NewBrunswickRecruiter Since 2001
the smart solution for New Brunswick jobs

Registered Nurse (RN) Care Coordination

Company: Saint Peter's Healthcare System
Location: New Brunswick
Posted on: January 13, 2020

Job Description:

TheCare Coordinationgroupat Saint Peter's is seeking a Registered Nurse to join their team. The Care Coordination Nurse performs admission and concurrent review of patients. Provides clinical information to payors. Initiates appropriate referrals to Physician Advisor. Active intervention as needed to reduce denials. Collaborates with other disciplines to implement a care plan. Coordinates home care plan and referrals for patient. Supports the collection of quality and risk management data. As theCare CoordinationNurse, you will:

  • Identifies appropriate medical information necessary to certify/refer cases on admission and on continued stay review
  • Performs assigned admission reviews within established time frame (within 24 working hours of admission) with concurrent daily reviews for managed care companies, and one to three days for concurrent review for other assigned payer categories as evidenced by no denials for lack of clinical information.
  • Ensures timely provision of clinical review information to payer as evidenced by no denials for lack of clinical information.
  • Initiates provision of review to payer independent of payer request unless there is lack of clarity regarding the product and to whom review should
  • be provided.
  • Whenever possible, manages request for concurrent reconsiderations as evidenced by the "Overturn" of the initial denial decision.
  • Initiates collaboration with the Medical Staff by requesting additional clinical information and/or suggestions for documentation so as to obtain payer determination of "acute" for each inpatient day as evidenced by the Net Denial Rate.
  • Coordinate the interdisciplinary team and the development of the plan of care.
  • Formulates comprehensive, realistic and achievable home care plan as appropriateto the ages of the patients and to the developmental life cycle stage.
    • Requirements:
    • Registered nurse currently licensed to practice in the state of New Jersey required
    • minimum of three (3) to five (5) years experience in acute care nursing. Experience should include assessment of a patient's diagnosis, prognosis, care needs and outcomes goals. The ability to analyze medical records including clinical and laboratory data and problem solving skills are required.
    • Requires good interpersonal and communication skills.
    • Must be willing to work on some weekend days and on some holiday days. 0 Job Posted by ApplicantPro

Keywords: Saint Peter's Healthcare System, New Brunswick , Registered Nurse (RN) Care Coordination, Healthcare , New Brunswick, New Jersey

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Travel Nurse RN PCU (Progressive Care Unit)
Description: Nationwide Travel Nurse Jobs - Progressive Care Unit RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Travelers
Location: Hackensack
Posted on: 01/20/2020

Physician / Dermatology / New York / Permanent / Dermatologist Needed
Description: An exciting dermatologist opportunity is now available in New York. You will start strong by taking care of the current overflow and then build your practice. You will do biopsies and excisions and they (more...)
Company: CompHealth.
Location: White Plains
Posted on: 01/20/2020

Speech Language Pathologist (SLP) needed ASAP
Description: Nationwide Travel Locum Therapist Jobs - Speech Language Pathologist Are you looking for a new therapist job Would you like to spend the season somewhere you've never been Hospitals, Clinics, Outpatient, (more...)
Company: HCEN
Location: White Plains
Posted on: 01/20/2020


Nurse Practitioner of Psychiatric Services
Description: An accredited acute-care hospital located in Southern Connecticut is currently searching for an experienced Nurse Practitioner of Behavioral and Mental Health to join their award winning clinical team. (more...)
Company: Nurse Practitioner
Location: White Plains
Posted on: 01/20/2020

Travel Nurse Tele RN (Telemetry)
Description: Nationwide Travel Nurse Assignments - Telemetry RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HCEN
Location: Hackensack
Posted on: 01/20/2020

Travel Nurse RN - ICU - Intensive Care Unit - $1,674 per week
Description: NurseFly Travel Nursing with OneStaff Medical is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in White Plains, New York:- Specialty: ICU - Intensive Care Unit- Discipline: (more...)
Company: NurseFly Travel Nursing
Location: White Plains
Posted on: 01/20/2020

Licensed Clinical Psychologist
Description: br br Overview br br Licensed Psychologist br br White Plains, NY br br Join a leading APA-accredited, clinician-led behavioral health company today C.H.E. Behavioral Health Services (more...)
Company: CHE Behavioral Health Services
Location: White Plains
Posted on: 01/20/2020

Travel Locum Speech Language Pathologist (SLP)
Description: Nationwide Travel Locum Therapist Jobs - Speech Language Pathologist Are you looking for a new therapist job Would you like to spend the season somewhere you've never been Hospitals, Clinics, Outpatient, (more...)
Company: HealthCare Travelers
Location: Hackensack
Posted on: 01/20/2020

Staff Pharmacist
Description: OVERVIEW br br How have you impacted someone's life today At Hackensack Meridian Health our teams are focused on changing the lives of our patients by providing the highest level of care each and (more...)
Company: Hackensack Meridian Health
Location: Hackensack
Posted on: 01/20/2020

Travel Nurse RN - ED - Emergency Department - $1,833 per week
Description: NurseFly Travel Nursing with ARMStaffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Hackensack, New Jersey:- Specialty: ED - Emergency Department- Discipline: RN- (more...)
Company: NurseFly Travel Nursing
Location: Hackensack
Posted on: 01/20/2020

Log In or Create An Account

Get the latest New Jersey jobs by following @recnetNJ on Twitter!

New Brunswick RSS job feeds