20 Best Registered Nurse jobs in Burlington, NJ (Hiring Now!)

Utilization Coordinator RN - FT - RMC
Capital Health —Trenton, NJ
Experience in case management field including utilization review, discharge planning, outcomes management, assessment, care planning, and/or care coordination.
Estimated: $76.5K - $96.9K a year
Registered Nurse (RN)
Barclays —Cherry Hill, NJ
Acting as a leader in providing guidance to LPNs and CNAs. Administering prescribed medications and injections. Shift/hours: Full Time, Overnight Shift.
$36 - $41 an hour
Quick Apply
12d
RN Supervisor 3p-11p
Spring Hills Hamilton —Township of Hamilton, NJ
Valid NJ Registered Nurse (RN) or Licensed Practical Nurse (LPN) license. Assess resident needs, develop care plans, administer nursing care, evaluate nursing…
$40 - $50 an hour
Quick Apply
Registered Nurse Homecare
Visiting Nurse Association of Central Jersey —Trenton, NJ
Car and valid driver’s license. Assess and evaluate the needs of patients with multiple disease processes and comorbidities and develop an appropriate plan of…
Estimated: $74.7K - $94.5K a year
1d
Director of Nursing, RN - $10k Sign On Bonus
Artis Senior Living of Princeton —Princeton, NJ
Fulfill and maintain continuing education credits as required by state. Meet regularly with support services, social services, and/or resident to evaluate…
From $105,000 a year
Quick Apply
Full Time Registered Nurse (RN) for ASC
Campus Eye Group Surgery Center —Township of Hamilton, NJ
You hold a valid NJ RN license and have your BLS and ACLS certification within 3 months. You’re independent when needed, a leader when needed, and content to…
$34 - $45 an hour
Quick Apply
Registered Nurse, Operating Room
Confidential Hospital —Burlington, NJ
Registered Nurse that has a Valid and current nursing license. OR nurse during weeknights and OR nurses/surgical tech’s hired for the weekends!
$46 - $55 an hour
Quick Apply
8h
Registered Nurse Operating Room, Pool - South Jersey Surgery Center
SCA Health —Mount Laurel, NJ
Current state nursing licensure to practice in good standings. Successful completion of Basic Life Support (BLS) within 90 of employment or documentation of…
From $45 an hour
1d
Registered Nurse (RN)
Xenon Health PC —Mercer County, NJ
Xenon Health PC is seeking a Registered Nurse for our Pain facility located in Mercer County, NJ. Responsibilities Include: All Pre and Post Op care including…
From $38 an hour
Quick Apply
4d
Registered Nurse
Occupational Training Center —Burlington, NJ
Valid driver license with acceptable driving record as set by OTC’s Insurance Carrier. Willingly and effectively cooperates with OTC, The Department of Human…
$75,000 a year
Quick Apply
2d
Registered Nurse - Medical/Surgical 2I - Full-Time - NIGHTS
Capital Health —Pennington, NJ
Mobilizes resources in complex cases to maximize patients control and participation over his/her own recovery. Adjusts quickly and reacts positively to change.
Estimated: $68.5K - $86.7K a year
Registered Nurse
Home Helpers Princeton —Burlington, NJ
\*\*Duties:\*\* - Provide high-quality patient care in accordance with established standards - Perform catheterizations and other medical procedures as required…
$40 an hour
Quick Apply
4h
Registered Nurse
North American Spine and Pain Consultants —Hainesport, NJ
Takes part in pre and post-op phone calls and communicates any problems to the appropriate person. Maintain accurate log books to comply with state and…
Estimated: $77.1K - $97.7K a year
Quick Apply
RN Outpatient Specialty Practice - FT - Day - Hematology Oncology Specialists
Capital Health —Pennington, NJ
Must attain second out of state RN license (NJ or PA) within three months from date of hire. Triages patient medical phone calls, assessing the patients' status…
Estimated: $65.4K - $82.8K a year
Registered Nurse - Orthopedics & Stroke Unit Part Time Day Shift
VIRTUA —Mount Holly, NJ
Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care. Must have valid NJ RN License.
Estimated: $72K - $91.1K a year
Triage Nurse -Saturday/ Sundays
Vitality Hospice and Palliative Care —Langhorne, PA
Must have PA and NJ license*. PA & NJ RN license (Required). Schedule- *Mon-Fri 5pm-9pmSaturday/ Sundays 10AM-6PM.
Estimated: $74.5K - $94.4K a year
Quick Apply
1d
Registered Nurse - Medical Care (RMC) - Full-Time - NIGHTS
Capital Health —Trenton, NJ
Other Credentials: AHA BLS - Healthcare Provider,Registered Nurse – NJ or Registered Nurse – NLC multi-state. Attends educational sessions when offered in areas…
Estimated: $69.5K - $87.9K a year
Hospice RN- Inpatient Unit- 7p to 7a
Serenity Hospice Care, LLC —Trenton, NJ
They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. Supervises the Hospice Aides and LPN's.
$40 - $45 an hour
Quick Apply
10d
Registered Nurse - Infusion
Princeton Integrative Health —Township of Lawrence, NJ
Current certification as an Infusion Nurse or willingness to obtain certification within a specified timeframe. Job Types: Full-time, Part-time.
$40 - $50 an hour
Quick Apply
2d
Registered Nurse
Southern New Jersey Perinatal Cooperative —Pennsauken, NJ
B.S. degree in nursing with current RN license, or B.A. degree in another field with current RN license, or A.S. Critical Illness and Accident Plan.
$83,000 - $85,000 a year

