Nursing Jobs in Carteret, NJ
$85,000 - $106,300 / year
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state and federal regulations. Delivers timely notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost effective. Works under general supervision. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities. What You Will Do Conducts comprehensive review of all components related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical providers, paraprofessional staff, caregivers and other relevant sources as necessary. Examines standards and criteria to ensure medical necessity and appropriateness of admissions, treatment, level of care and lengths of stay. Performs prior authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting. Reviews requests for outpatient and inpatient admission; approves services or consults with medical directors when case does not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNS Health policies and procedures. Participates in case conferences with management. Identifies opportunities for alternative care options and contributes to the development of patient focused plan of care to facilitate a safe discharge and transition back into the community after hospitalization. Reviews covered and coordinated services in accordance with established plan benefits, application of evidenced based medical criteria, and regulatory requirements to ensure appropriate authorization of services and execution of the plan’s fiduciary responsibilities. Identifies and provides recommendations for improvement regarding department processes and procedures. Maintains current knowledge of organizational or state-wide trends that affect member eligibility and the need for issuance of Determination Notices Improves clinical and cost-effective outcomes such as reduction of hospital admissions and emergency department visits through on-going member education, care management and collaboration with IDT members. Provides input and recommendations for design and development of, processes and procedures for effective member case management, efficient department operations, and excellent customer service. Maintains accurate record of all care management. Maintains written progress notes and verbal communications according to program guidelines. Verifies that all aspects of the clinical record are in agreement with the member’s clinical and functional status. Utilizes VNS Health and state approved assessment and documentation as well as interviews with members, family, and care providers in decision-making. Performs annual clinical co-visits for nurses as well as two initial co-visits during the first six months for new hires as follows: one within first three weeks and a second within the first six months. Provides feedback to therapist and management; assists in development of plans to address improvement needs as appropriate. For Utilization Management Only: Issues Determinations, Notices of Action, and other forms of communication to members and providers which communicate VNS Health’s determinations. Ensures all records/logs related to decision requests, Notices of Action, and other communications required by state or federal regulations are saved in the Utilization Management System. Reviews, evaluates and determines the appropriateness of requests, utilize the most appropriate clinical care guidelines based on clinical practice guidelines. Adheres to all federal and regulatory requirements. Evaluates and analyzes care and utilization trends/issues and identifies opportunities for better coordination of members’ care. Qualifications Licenses and Certifications: Current license to practice as a Registered Professional Nurse in New York State required. Certified Case Manager preferred Education: Associate's Degree in Nursing required. Bachelor's Degree or Master’s degree in nursing preferred Work Experience: Minimum two years of experience with strong cost containment /case management background or two years acute inpatient hospital experience in chronic or complex care required Must have experience and qualifications demonstrating knowledge of working with the LTSS eligible population. preferred Knowledge of Medicare and Medicaid regulations required Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills. Working knowledge of Microsoft Excel, Power-Point, and Word and strong typing skills required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan. For SelectHealth ETE Only: Experience in Public Health programming, delivery and evaluation preferred Experience working with community-based organizations in underserved communities preferred Pay Range USD $85,000.00 - USD $106,300.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
$90,000 - $110,000 / year
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Sign-on Bonuses OR Student Loan Assistance for clinical staff Free MSN in Education program! Tuition Reimbursement for all full and part-time staff Dependent Tuition Reimbursement for clinical staff! Generous paid time off, including your birthday! Affordable and comprehensive medical, dental and vision coverage for employee and family members Two retirement plans ! 403(b) AND Employer Paid Pension Flexible spending And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities The professional in this position will act as a patient advocate in facilitating, coordinating and communicating the transition of patients to next level of care in accordance with applicable law, regulations and agency policies and procedures. Works in a collaborative role with MJHC and select inpatient facilities to evaluate inpatients referred for transitional planning and/or home health services. The daily functions are carried out through a combination of telephonic outreach and collaborative efforts with facility discharge planners, MJHC, and in-house case management staff. managed care nurse, managed care rn, nursing, rn, nurse, care management Qualifications Associates in Nursing; Baccalaureate Degree preferred. Minimum of one year of acute, Medical-Surgical nursing experience. CHHA/LTHHCP experience preferred. Discharge Planning/Utilization Management experience preferred. Word and Excel Licensed with current Registration to practice as Registered Professional Nurse in NYS; Current CPR Certification. Excellent customer service skills. Ability to work within an integrated health care team. Ability to demonstrate effective critical thinking skills. Ability to problem solve independently. Ability to communicate in English both verbally and in writing. Proficiency in interviewing and physical assessment skills. Min USD $90,000.00/Yr. Max USD $110,000.00/Yr. 
