VFMC is a specialty hospital committed to providing high-quality care to individuals facing substance use disorders combined with medical comorbidities. We are currently seeking a skilled Utilization Review Nurse or Registered Nurse (RN) to join our team. If you have a passion for ensuring patients receive the right care at the right time, we invite you to apply and contribute to our mission of improving lives through compassionate healthcare at our corporate office in Lakewood NJ. Looking to get off the busy inpatient floor but still looking to use your skills as a Registered Nurse? Position Overview: As a Utilization Review Nurse specializing in substance use disorders, you will be responsible for conducting thorough reviews of patient charts to assess medical necessity and obtain authorizations for necessary treatments. Your expertise will be crucial in ensuring that our patients receive optimal care. What you will do: Review patient charts to assess the medical necessity of ongoing treatment at a hospital level of care. 2. Collaborate with healthcare providers to gather necessary clinical information for authorization purposes. 3. Communicate effectively with insurance providers to obtain timely authorizations for treatment services. 4. Update our EMR system with newly obtained authorization number and adjust the level of care. What you should have: 1. Registered Nurse (RN) with a valid and current license. Acute care experience. 2. 1 year of experience in utilization review preferred. 3. Strong understanding of medical necessity criteria and authorization processes preferred. 4. Excellent communication and interpersonal skills. 5. Detail-oriented with strong organizational and chart review skills. Schedule: M-F 9-5p Valley Forge Inc
...Microsoft Office Suite proficiency with excellent typing skills a must. Other Requirements:... ...capable of taking direction and able to work with limited supervision; ORGANIZED,... ...does NOT include the option to work from home. Company Description Keefe Law Firm is...
...produces, and supports an advanced portfolio of unmanned aircraft systems (UAS) and tactical missile systems. Agencies of the U.S. Department of Defense and allied military services use the companys hand-launched UAS to provide situational awareness to tactical operating...
...We are seeking a Lease-Up Property Manager to become a part of our team! The ideal candidate will be responsible for all operational and financial aspects of properties including leasing and annual budgets. The ideal candidate will possess strong leadership skills, a...
...Recognized as Leaders in LGBTQ+ Healthcare Equality by the Human Rights Campaign One of the Best Places to Work for Disability Inclusion by Disability:IN and the American Association of People with Disabilities One of the Best Places for Diverse & Women Managers...
DescriptionSummary:Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and aids physicians in treatment of patients. RN license required.Responsibilities:Participates as primary nurse, associate nurse, a...