Utilization review nurse jobs in New Jersey

Job Title: Infusion RN Department Name: Home Infusion Status: Salaried Shift: Day Pay Range: $71,604.00 - $97,500.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: Coordinates the nursing component for home infusion therapies from the hospital setting., and acts as a resource person. Participates in program development, quality assurance and the delivery of care. Remains familiar with all pumps, access devices, drugs and central lines. Develops and maintains relationships with referral services and client base. Determines appropriateness of patients for home therapy. Does patient care when needed and on-call. Qualifications: Required: Current licensure by the New Jersey Board of Nursing as a Registered Professional Nurse. lV certification required. Successful completion of orientation programs. Preferred: PICC and Chemo certification preferred. Previous home care experience desired. Scheduling Requirements: Full-Time, Salaried position- 37.5 hours a week Monday - Friday 7.5 hour shifts On-call requirements as needed Essential Functions: Coordinates all patient discharges from the hospital including follow-up communication with the case manager. Coordinates nursing care with contracted nursing agencies. Coordinates nursing for Medicare/Medicaid recipients with a certified agency. Faxes MD orders, client info and completes. Coordination of Care with the nursing agency. Has a clear plan when emergencies arise and has the ability to cover patients in such situations. Has the ability to perform the field nurses' job when assigned. Increase referrals from hospital by 10% for the year. Makes arrangements for teaching to home infusion patients and caregivers as required, will complete teach in hospital when needed. Provides education to patients that will go home on subcutaneous medication. Provides education to transplant patients on oral medication regarding benefits and process for NBI and SBN4C. Provides nursing services for patients that need to be connected to medication prior to discharge. Receives and evaluates referrals for home care appropriateness for the nursing component for home infusion therapies. Understands and adheres to the company policy and requirements. EG: Snow day and sick time Understands and participates on different committees or plans. EG Emergency Operation Verities supplies needed with the pharmacy department, assists with coordination of the delivery times and communicates such with field R.N.'s. Willing to be cross trained to work or assist in other areas. Helps co-workers when appropriate. Willingness and flexible to work alternating work schedules on short notice. Will support management and do what is asked. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Benefits and Perks: At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer

GRADUATE NURSE/NURSE RESIDENCY PROGRAM Registered Nurse Residency Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Looking for a nursing career rooted in purpose, close to your heart and home? At Encompass Health, you'll play a vital role in patients' recoveries-providing individualized, compassionate care that makes a lasting impact. Here, small victories add up to monumental change, and you'll thrive in an environment built on support, advanced resources, and teamwork. For new graduates or nurses with less than one year of experience, our 9-month Nurse Residency Program offers structured guidance and added support as you begin your career in rehabilitation nursing. With extended orientation, interdisciplinary shadowing, focused education, and an evidence-based project, the program sets you up for long-term success. Encompass Health is where nursing becomes more than a job-it's a meaningful contribution to your patients, your community, and yourself. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits Our benefits are designed to support your well-being and start on day one: Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. Generous paid time off that accrues over time. Opportunities for tuition reimbursement and continuous education. Company-matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Realize Your Vision as a New Registered Nurse Join a supportive RN cohort with a structured curriculum designed to build confidence, enhance your skills, provide mentorship and set you up for long-term success. Build meaningful relationships with patients and their families, understanding their unique needs to facilitate their recovery. Collaborate and communicate effectively with various departments to ensure coordinated care and provide direct patient care when needed. Celebrate victories and milestones achieved by our patients. Qualifications Valid RN licensures as required by state regulations. CPR certification (ACLS preferred). The Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. We're eager to meet you, and we genuinely mean that. Join us on this remarkable journey!

**Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Use your skills to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers **Preferred Qualifications** + Education: BSN or bachelor's degree in a related field + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format - HireVue** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Benefits** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-25-2025 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours: Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST. *****This position will service members in different states; therefore, Multi-State Licensure will be required. This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria. The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How you will make an impact: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Assists with development of utilization/care management policies and procedures. Minimum Requirements: Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state required. Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: Case Management experience. Certification as a Case Manager. Minimum 2 years' experience in acute care setting. Managed Care experience. Ability to talk and type at the same time. Demonstrate critical thinking skills when interacting with members. Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408. Locations: Colorado; New York; New Jersey In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

MedWiz Pharmacy of New Jersey is a leading provider of long-term care & skilled nursing pharmacy services. We are actively seeking people like you- passionate, highly skilled and motivated to make a difference! Join the MedWiz of New Jersey team as a pharmacy Nurse Consultant/Account Manager, where you will provide outstanding clinical services to our facilities and collaborate with the clinical and customer service teams. Key Responsibilities: Build and maintain excellent working relationships with all facility leadership and nursing teams, acting as a liaison between the pharmacy and facility Provide expert advice & recommendations to the pharmacy & nursing teams Provide survey support to SNF and LTC facilities, which will include med pass observations, audits, educational sessions and providing reports in a timely fashion Provide excellent customer service and account management responsibilities Collaborate with the clinical pharmacy & customer service teams Maintain an expert level of knowledge of all federal & state rules & regulations surrounding the SNF & LTC settings, as applicable to this position Must have a reliable vehicle for transportation and be willing to travel to all buildings serviced by MedWiz Pharmacy as scheduled Participate in policy and procedure review and development, and other activities as needed Participate in recruitment, onboarding, and orientation of clinical leadership and nursing teams Requirements: Previous long-term care experience, RN or LPN

