RN Jobs in East Orange, NJ
$90,000 - $100,000 / year
Position Summary Provides case management as well as routine discharge planning services to patients and their families, to facilitate safe and timely discharges, to enhance the benefits of medical care, to ensure hospital reimbursement, to provide cost effective acute care and to ensure continuity of care. Job Duties Reviews all patient charts within 24 to 48 hours of admission to assess appropriateness of admission, intensity of service and potential discharge needs in accordance with the utilization/contractual requirements. All questionable cases (i.e. inappropriate admission, level of care changes, quality issues) will be communicated to the Attending Physician. If no resolution, CM will refer the cases to the Physician Advisor. Communicates with insurance providers for admission and continued stay reviews as stipulated by contract in order to certify the patients' stays. Contacts the Attending Physician to obtain additional clinical information on the case to minimize denials and to assist with reimbursement of care and/or appeals. Denied day cases will automatically be referred to the Physician Advisor. Participants in Interdisciplinary D/C Rounds to concurrently and collaboratively review and facilitate the patient's plan of care. Acts as liaison to assist in identifying opportunities to improve care. Keeps Director of Case Management abreast of problem areas and seeks guidance in a timely manner. Effectively coordinates care with ancillary departments and attending physician (i.e. rehabilitation, laboratory, radiology, etc.) to ensure timely provision of care and to decrease length of stay and appropriate treatment and discharge. Performs other job duties and responsibilities as assigned. Qualifications and Skills Knowledge of Utilization Review criteria to include Interqual and/or Milliman preferred . Knowledge in Medicaid, Medicare, Managed Care review and documentation requirements. Is knowledgeable of state and federal regulations, DNV standards and practices for acute care facilities. Excellent written and verbal communication skills. Knowledge in discharge planning and length of stay initiatives. Knowledge of home care and referral process. Expert critical thinking and problem solving skills. Education, Experience and Certification/Licensure Requirements Current RN license in the state of NJ. Minimum 1- 2 years direct patient care experience in an acute care hospital Previous case management experience preferred. 
Main Function: Under the supervision of the Clinical Nurse Manager, performs duties in the care and treatment of patients on maintenance dialysis. We are seeking a Registered Nurse who has at least 1 year of experience, caring for patients on dialysis four days a week. Candidate must be licensed in New York and have current BCLS certification. Candidate should have knowledge with computers and electronic charting. We offer very competitive compensation and comprehensive benefits. Join us and be part of a dynamic and professional team in a state of the art facility. 
REGISTERED NURSE (RN) Full-Time (2nd Shift)+ Every Other Weekend Complete Care at Milford Manor - West Milford, NJ What We’re Looking For: · Valid NJ RN license · Strong clinical skills + teamwork mindset · Compassion and dedication to excellence Why You’ll Love Working With Us: · Comprehensive benefits, PTO & paid holidays (30+ hrs./week) · Ongoing training & career advancement opportunities Apply today. Interview in-person as early as this week! Come join the team as an RN! Complete Care is an Equal Opportunity Employer. #LI-PP1 #CC2024 012026 
