Nursing Jobs in Hillsdale, NJ
We Are Seeking: Registered Nurses (RNs) Licensed Practical Nurses (LPNs) Why Join Us? Flexible schedules Competitive pay Supportive team environment Opportunity to work independently while making a meaningful impact Requirements: Active NYS Nursing License Excellent communication & patient care skills Home care experience preferred, but not required Apply Today! Send your resume to: kharvey@fourseasonsnh.com Know a Nurse Looking for an Opportunity? Refer Them Today & Receive a Bonus!! 
$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. 
$100,000 - $120,000 / year
The Pavilion at Queens for Rehabilitation & Nursing is seeking an enthusiastic MDS Coordinator to join our interdisciplinary team of skilled health care professionals at our skilled nursing facility in Queens ! Long Term Care, Assisted Living, or Hospital experience required. Candidates must be a current NYS Registered Nurse (RN). Job responsibilities include Completing accurate assessments, MDS & care plans as assigned. Monitors MDS and care planning documentation for all residents; ensures documentation is present in the medical record to support MDScoding. Initiating care plans and supporting activities as assigned. Maintaining & updating all care plans and assessments as required. Monitoring & auditing clinical records, ensuring accuracy & timeliness. Protecting the confidentiality of Resident & Facility information at all times. Monitoring & auditing clinical records, ensuring accuracy & timeliness. REQUIREMENTS: Valid NY State RN License Must be highly organized, professional & motivated Should have solid computer skills Excellent communication skills Should be friendly and a team worker 
$133,595 - $153,220 / year
Location New York, New York Shift: Night Flex (United States of America) Description: Staff Nurse - RN - Pediatric Intensive Care and Pediatric Transport - Full Time - Night For nurses, New York-Presbyterian (NYP) represents the chance to make a difference. Transform your career as a Pediatric Intensive Care nurse with an exciting opportunity to be part of a hybrid role as we expand our pediatric transport team across the enterprise. This position includes transporting critical pediatric patients throughout the tri-state area for all New York-Presbyterian campuses and working in the Pediatric Intensive Care Unit at NYP/Weill Cornell Medical Center Komansky Children's Hospital. Pediatric Intensive Care nurses are a crucial part of our team of leading physicians, surgeons, and specialists, providing high-level pediatric care. Not only will you have the ability to work within our Pediatric Intensive Care Unit but also care for pediatric patients requiring ground transport collaboratively with our Critical Care Paramedic Team. Together, we improve the health of patients and their families by ensuring pediatric patients are given the ability to receive care throughout NYP in the hospital setting most appropriate to their clinical needs with consideration to proximity of their community. At NYP, nursing is a life-changing career journey focused on amazing patient outcomes every step of the way. Each of our nurses dares to be truly excellent – thriving in a compassionate culture of care and caring. Together, we improve the health of patients and their families, making our communities – and the world – stronger. You’ll work with the brightest minds in healthcare to make tomorrow better for countless human beings. It’s the kind of nursing that requires an unwavering commitment to excellence and a constant spirit of professionalism. And it’s your opportunity to enjoy flexible scheduling, shared clinical decision-making, inspirational leadership, supportive colleagues and much more. Now, you have the opportunity to join us. This is a full-time night shift position at New York-Presbyterian/Weill Cornell Medical Center that will require travel in an ambulance. New York-Presbyterian/ Weill Cornell Medical Center 525 East 68th Street New York, NY 10065 Rotating Weekends and holidays Preferred Criteria Pediatric Transport experience NRP PALS ACLS New Jersey Licensure CCRN Certification Required Criteria At least two years of acute care Pediatric Intensive Care RN experience Bachelor’s Degree in Nursing Current New York State RN license Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses. __________________ 2026 Best Companies in Healthcare, Biotech & Pharma – Glassdoor 2026 Best Place to Work – Glassdoor 2026 America’s Best Large Employers – Forbes 2026 America’s Best-In-State Employers – Forbes 2026 America’s Dream Employers – Forbes 2026 America’s Greatest Workplaces for Culture, Belonging & Community – Newsweek 2026 Best Places to Work in IT - Computerworld 2025 Great Place to Work Certified 2025 Best Employers for Women – Forbes 2025 Companies that Care – People 2025 America’s Greatest Workplaces for Mental Well-Being - Newsweek NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $133,595-$153,220/Annual It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works. 
