-
Registered Nurse
6 days ago
AtlantiCare Egg Harbor Twp, United States Full timeAtlantiCare Regional Medical Center · All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. · Egg Harbor Twp, NJ · POSITION SHI ...
-
Registered Nurse
1 week ago
DOCS Health Egg Harbor Township, United StatesJob Description · Job DescriptionDescription:Attention all Registered Nurses, we are calling you to partner with us as independent contractors providing services to our Military Service members. · We primarily work weekends, with some occasional weekdays under the Reserve Health ...
-
Registered Nurse
1 week ago
BAYADA Egg Harbor Township, United StatesBe the nurse you always wanted to be at BAYADA Home Health · We are looking for compassionate and dedicated RNs to join our team. · We are looking for exceptional nurses to deliver care for our clients. We believe our clients and their families deserve the highest quality home he ...
-
Registered Nurse
6 days ago
Bayada Egg Harbor Twp, United States· Come for the Flexibility, Stay for the Culture · Looking for a new career to call home? Now offering up to $4k in bonuses · BAYADA Offers Our RNs:One on one care · Flexible scheduling based on your preferences · Weekly pay · Preventive Care Coverage for ALL employees (PRN inc ...
-
Certified Registered Nurse Anesthetist
6 days ago
AtlantiCare Egg Harbor Twp, United StatesJob Description · Minimum Qualifications: · * Master's degree in nursing from an accredited school or as grandfathered by NJ Law. · * Current licensure as a RN in the State of NJ and certified by the State Board of Nursing. · * Certification within area of specialty required and ...
-
Registered Nurse Oncology Medical PCU
1 week ago
Atlanticare Regional Medical Center Egg Harbor Township, NJ, United StatesRetired RN- PreOp PACU EHT surgery Center · The Registered Nurse utilizes the nursing care process consistent with their license and/or certification including initiation of culturally competent continuum of care including inpatient, outpatient and community settings. The Regist ...
-
AtlantiCare Egg Harbor Twp, United StatesAtlantiCare Regional Medical Center · All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. · Egg Harbor Twp, NJ · POSITION SHI ...
-
Atlanticare Regional Medical Center Egg Harbor Township, NJ, United StatesRegistered Nurse - Operating Room - Surgery Center Egg Harbor Township · POSITION SUMMARY · The Perioperative Nurse is responsible for providing exceptional patient care and family support throughout the three phases of the surgical experience. This position provides the physici ...
-
Retired RN- PreOp PACU EHT surgery Center
6 days ago
AtlantiCare Egg Harbor Twp, United StatesRetired RN- PreOp PACU EHT surgery Center · POSITION SUMMARY The Registered Nurse is a member of the interdisciplinary team working in collaboration with the Physician. The Registered Nurse utilizes the nursing care process consistent with their license and/or certification incl ...
-
Nurse Midwife
1 week ago
Atlanticare Regional Medical Center Egg Harbor Township, NJ, United StatesCertified Nurse Midwife - Women's Services · Minimum Qualifications: · * Bachelor's degree from an accredited school of nursing · * Certificate in Nurse Midwifery from a school approved by the American College of Nurse Midwives · * BLSHCP required · * 3-5 years midwife experienc ...
-
Retired RN- PreOp PACU EHT surgery Center
3 days ago
Atlanticare Regional Medical Center Egg Harbor Township, NJ, United StatesRetired RN- PreOp PACU EHT surgery Center · POSITION SUMMARY · The Registered Nurse is a member of the interdisciplinary team working in collaboration with the Physician. The Registered Nurse utilizes the nursing care process consistent with their license and/or certification in ...
-
Periop RN Preop/PACU
6 days ago
AtlantiCare Egg Harbor Twp, United StatesAtlantiCare Regional Medical Center · All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. · Egg Harbor Twp, NJ · POSITION SHI ...
-
Home Health RN Patient Care Manager
6 days ago
LHC Group Egg Harbor Twp, United StatesWe're hiring for an RN Patient Care Manager to join our passionate team in Egg Harbor · The Home Health Patient Care Manager (Registered Nurse, RN) is responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary te ...
-
Hospice CHHA
6 days ago
Lutheran Social Ministries of NJ Egg Harbor Twp, United States"LSMNJ is a very cohesive company that truly values their employees. There is a heart to this company that truly cares and practices it's mission statement from the C level that includes all employees, on a day to day basis. I am proud to work here and to be part of this LSMNJ Te ...
-
Hospice Aide CNA
6 days ago
LHC Group Egg Harbor Twp, United StatesJob Description · We are hiring for a Hospice Aide / CNA. · This is a Per Diem/PRN position doing Home Visits for Hospice. · At Patient Care Hospice in Egg Harbor Twp, NJ, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful conne ...
-
Certified Surgery Center Endo tech
1 week ago
AtlantiCare Egg Harbor Twp, United StatesAtlantiCare Regional Medical Center · All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. · Egg Harbor Twp, NJ · POSITION SHI ...
-
Care Manager
1 week ago
AtlantiCare Egg Harbor Twp, United StatesJob Description · POSITION SUMMARY · Reports To: Unit Director · Trainings: Annual, CPI, QPRT, Heart Saver First Aid CPR/AED · Career Development: Supportive Housing Care Manager Therapist I Therapist II Asst. Director Director · Position Summary: · The Care Manager will p ...
-
Part-Time Occupational Therapist
4 weeks ago
LHC Group Egg Harbor Twp, United States Full timeSummary · We are hiring for a Part-Time Occupational Therapist to join our team at Atlanticare in Egg Harbor Township, NJ · At Atlanticare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the wh ...
Registered Nurse - Egg Harbor Twp, United States - AtlantiCare
Description
Job DescriptionThe RN Utilization Management Days is responsible for the overall Utilization Management process for assigned patient population. This includes reviewing clinical information to determine the appropriate level of care assignment, along with the completion and submission of reviews to insurance payers with appropriate follow-up. The RN utilizes designated criteria/guidelines to determine and document the medical necessity and appropriate level of care. This position analyzes clinical information received to facilitate authorization from insurance providers, maximize reimbursement by preventing denials, and ensures clinical data is sufficient to obtain an authorization. This position ensures that the obligation for clinical review is met according to the payer contracts and validates the accuracy of insurance information in the system. The RN is knowledgeable of the payer contracting arrangements, admission notification and clinical review requirements, as well as the regulatory and compliance requirements for government payers regarding clinical reviews and medical necessity. This role ensures that appropriate and accurate information is placed into the patient accounting system for processing of payment. This role also provides notification of denial issues and potential avoidance of a denial, along with changes in insurance information to all appropriate areas (e.g. clinical team, Patient Accounting). The RN supports system-wide improvement initiatives within the hospitals and the medical staff structure to ensure effective and timely performance improvement. This role Participates in UR Committee work as requested.
QUALIFICATIONS
EDUCATION: Graduate of an accredited school of nursing required. Bachelor's in Nursing preferred. Case Management certification preferred.
LICENSE/CERTIFICATION: Current licensure as a Registered Nurse in the State of New Jersey
EXPERIENCE: Prior case management/insurance case management experience preferred. Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.
PERFORMANCE EXPECTATIONS
Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.
WORK ENVIRONMENT
This position requires desk/computer work a majority of the time. There is some standing, walking and occasional lifting up to 20 pounds. The essential functions for this position are listed on the Assessment and Evaluation Tool.
REPORTING RELATIONSHIP
This position reports to department leadership.
The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
