Integrated Case Management Specialist, Full-Time
3 weeks ago
At Hackensack Meridian Health, we are seeking a highly skilled Integrated Case Management Specialist to join our team. This role will be responsible for performing selected services and functions related to insurance management with various payors, ortho calls, payer communications, and support of the Care Coordinators.
Key Responsibilities- Prepares required Appeals and Denial information for processing and follows up on receipt of communication, including Livanta appeal management process.
- Oversees the sorting and distribution of mail in the department.
- Answers case management and social work phones.
- Medicaid appointment, all discharge functions for the Care Coordinators, including seventy hour discharge report and providing patients with the IM Letter from Medicare prior to discharge.
- High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
- Experience in the healthcare industry.
- Effective written, oral, and interpersonal communications skills.
- Proficient computer, word-processing, and Excel spreadsheet skills.
- Ability to learn new computer systems, including EPIC and INDICIA.
- 1 year recent experience in a hospital or medical setting.
- BSW/CSW preferred.
Spends an average of 2.5 hours on the phone daily; average of 200 data inputs a day.
-
Integrated Case Management Specialist, Full-Time
3 weeks ago
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeTransforming Healthcare, One Patient at a TimeAt Hackensack Meridian Health, we're committed to delivering exceptional patient care and experiences. As an Integrated Case Management Specialist, you'll play a vital role in our mission to transform healthcare and serve as a leader of positive change.Key Responsibilities:Perform selected services and functions...
-
RN Case Manager
3 weeks ago
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeJob Title: RN Case ManagerAt Hackensack Meridian Health, we are seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for coordinating patient care activities to ensure that care meets evidence-based practice standards and regulatory/payer requirements.Key Responsibilities:Coordinate patient care activities to...
-
Alternate Rate RN Case Manager
3 weeks ago
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeJob Summary:As a RN Case Manager at Hackensack Meridian Health, you will play a vital role in coordinating patient care activities to ensure that care meets evidence-based practice standards and regulatory/payer requirements. This role integrates and coordinates utilization management, care coordination, and discharge planning functions. Responsibilities:The...
-
RN Case Manager Weekend Per Diem
3 weeks ago
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeJob Summary:The RN Case Manager Weekend Per Diem is responsible for coordinating patient care activities to ensure that care meets evidence-based practice standards and regulatory/payer requirements.This role integrates and coordinates utilization management, care coordination, and discharge planning functions. The RN Case Manager Weekend Per Diem is...
-
Family Support Specialist, Newton and Rockaway
3 weeks ago
Hackensack, Minnesota, United States Social Work PRN Full timeAs a key member of the Social Work PRN team, we are seeking a dedicated Family Support Specialist to provide case management services for families and children in Newton and Rockaway, NJ. This is a permanent, full-time position that requires some evening work. The ideal candidate will have excellent communication and organizational skills, with the ability...
-
Child Life Specialist, Full-Time
3 weeks ago
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeOur Team Members Make Us BetterAt Hackensack Meridian Health, we strive to create a culture of connection and collaboration. Our employees are valued team members who help our patients live better, healthier lives. We offer competitive benefits and support each other in our mission to transform healthcare and serve as a leader of positive change.Child Life...
-
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeJob Summary:The Senior Utilization Review Specialist collaborates with the healthcare team to ensure the integrity of clinical records for patients and Hackensack UMC. This role involves utilization review, hospital reimbursement, clinical compliance, case management, and transitions of care.Key Responsibilities:Regulatory complianceProvides direction and...
-
Personal Injury Paralegal/Case Manager
3 weeks ago
Hackensack, Minnesota, United States Bergen County Law Firm Full timeJob Title: Personal Injury Paralegal/Case ManagerAbout the Role:We are seeking a highly skilled and detail-oriented Personal Injury Paralegal/Case Manager to join our team at Bergen County Law Firm. As a key member of our legal support team, you will be responsible for providing exceptional support to our attorneys and clients in the area of personal injury...
-
Enterprise Applications Specialist
3 weeks ago
Hackensack, Minnesota, United States Pendulum Staffing Full timeJob Title: Enterprise Applications SpecialistJob Summary:Pendulum Staffing is seeking an experienced Enterprise Applications Specialist to join our team. As an Enterprise Applications Specialist, you will be responsible for ensuring the smooth operation of our management applications, including finance, practice-specific tools, and marketing software.Key...