$94,000 - $150,000 / year
194226 Job Description Manages team members, operations, and patient care activities of a patient care unit during assigned shift. Maintains a professional work environment that supports delivery of high-quality patient and family centered care. Job Responsibility Manages and leads team members, operations and patient care activities within a patient care unit during assigned shift. Collaborates with team members and nursing management in the development of methods, techniques and analytical approach to patient care. Communicates, builds consensus, and guides team members toward achieving department objectives. Promotes and maintains high quality patient and family centered care in a healing environment. Creates a professional work environment that encourages team member respect, engagement, accountability and optimal patient outcomes. Promotes appreciative inquiry and evidence-based, ethical and compassionate practice. Provides direction and guidance to patient care unit team members during assigned shift. May conduct performance reviews and provide input into hiring, promotions and corrective actions. Serves as a role model for standards of professional practice (clinical, educational and leadership). Educates team members in new and existing department procedures and systems (information systems, fiscal responsibility, etc.). Provides input on department budget allocations to nursing management. Ensures adherence to the established care delivery model, using knowledge of scope and standards of practice. Faciliates continual patient care unit compliance with the JC, CMS, New York State, DOH, Public Health Law, HIPPA regulations and System, hospital and department standards. Demonstrates core clinical competencies for patient population of oversight in order to supervise and provide direct patient care. Maintains current knowledge of scope and standards of practice, healthcare legislation, and population health. Interprets policies, procedures and technical methods for team members. Identifies opportunities and makes recommendations that improve patient care delivery and team effectiveness using evidence-based strategies and solutions. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor’s Degree in Nursing (BSN) required. Current license to practice as a Registered Professional Nurse in New York State, required. Specialized certifications, as needed. 4-6 years of nursing experience and 0-2 years of leadership/management experience, required. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
$130,000 - $140,000 / year
RN Supervisor – Pediatric | Evening Shift Location: Brooklyn, NY Salary: $130,000–$140,000 per year Employment Type: Full-Time Shift: Evening Shift Ditmas Children’s Nursing & Rehab is seeking an experienced Registered Nurse (RN) Supervisor to join our pediatric nursing leadership team for the evening shift . The RN Supervisor will oversee the nursing team and ensure the delivery of high-quality care to medically complex pediatric residents . This position requires a clinically strong RN who can lead the nursing staff, respond to changes in resident condition, and ensure appropriate communication and follow-through throughout the evening shift. Candidates must have previous PICU or NICU experience and be comfortable working with children who have complex medical and clinical needs. Responsibilities Supervise RNs, LPNs, CNAs, and nursing staff during the evening shift Oversee the care of medically complex pediatric residents Provide hands-on clinical guidance and leadership to the nursing team Monitor residents for changes in condition and ensure appropriate interventions Oversee admissions, transfers, physician orders, medications, treatments, and nursing documentation Ensure nursing policies, procedures, and clinical standards are consistently followed Respond to clinical emergencies and provide leadership during urgent situations Communicate with physicians, families, nursing leadership, and the interdisciplinary care team Ensure appropriate staffing and nursing coverage throughout the shift Review nursing documentation for accuracy and completeness Follow up on incidents, clinical concerns, and changes in resident condition Ensure a smooth transition and appropriate communication between shifts Qualifications Current New York State Registered Nurse (RN) license PICU or NICU experience required Experience caring for medically complex pediatric patients Previous RN Supervisor, Charge Nurse, or nursing leadership experience strongly preferred Strong pediatric assessment and critical-care skills Ability to remain calm and provide leadership during clinical emergencies Strong communication, organizational, and supervisory skills Compensation & Benefits $130,000–$140,000 per year , based on experience. Benefits for eligible full-time employees include: Health insurance Paid time off Join the team at Ditmas Children’s Nursing & Rehab and take a leadership role in providing high-quality care to children with complex medical needs. $125,000 - $145,000 / year
Overview $15.000 Sign-On Bonus or Student Loan Assistance! The position will cover the following locations: Bronx, Upper Manhattan, and Isabella Nursing Home. MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Sign-on Bonuses OR Student Loan Assistance for clinical staff Free MSN in Education program! Tuition Reimbursement for all full and part-time staff Dependent Tuition Reimbursement for clinical staff! Generous paid time off, including your birthday! Affordable and comprehensive medical, dental and vision coverage for employee and family members Two retirement plans ! 403(b) AND Employer Paid Pension Flexible spending And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with a life-limiting condition. We offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The Nurse Practitioner (NP) provider is one of a group of MDs and NPs who staff palliative care consultation services that function as programs of MJHS Hospice and Palliative Care. The NP Provider may work in a nursing home, hospital or community environment. He/she has specialist skills in symptom management, communication including goal setting discussions, and hospice eligibility review, and he/she may work independently or as part of a treatment team. Initial patient encounters are in response to consultation requests, and the initial consultation may be followed by one or more visits, as appropriate to the referral questions and status of the patient and family. The care plan advanced by the NP Provider aims to prevent or mitigate illness burden for the patient and family. Each encounter comports with best practices of specialist palliative care, including history-taking, appropriate examination, formulation and care planning, treatment recommendation or implementation, communication, and documentation. Other responsibilities include developing quality initiatives, educating staff, and supporting hospice operations through participation in the provider on call rotation and performance of face to face encounters as needed. Qualifications • Master's degree in Nursing and Graduate of an approved Nurse Practitioner Program required. • Minimum of 1-year clinical experience as a NP provider preferred. Hospice, Palliative Care and/or Geriatric nursing or NP experience preferred. • New York State RN licensure, Certified Adult, Family, Gerontology, or Palliative Care Nurse Practitioner required.• CPR-BLS and valid NYS Driver's license preferred.• Hospice & Palliative Care certification strongly encouraged by year 2 of hire.• Microsoft Word and Excel.• Ability to work flexible hours to meet the needs of the position.• Ability to coordinate the resources and personnel involved in a comprehensive interdisciplinary team environment.• Ability to travel within the assigned geographic area to provide patient care.• Possess teaching, communication, and listening skills.• Ability to work non-judgmentally with patient / family members of any culture, religion, socio-economic background or lifestyle.• A high degree of accountability.• Excellent communication, listening, and organizational skills.• Ability to work within an integrated health care team.• Ability to demonstrate effective critical thinking skills.• Ability to problem solve independently. Min USD $125,000.00/Yr. Max USD $145,000.00/Yr. 
Day (United States of America) Department: 910 - 835800 GCSC - Gulf Coast Surgical Center Position Description: The primary function of the Surgical Technician is preparation of sterile equipment, instruments, and supplies for the surgery and endoscopy departments. In addition, the technician performs the duties of a scrub technician during the operative procedures as assigned. Qualifications: 1. High school diploma or GED preferred 2. Graduation from a scrub tech program and certification is preferred 3. Certification preferred 
