Nursing Jobs in Jamesburg, NJ

Clinical Appeals RN - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ

$92,289.60 - $120,577.60 / year

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Pay Range: $92,289.60 - $120,577.60 Scheduled Weekly Hours: 40 Position Overview Responsible for clinical review, development, and submission of inpatient and outpatient clinical appeals for denied hospital claims. This role applies clinical expertise, medical record analysis, MCG clinical criteria, and payer-specific clinical policies to support medical necessity, patient status, and other clinical determinations in order to maximize appropriate reimbursement and reduce avoidable denials. MINIMUM REQUIREMENTS Education: Graduate of an accredited school of nursing required. Experience: Three years' clinical nursing experience required. Experience in utilization review, case management, clinical appeals, CDI, or denial management required. Other Credentials: AHA BLS - Healthcare Provider,Registered Nurse - NJ CPR Requirements: Requires ACLS (or must obtain within 6 months of hire date) if assigned to: Critical Care/Intermediate/Telemetry, Emergency Rooms, Pediatrics/Pediatrics Emergency Room, Labor & Delivery, Surgical Services (not to include Perioperative), Interventional Procedures, Observation. Requires NRP (or must obtain within 6 months of hire date) if assigned to: Maternity Services Requires PALS (or must obtain within 6 months of hire date) if assigned to: Emergency Rooms, Infant Follow-Up, Surgical Services (only PACU & Same Day Surgery), Pediatrics/Pediatric ED. Knowledge and Skills: Required familiarity with MCG clinical criteria for inpatient and outpatient medical necessity and patient status determinations. Required familiarity with payer-specific clinical policies, medical necessity guidelines, and appeal requirements. Strong understanding of inpatient and outpatient medical necessity and patient status criteria. Ability to analyze medical records and synthesize clinical evidence into clear, persuasive written arguments. Strong written and verbal communication skills. Ability to work collaboratively with physicians, physician advisors, CDI, UR, and non-clinical denial staff. Proficiency with hospital information systems and Microsoft Office applications. Strong written and verbal communication skills. Ability to work collaboratively with physicians, physician advisors, CDI, UR, and non-clinical denial staff Special Training: Mental, Behavioral and Emotional Abilities: Proficiency with hospital information systems and Microsoft Office applications Usual Work Day: 12 Hours Reporting Relationships Does this position formally supervise employees? No If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. ESSENTIAL FUNCTIONS Conducts comprehensive clinical review of denied inpatient and outpatient claims using MCG criteria and payer clinical policies to determine appeal viability. Prepares written clinical appeals and rebuttals supported by medical record documentation, MCG criteria, and payer-specific policy language Collaborates with Utilization Review, Case Management, CDI, physicians, and physician advisors to support appeal development Prepares appeal packets, ensuring completeness, accuracy, and compliance with payer submission requirements and deadlines Maintains clear and concise documentation in hospital systems related to appeal actions and clinical rationale. Identifies recurring clinical denial trends related to MCG criteria application or payer policy interpretation and escalates findings to leadership. Maintains current knowledge of MCG updates, payer policy changes, and industry best practices Participates in audits, education initiatives, and process improvement activities related to clinical denials and appeals Performs other duties as assigned and adapts to changing departmental demands. PHYSICAL DEMANDS AND WORK ENVIRONMENT Frequent physical demands include: Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Taste or Smell Occasional physical demands include: Sitting , Climbing (e.g., stairs or ladders) Continuous physical demands include: Standing , Walking , Carry objects , Talk or Hear Lifting Floor to Waist 35 lbs. Lifting Waist Level and Above 25 lbs. Sensory Requirements include: Very Accurate 20/40, Near Vision, Very Accurate 20/40, Far Vision, Color Discrimination, Accurate Depth Perception, Accurate Hearing Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Dust/Particulate Matter This position is eligible for the following benefits: Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA Retirement Savings and Investment Plan Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance Supplemental Group Term Life & Accidental Death & Dismemberment Insurance Disability Benefits – Long Term Disability (LTD) Disability Benefits – Short Term Disability (STD) Employee Assistance Program Commuter Transit Commuter Parking Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child Voluntary Legal Services Voluntary Accident, Critical Illness and Hospital Indemnity Insurance Voluntary Identity Theft Insurance Voluntary Pet Insurance Paid Time-Off Program The pay range 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 base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

