Jobs in the United States

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Added 2 mins ago
Physician Pay Analyst
Intermountain Health
Cheyenne, WY
Advanced working knowledge of spreadsheets, word processing, and payroll/timekeeping programs.
Added 2 mins ago
SYSTEMS CLINICAL NUTRITION MANAGER II
Compass Group, North America
Cheyenne, WY
Wellness & Support – Employee Assistance Program, FSAs, and health programs
Added 35 mins ago
Sr Manager Talent Acqusition
Realtor.com
Scottsdale, AZ
Tuition Reimbursement program for degreed and non-degreed programs
Added 35 mins ago
P
Key Account Director RD
Pfizer
Phoenix, AZ
- $176,600 to $294,300 USD / year
Bachelor's Degree required. MBA or advanced degree in a related field preferred.
Added 41 mins ago
J
Strategic Sourcing Manager - Contract Manufacturing
Jobgether
Remote, United States
- $98,290.6 to $132,981.4 USD / year
…next steps. Our partner is looking for a Strategic Sourcing Manager - Contract Manufacturing based in the United…
Added 47 mins ago
DH
Cytotechnologist III - Lab-Cytology
Dartmouth Health
Lebanon, NH
- $36.49 to $56.56 USD / hour
The cytology section works closely with the world-renowned Dartmouth Laboratory for Clinical Genomics and Advanced Technology (CGAT) and has major funded research programs in informatics,…
Added 57 mins ago
BC
Assessment Support Manager
Butte County
Oroville, CA
- $29.32 to $39.28 USD / hour
…implementing policies and procedures for assigned division, program and project management, and reporting. Incumbents serve as a professional-level resource for research, analyses, and…
Added 57 mins ago
Production Manager - Manufacturing
Symmetrio
Littleton, MA
Symmetrio is recruiting a Production Manager for our customer, a medical technology manufacturer developing and producing advanced systems used in cancer treatment and other specialized…
Added 57 mins ago
Professional Services Sales Manager
Symmetrio
Remote, United States
Symmetrio is recruiting for their client, a global leader in medical device, for a Professional Services Sales Manager to drive adoption of consulting and service solutions across health…
Added 57 mins ago
Program Manager
Kratos Defense & Security Solutions, Inc.
Glen Burnie, MD
Kratos Space & Missile Defense Systems is seeking a Program Manager to provide management, leadership, and oversight for developmental launch vehicle and hypersonic vehicle programs all…
Added 58 mins ago
AMC-R Production Program Manager 3
Northrop Grumman
Baltimore, MD
Northrop Grumman, Mission Systems (NGMS) is looking for a Manager, Programs Level 3 to lead a production team within Advanced Mission Capabilities business unit’s Restricted organization…
Added 58 mins ago
Manager Facilities Strategy 3
Northrop Grumman
Baltimore, MD
Demonstrated experience leading large, cross-functional programs or projects to meet schedule, cost, and performance requirements as a project lead, integrated program team lead, or cost…
Added 1 hour ago
Senior Program Manager - Phantom Works Weapons
The Boeing Company
Saint Charles, MO
Candidates must live in the immediate area or relocate at their own expense
Added 1 hour ago
J
Director, National Accounts
Jobgether
Remote, United States
- $236,708 to $260,200 USD / year
Navigate complex payer structures and affiliated subsidiaries to understand their services, programs, and potential impact on relevant therapeutic categories.
Added 1 hour ago
RN Trainer Auditor PRN
Intermountain Health
Jefferson City, MO
+ Work collaboratively with SelectHealth's HEDIS Manager, Quality Consultants, and Data Analyst
Added 1 hour ago
Data Governance Technology Portfolio & Programme Associate Director
EY
Los Angeles, CA · San Francisco, CA · Secaucus, NJ · Rochester, NY · Austin, TX · Jacksonville, FL · Chicago, IL · Boston, MA · Raleigh, NC · Jericho, NY · Dallas, TX · Fort Worth, TX · Alpharetta, GA · Washington, DC · Seattle, WA · Minneapolis, MN · Philadelphia, PA · Atlanta, GA · Cleveland, OH · Hoboken, NJ
The Technology Enablement Portfolio and Program Manager is an Associate Director role within the Global Data Stewardship Office (DSO). The role turns DSO strategy into a coherent,…
Added 1 hour ago
Senior Manager, Contract Ops & Revenue Integrity (Remote)
Otsuka America Pharmaceutical Inc.
Jefferson City, MO
The Senior Manager, Contract Operations & Revenue Integrity is responsible for protecting and optimizing the gross-to-net (GTN) revenue for the company's drug portfolio. Operating at the…
Added 1 hour ago
Senior Product Manager, Mobile Apps - Vehicle Productivity and Electrification Experiences
Ford Motor Company
Jefferson City, MO
…help us redefine the future of mobility. As a Digital Product Manager at Ford, you will work cross-functionally to ensure the products we build will meet and elevate our customers'…
Added 1 hour ago
M
Business Solutions Program Manager
Microsoft
WA · Redmond, WA · Redmond
- $130,900 to $303,600 USD / year
…partners worldwide, and we are looking for a Business Solutions Program Manager to help achieve that…
Added 1 hour ago
VV
Product Manager I Health Plan Technology Services
Veracity Ventures Inc.
Greensboro, NC
- $110,000 to $168,000 USD / year
Working at the intersection of business strategy, customer experience, and technology, the Product Manager IV partners closely with stakeholders across Digital Product, Marketing,…
Added 1 hour ago
Senior UX Program Manager, Envisioning Studio
Google
New York, NY
As a UX Program Manager, you will combine expert project management with a passion for user experience to improve the design of products used by billions. Your role is to plan projects,…
Added 1 hour ago
Talent Acquisition Manager
Employee Owned Holdings, Inc.
Houston, TX
Partner with the Human Resources team on other HR functions and projects (i.e. talent development programs, internship program, etc.)
Added 1 hour ago
Program Manager, Senior - Delegation Oversight
BSC
Long Beach, CA · CA · El Dorado Hills, CA · Lodi, CA · Oakland, CA · Rancho Cordova, CA · Redding, CA · San Diego, CA · Woodland Hills, CA
The Program Manager, Senior will report to the Sr. Manager, Credentialing Delegation Oversight. In this role, you will be managing several projects that involve the DO department, including…
Added 1 hour ago
T
IT Technical Program Manager
TEKsystems
Honolulu, HI
- $110,000 to $120,000 USD / year
…budgets, priorities, and projects for SAP information technology programs and related technologies. The role requires collaboration with directors, managers, and customer stakeholders. As a…
Added 2 hours ago
VH
Advanced Medical Support Assistant
Veterans Health Administration
Milwaukee, WI
- $47,488 to $61,734 USD / year
…hospitals, diagnostics, and treating facilities and community based…

