Clinical Resource Manager
1 week ago
At St. Clare's - Boonton, we are committed to delivering high-quality, patient-centered care. As a Behavioral Health Utilization Review Specialist, you will play a critical role in ensuring that our patients receive the necessary resources and support to achieve optimal outcomes.
Key Responsibilities- Conduct thorough reviews of patient medical records to determine medical necessity, intensity of service, and severity of illness.
- Collaborate with external case managers and managed care organizations to secure pre-authorization, concurrent reviews, and appeals/denials management.
- Assist the treatment planning team in understanding insurance requirements and complete UR audits for billing compliance.
- Develop and implement strategies to facilitate quality, clinical, and cost-effective outcomes.
- Bachelor's degree in Social Work, Psychology, or a related field.
- Knowledge of DSM 5 diagnosis and medical necessity criteria for behavioral health levels of care.
- Knowledge of basic psychological and medical terminology.
- Masters degree in Social Work, Psychology, or a related field.
- One year of experience in direct care (inpatient or outpatient) mental health, case management, discharge planning, or nursing management.
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Human Resources Internship Opportunity
5 hours ago
Boonton, New Jersey, United States Omega Dynamics Full timeInternship in Human Resources at Omega DynamicsWe are seeking a highly motivated and detail-oriented individual to join our Human Resources department as an intern. As an intern, you will have the opportunity to gain hands-on experience in personnel support and recruiting.Key Responsibilities:Assist in the recruitment process, including job postings,...
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Human Resources Legal Advisor
2 weeks ago
Boonton, New Jersey, United States Jobot Full timePosition Overview:This role is essential for providing legal expertise in labor and employment matters within a prominent healthcare organization. The successful candidate will engage with various stakeholders to ensure compliance and mitigate risks associated with employment practices.Key Responsibilities:Legal Advisory: Deliver comprehensive legal guidance...
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Clinical Specialist
1 day ago
Boonton, New Jersey, United States St. Clare's - Boonton Full timeAbout St. Clare's - BoontonAt St. Clare's - Boonton, our dedicated team of professionals is committed to delivering high-quality, compassionate care to our patients and their families.We are part of Prime Healthcare, a leading provider of healthcare services, and we are actively seeking new members to join our award-winning team.Our network of hospitals and...
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Assistant Director of Nursing
1 day ago
Boonton, New Jersey, United States Troy Hills Center - Parsippany, NJ Full timeJob SummaryWe are seeking a highly skilled and experienced Assistant Director of Nursing to join our team at Troy Hills Center in Parsippany, NJ. As a key member of our nursing leadership team, you will play a critical role in ensuring the delivery of high-quality patient care and achieving positive clinical outcomes.Key ResponsibilitiesCollaborate with the...
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Revenue Cycle Manager
6 days ago
Boonton, New Jersey, United States MAX Surgical Specialty Management Full timeJob DescriptionThe Revenue Cycle Manager at MAX Surgical Specialty Management oversees all financial operations and revenue cycle functions to maximize cash flow and improve customer relations. Key responsibilities include managing the financial operations team, optimizing processes, ensuring compliance, providing analysis, creating written processes, and...
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Energy Systems Project Manager
4 days ago
Boonton, New Jersey, United States Infinity Ventures Full timeAbout Infinity VenturesInfinity Ventures is a leading energy service provider in Northern Germany, offering innovative solutions for climate protection and reliable energy and communication technology to municipalities, companies, and private customers.Our MissionWe aim to be a partner of the energy transition, providing efficient and sustainable energy...
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Assistant Director of Nursing
5 days ago
Boonton, New Jersey, United States Troy Hills Center - Parsippany, NJ Full timeJob SummaryWe are seeking a highly skilled and experienced Assistant Director of Nursing to join our team at Troy Hills Center in Parsippany, NJ. As a key member of our nursing leadership team, you will play a critical role in ensuring the delivery of high-quality patient care and achieving positive clinical outcomes.Key ResponsibilitiesCollaborate with the...
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Boonton, New Jersey, United States St. Clare's - Boonton Full timeAbout the RoleAt St. Clare's - Boonton, we are committed to delivering high-quality, patient-centered care. As a Behavioral Health Utilization Review Specialist, you will play a critical role in ensuring that our patients receive the necessary resources and support to achieve optimal health outcomes.Key ResponsibilitiesConduct thorough reviews of patient...
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Boonton, New Jersey, United States St. Clare's - Boonton Full timeAbout the RoleAt St. Clare's - Boonton, we are committed to delivering high-quality, patient-centered care. As a Behavioral Health Utilization Review Specialist, you will play a critical role in ensuring that our patients receive the necessary resources and support to achieve optimal health outcomes.Key ResponsibilitiesConduct thorough reviews of patient...