Companionship Caregiver

SYNERGY HomeCare Pennington, NJ

Experience the SYNERGY HomeCare difference. Independently owned and operated, SYNERGY HomeCare is an award-winning agency that is set apart in its dedication to provide person-centered care to those who need it most. We are seeking companionship caregivers who are eager to make a difference in their community. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? If you answered “yes” to these questions, we want to connect with you. Apply today to join our team of dedicated professionals and to provide companionship to people of all ages and abilities. SYNERGY HomeCare offers: Competitive pay (ADD PAY RANGE HERE) Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching companionship caregivers with nearby clients Employee recognition programs As a companionship caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts Companionship caregiver benefits include: (LIST ANY BENEFITS/PERKS HERE) If you would like to join our outstanding team at SYNERGY HomeCare, apply today!

Medical Assistant - Spanish Speaking

USA Clinics Group Trenton, NJ

$21 - $25 / hour

Why USA Clinics Group? Founded by physicians with experience at leading academic medical centers, USA Clinics Group was built on a vision of delivering patient-first care beyond the hospital setting. Today, we’re the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers—with 170+ clinics nationwide. Our mission is simple: provide life-changing, minimally invasive care, close to home. We’re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we’re even more excited about what’s ahead, and the team we’re building to get there. We look forward to meeting you! Why You'll Love Working with us: 🚀 Rapid career advancement 💼 Competitive compensation package 📚 Fully Paid Clinical Training 🏥 Work with cutting-edge technology 🌟 Make a real impact on patients’ lives 📈 Join a fast-growing, mission-driven company 🤝 Positive, team-oriented environment Position Summary: As a Medical Assistant, you would balance the needs of patients and maintain efficient work flow of the office as well as provide support to the physician in all facets of medical procedures – before during and after. In addition, you would ensure that the patient has an excellent service experience. Position Details: Schedule: Monday-Friday Locations: Trenton, Marlton & Philadelphia (Bustleton) clinics. Compensation: $21-$25/hr Bilingual Requirement: Must be fluent in English & Spanish Key Responsibilities: Greet, room, and assist patients upon arrival, ensuring a welcoming and positive patient experience. Obtain and document patient vital signs, medical histories, and other clinical information in the electronic medical record (EMR/EHR). Perform clinical tasks such as phlebotomy, EKGs, injections/vaccinations, specimen collection, and other duties within scope of training and certification. Accurately document patient interactions and clinical information using EMR/EHR systems. Deliver exceptional patient service while managing a high volume of patient interactions in a fast-paced clinical environment. Utilize EMR/EHR platforms such as Epic, Athenahealth, eClinicalWorks, or similar systems. Support patient care within a healthcare setting, including physician offices, clinics, urgent care centers, pharmacies, hospitals, or home health environments. Leverage bilingual communication skills to support patient interactions when applicable. Requirements: High School Diploma or equivalent, required. 1-2 years of hands-on clinical experience as a Medical Assistant or in a similar direct patient care role (e.g., Medical Assistant externship, CNA, HHA, Nursing Assistant, or Patient Care Technician), required. Experience performing clinical duties such as vital signs, patient rooming, phlebotomy, EKGs, injections, and specimen collection, required. Completion of a Medical Assistant training program and/or current CMA, RMA, or CCMA certification preferred. Proven patient-facing or customer service experience in a fast-paced environment, required. Bilingual Required - English & Spanish Health insurance (medical, dental, vision) Retirement Plan Paid time off (PTO) (vacation, sick) INDM2