Hackensack Meridian Health

Care Management, Care Coordinator, Utilization Management

Neptune, NJ, United States

From $107,952 USD / year

Apply on careers-hackensackmeridianhealth.icims.com About employer

Applications open in a new tab.

Job details

Pay: From $107,952 USD / year
Apply by: Nov 2, 2027
Posting language: English
Posted: Nov 2, 2026

Original job description

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows the state of New Jersey regulations for Nursing.

Responsibilities

A day in the life of a Care Management, Care Coordinator, Utilization Management at Hackensack Meridian Health includes:

Follows departmental workflows for utilization review activities including admission reviews, admission denials, continued stay reviews, continued stay denials, termination of benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record utilization reviews.
Obtains and evaluates medical records for inpatient admissions to determine if required documentation is present.
Obtains appropriate records as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions.
Performs chart reviews for appropriateness of admission and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the first business day.
Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action.
Participates actively on appropriate committees, workgroups, and or meetings.
Identifies and refers quality issues for review to the Quality Management Program.
Participates in multidisciplinary rounds, specific to assigned units. Brings forth issues which impact discharge and length of stay in a timely manner.
Performs appropriate reassessments and evaluates progress against care goals and the plan of care and revises plans, as needed.
Collaborates with all members of the multidisciplinary team to support length of stay reduction and observation management goals.
Provides appropriate CMS documents to the patient and family/support person as per regulatory guidelines (ie., Important Message 4 to 48 hours prior to discharge, appeal and HINN notices)
Maintains annual competencies and completes training and continuing education in applicable platforms. (Epic, Xsolis Cortex, Enterprise Analytics, Google Suites).
Other duties and/or projects as assigned.
Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position.
Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills.
Excellent verbal, written and presentation skills.
Moderate to expert computer skills.
Familiar with hospital resources, community resources, and utilization management.

Licenses and Certifications Required:

NJ State Professional Registered Nurse License.
AHA Basic Health Care Life Support HCP Certification.

Licenses and Certifications Preferred:

Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case Management Association (ACMA) certification strongly preferred.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Starting Minimum Rate Minimum rate of $107,952.00 Annually Job Posting Disclosure HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

Apply on careers-hackensackmeridianhealth.icims.com About employer

More about this job

Skills

Communication skills
Documentation
Quality assurance procedures
CMS
Decision making
Problem solving
Leadership
Presentation skills
Computer skills
RN
Case management

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Work requirements

Jobs in the United States