-
Senior Child Life Specialist, Full-Time
3 weeks ago
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeJob SummaryThe Senior Child Life Specialist is a key member of the Hackensack Meridian Health team, responsible for providing a safe and nurturing environment for children and adolescents to cope with medical experiences. This role requires a deep understanding of child life interventions and a passion for supporting the psychosocial needs of patients and...
-
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeJob Summary:The Senior Utilization Review Specialist will collaborate with the healthcare team to manage and resolve activities that ensure the integrity of clinical records for the patient population and Hackensack UMC. This includes utilization review, hospital reimbursement, clinical compliance, case management, and transitions of...
-
IRS Collections Specialist
3 weeks ago
Hackensack, Minnesota, United States New Gig Solutions Full timeJob Summary:New Gig Solutions is seeking an experienced IRS Collection Specialist to join our team. As a key member of our tax resolution team, you will be responsible for assisting clients in resolving IRS collections matters, including setting up installment agreements, securing Offers in Compromise, and handling Currently Not Collectible cases.Key...
-
Pharmacy Technician Navigator I, Full-Time
3 weeks ago
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeAbout the RoleWe are seeking a highly skilled Pharmacy Technician Navigator I to join our team at Hackensack Meridian Health. As a Pharmacy Technician Navigator I, you will play a crucial role in ensuring patients receive their prescriptions smoothly and efficiently.Key ResponsibilitiesEstablish initial greetings to patients and explain services available...
-
Nurse Practitioner
3 weeks ago
Hackensack, Minnesota, United States Integrated Resources Full timeJob Summary:The Oncology Care Specialist is responsible for evaluating patients and assisting physicians with patient care. This role requires a strong understanding of medical procedures and the ability to work effectively in a fast-paced environment.Develops and implements individualized plans of care for patients assigned through initial and ongoing...
-
Wound Care Specialist
3 weeks ago
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeJob SummaryWe are seeking a highly skilled Clinical Nurse Specialist to join our team at Hackensack Meridian Health. As a Clinical Nurse Specialist, you will serve as a consultant to provide insight and potential solutions for complex clinical cases to improve patient care and outcomes for patients with wounds, ostomy, or continence related issues.Key...
-
Diagnostic Imaging Specialist
3 weeks ago
Hackensack, Minnesota, United States Compu-Vision Consulting Full timeJob Summary:The Diagnostic Imaging Specialist at Compu-Vision Consulting is responsible for performing a variety of specialized technical tasks in Diagnostic Ultrasound. This role utilizes high-frequency sound waves to assist medical and professional personnel in detecting anatomical abnormalities.Key Responsibilities:Performs procedures according to...
-
POS Data Management Specialist
3 weeks ago
Hackensack, Minnesota, United States United Merchant Services Full timePosition Overview:As a Data Management Manager, you will play a pivotal role in ensuring the seamless operation of our Point of Sale (POS) systems. Your responsibilities will encompass the setup of initial data entries, menus, and options for POS, managing data modifications and updates for new POS merchants during the initial period, and overseeing the...
-
Bilingual Paralegal Specialist
1 day ago
Hackensack, Minnesota, United States PrideStaff Full timeWe are seeking a detail-oriented Paralegal to join our team at a leading law firm in Hackensack, NJ. This role is a fantastic opportunity to work with a reputable company and grow your career in the field of Personal Injury.Key Responsibilities:Manage Prelitigation and Litigation matters from start to finish with a high level of accuracy and...
-
Hackensack, Minnesota, United States Hackensack Meridian Health Full timeJob SummaryAt Hackensack Meridian Health, we are seeking a skilled Care Coordinator, Utilization Management to join our team. This role is responsible for coordinating, communicating, and facilitating the clinical progression of patient treatment.Key ResponsibilitiesManage a designated patient caseload, planning effectively to minimize length of stay and...
-
Hackensack, Minnesota, United States Envision Physician Services Full timeHackensack University Medical Center, a 900-bed facility and ranked #1 Hospital in NJ, is seeking a BC/BE Fellowship trained Cardiac Anesthesiologist to join our growing practice.Highlights of this opportunity include:Largest team in the area of over 110 physiciansDedicated cardiac cases or mix availableStart date bonus of $150KWide variety of casesSupervise...