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Utilization Coordinator RN - FT - RMC

Capital Health - Trenton, NJ

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Job Details

Full-time Estimated: $76.5K - $96.9K a year

Qualifications

Microsoft Excel
Utilization review
RN License
5 years
Content management systems
Case management
AS400
Discharge planning

Full Job Description

Work Shift:

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 advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

SUMMARY (BASIC PURPOSE OF THE JOB)

Coordinates the Utilization Review function for Capital Health related to third party reimbursement, denials and appeals and clinical audits. Ensures responsibility for the Performance Improvement, Utilization Manager productivity, and Quality Improvement activities in the department. Ensures responsibility for all regulatory readiness and preparation activity in the department.

MINIMUM REQUIREMENTS

Education: Graduation from an accredited School of Registered Nursing.

Experience: Five years of experience in nursing. Experience in case management field including utilization review, discharge planning, outcomes management, assessment, care planning, and/or care coordination.

Other Credentials:Registered Nurse - NJ

Knowledge and Skills:Knowledge of CMS guidelines, payor specific guidelines, contractual rules, and applicable clinical guidelines. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.

Special Training:Word Processing, Spreadsheet software. Ability to use electronic mail, AS 400 system and other Utilization Management software and patient information software.

Mental, Behavioral and Emotional Abilities:

Usual Work Day:8 Hours

REPORTING RELATIONSHIPS

Does this position formally supervise employees? Yes

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

Monitors the inpatient utilization process and ensures that the process is performed adequately on all inpatients in accordance with applicable standards, regulations and payer contracts.
Manages the denial and appeal process for the department.
Interfaces with the Health Information Management (HIM) and Patient Finance departments to coordinate clinical components to ensure appropriate reimbursement.
Performs accurately chart and utilization review audits as directed.
Supports the Capital Health Utilization Committee with analysis of clinical outcomes data.
Exercises discretion and judgement to evaluate, develop and implement computer based data systems to support the utilization management and reporting functions. Prepares accurate and timely reports on all data collected as directed that demonstrates the effectiveness of the utilization program.
Prepares for and maintains accurate records of utilization audits by payors and QIO.
Maintains current and accurate knowledge of relevant CMS, NJDHSS, DOBI and QIO regulations related to managed care and utilization.
Coordinates the training of staff in utilization management processes ensuring staff expertise and performance.
Participates in Joint Commission (TJC) and other regulatory readiness and preparation activity, as directed.
Develops departmental performance improvement projects.
Manages the UM physician advisor program at Capital Health.
Oversees the denial life cycle process for the department. Enters and updates denials into the UR software system.
Reviews all denial entries daily for accuracy (Admission, Continuous Stay, Dropped Level of Care and Retrospective Audit). Corrections made when applicable.
Reviews and updates denial status from pending and open denials (concurrent reconsideration and peer-to-peer review) to sending denials for formal appeals daily.
Extracts denials from the UR software system and prepares them in a excel spreadsheet to be electronically submitted for retrospective appeal.
Updates appeal status upon notification. Manages, reports and writes retrospective Medicaid Appeal Audit denials.
Prepares and submits the written appeal to the auditing agency.
Monitors, tracks, manages and completes the retrospective audit denial appeals process.
Track denial life cycle tracking and monitoring using an excel electronic platform.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Sitting , Standing , Keyboard use/repetitive motion

Occasional physical demands include: Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities

Continuous physical demands include:

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing

Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease

IND123

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."

Apply Now

Registered Nurse jobs in Burlington, NJ

Utilization Coordinator RN - FT - RMC

Registered Nurse (RN)

RN Supervisor 3p-11p

Registered Nurse Homecare

Director of Nursing, RN - $10k Sign On Bonus

Full Time Registered Nurse (RN) for ASC

Registered Nurse, Operating Room

Registered Nurse Operating Room, Pool - South Jersey Surgery Center

Registered Nurse (RN)

Registered Nurse

Registered Nurse - Medical/Surgical 2I - Full-Time - NIGHTS

Registered Nurse

Registered Nurse

RN Outpatient Specialty Practice - FT - Day - Hematology Oncology Specialists

Registered Nurse - Orthopedics & Stroke Unit Part Time Day Shift

Triage Nurse -Saturday/ Sundays

Registered Nurse - Medical Care (RMC) - Full-Time - NIGHTS

Hospice RN- Inpatient Unit- 7p to 7a

Registered Nurse - Infusion

Registered Nurse

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