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Boonton, New Jersey, United States St. Clare's - Boonton Full timeAbout St. Clare's - BoontonSt. Clare's - Boonton is a leading healthcare provider dedicated to delivering high-quality, patient-centered care. Our team of professionals is committed to upholding the values of quality, compassion, and community.Job SummaryWe are seeking a skilled Behavioral Health Utilization Review Coordinator to join our team. The...
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Boonton, New Jersey, United States St. Clare's - Boonton Full timeAbout St. Clare's - BoontonSt. Clare's - Boonton is a leading healthcare provider dedicated to delivering high-quality, patient-centered care. Our team of professionals is committed to upholding our core values of quality, compassion, and community.Job SummaryWe are seeking a skilled Behavioral Health Utilization Review Coordinator to join our team. The...
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Licensed Practical Nurse
4 days ago
Boonton, New Jersey, United States Troy Hills Center - Parsippany, NJ Full timeJob SummaryWe are seeking a skilled Licensed Practical Nurse to join our team at Troy Hills Center in Parsippany, NJ. As a LPN, you will play a vital role in delivering high-quality patient care and contributing to a positive clinical outcome.Key Responsibilities:Evaluate patients/residents to collect data, observe condition, and report changes in...
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Licensed Practical Nurse
5 days ago
Boonton, New Jersey, United States Troy Hills Center - Parsippany, NJ Full timeJob SummaryWe are seeking a skilled Licensed Practical Nurse (LPN) to join our team at Troy Hills Center in Parsippany, NJ. As an LPN, you will play a vital role in delivering high-quality patient care and contributing to a positive clinical outcome.Key ResponsibilitiesEvaluate patients/residents to collect data, observe condition, and report changes in...
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Licensed Practical Nurse
3 days ago
Boonton, New Jersey, United States Troy Hills Center - Parsippany, NJ Full timeJob SummaryWe are seeking a skilled Licensed Practical Nurse to join our team at Troy Hills Center in Parsippany, NJ. As a LPN, you will play a vital role in delivering high-quality patient care and contributing to a positive clinical outcome.Key ResponsibilitiesEvaluate patients/residents to collect data, observe condition, and report changes in...
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Chief Financial and Administrative Officer
2 weeks ago
Boonton, New Jersey, United States Crawford Thomas Recruiting Full timeSalary: $175k-$200k+Summary: CHIEF FINANCIAL & ADMINISTRATIVE OFFICERAre you ready to lead the transformation of the amusement park sector?The Chief Financial and Administrative Officer will spearhead our Finance & Administration Team. This pivotal role has emerged from the pressing need to establish processes and technological advancements that will enhance...
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Healthcare Revenue Operations Leader
2 weeks ago
Boonton, New Jersey, United States MAX Surgical Specialty Management Full timeJob OverviewWe are looking for a Revenue Cycle Manager to become a vital part of MAX Surgical Specialty Management.Are you ready to oversee the financial operations of a healthcare organization? As a Revenue Cycle Manager at MAX, you will spearhead efforts to enhance our billing and revenue systems, ensuring optimal cash flow and patient satisfaction. This...
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Healthcare Revenue Operations Leader
2 weeks ago
Boonton, New Jersey, United States MAX Surgical Specialty Management Full timeJob OverviewWe are looking for a Healthcare Revenue Operations Leader to be a vital part of MAX Surgical Specialty Management.Are you ready to oversee the financial framework of a healthcare facility? As a Healthcare Revenue Operations Leader at MAX, you will spearhead the enhancement of our billing and revenue systems, ensuring optimal cash flow and patient...
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Industrial Process Engineer
10 hours ago
Boonton, New Jersey, United States Pipeline Equipment Resources Company (PERC) Full time**Job Summary:**We are seeking a highly skilled Industrial Process Engineer to join our team at Pipeline Equipment Resources Company (PERC). As a key member of our product development and improvement team, you will be responsible for ensuring the quality and efficiency of our manufacturing processes.Key Responsibilities:Collaborate with cross-functional...
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Labor Relations Attorney
2 weeks ago
Boonton, New Jersey, United States Jobot Full timePosition Overview:This role involves providing expert legal guidance to human resources professionals, management, and executives on a wide range of labor and employment law matters. Your expertise will be crucial in navigating issues such as discrimination, workplace safety, and compliance with wage and hour laws.Key Responsibilities:Legal Advisory: Deliver...
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Flood Recovery Project Leader
2 weeks ago
Boonton, New Jersey, United States Xactly byGTE Full timeXactly Restoration Recruiters is proud to represent a distinguished client in search of a seasoned Water Damage Project Manager to enhance their operational team.As the largest recruiting agency in North America's restoration sector, we ensure that our services remain confidential and at no cost to candidates. Our commitment is to connect only top-tier...