About us: Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities The Utilization Review Nurse's duties will include, but are not limited to: Support internal claims adjusting staff in the review of workers' compensation claims Review records and requests for UR, which may arrive via mail, e-mail, fax, or phone Meet required decision-making timeframes Clearly document all communication and decision-making within our insurance software system Establish collaborative relationships and work as an intermediary between clients, patients, employers, providers, and attorneys Utilize good clinical judgment, careful listening, and critical thinking and assessment skills Track ongoing status of all UR activity so that appropriate turn-around times are met Maintain organized files containing clinical documentation of interactions with all parties of every claim Send appropriate letters on each completed UR Salary Range $65,000.00 - $100,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Qualifications Active Licensed Practical Nurse and/or Registered Nurse License 1+ years of utilization review experience at a managed care plan or provider organization 2 + years' clinical experience preferably in case management, rehabilitation, orthopedics, or utilization review Excellent oral and written communication skills, including outstanding phone presence Strong interpersonal and conflict resolution skills Experience in a fast-paced, multi-faceted environment The ability to set priorities and work both autonomously and as a team member Well-developed time-management and organization skills Excellent analytical skills Working knowledge of: Microsoft Word, Excel, and Outlook

**his position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management.** **Responsibilities:** 1. Assesses patient's clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay. 2. Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided. 3. Coordinates and assists in implementation of plan for members. 4. Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome. 5. Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care. 6. Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness. 7. Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided. 8. Encourages member participation and compliance in the case/disease management program efforts. 9. Documents accurately and comprehensively based on the standards of practice and current organization policies. 10. Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care. 11. Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes. 12. Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes. 13. Completes other assigned functions as requested by management. Core Individual Contributor Competencies. Personal and professional attributes that are critical to successful performance for Individual Contributors: Customer Focus, Accountable, Learn, Communicate. **Qualifications:** **Education/Experience** 1. Requires an associate's or bachelor's degree (or higher) in nursing and/or a health related field OR accredited diploma nursing school. 2. Requires a minimum of two (2) years clinical experience. **Additional licensing, certifications, registrations:** 1. Requires an active New Jersey Registered Nurse License. **Knowledge:** - Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; prefers knowledge in the use of intranet and internet applications. - Prefers working knowledge of case/care management principles. - Prefers working knowledge of principles of utilization management. - Prefers basic knowledge of health care contracts and benefit eligibility requirements. - Prefers knowledge of hospital structures and payment systems. **Skills and Abilities:** - Analytical - Compassion - Interpersonal & Client Relationship Skills - Judgment - Listening - Planning/Priority Setting - Problem Solving - Team Player - Time Management - Written/Oral Communication & Organizational Skills **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *********************** (********************************** . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are proud of the quality care we provide members and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: ****************************************** NP Responsibilities: Perform annual in-home wellness visits and risk adjustment health assessments on a population with chronic conditions; Our thorough evaluations include: a comprehensive assessment, physical examination, body system review, vital signs, review of medication history, review of current prescriptions, review of member functional status, pain management, cognitive assessment, review of the home environment, fall risk screening, social assessment, review of daily living activities, mental health screening, documentation and communication You will play a pivotal role in providing individualized quality care to the elderly population in their homes Deliver patient health education on topics such as pain management, medication, etc. Build relationships of trust with members through exceptional communication and empathy Assist in closing quality care gaps (i.e. screenings and labs) An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Camden County, NJ Requirements NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel within the assigned job posting county up to a maximum 55-mile radius Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to member's homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Benefits Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule Evening and weekend availability Never on-call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology

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. 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 minimum pay 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). Minimum Pay: $38.63 Position Overview Performs chart review of identified patients to identify quality, timeliness and appropriateness of patient care. Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and self pay patients, based on appropriate guidelines. Uses these criteria guidelines to screen for appropriateness for inpatient level of care or observation services based on physician certification (physicians H&P, treatment plan, potential risks and basis for expectation of a 2 midnight stay). Refers cases as appropriate, to the UR physician advisor for review and determination. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Performs concurrent and retrospective clinical reviews with various payers, utilizing the appropriate guidelines as demonstrated by compliance with all applicable regulations, policies and timelines. Adheres to CMS guidelines for utilization reviews as evidenced by utilization of the relevant guidelines and appropriate referrals to the physician advisor and the UR Committee. Identifies, develops and implements strategies to reduce length of stay and resource consumption. . Confers proactively with admitting physician to provide coaching on accurate level of care determinations at point of hospital entry. Keeps current on all regulatory changes that affect delivery or reimbursement of acute care services. Uses knowledge of national and local coverage determinations to appropriately advise physicians. Understands and applies federal law regarding the use of Hospital Initiated Notice of Non-Coverage (HINN) and Lifetime Reserve Days letters. Identifies and records consistently any information on any progression of care or patient flow barriers using the Avoidable Days tool in the Utilization software program. Consults with medical staff, care team and case managers as necessary to resolve immediate progression of care barriers through appropriate administrative and medical channels. Engages care team colleagues in collaborative problem solving regarding appropriate utilization of resources. Recognizes and responds appropriately to patient safety and risk factors. Represents Utilization Management at various committees, professional organizations an physician groups as needed. Promotes the use of evidence based protocols and or order sets to influence high quality and cost effective care. Identifies, develops and implements strategies to reduce lengths of stay and resource consumption in the patient population. Participates in performance improvement activities. Promotes medical documentation that accurately reflects findings and interventions, presence of complication or comorbidities, and patient's need for continued stay. Identifies and records episodes of preventable delays or avoidable days due to failure of progression of care processes. Maintains appropriate documentation in the Utilization software system on each patient to include specific information of all resource utilization activities. Participates actively in daily huddles, patient care conferences, and hospitalist or nurse handoff reports to maintain knowledge about intensity of services and the progression of care. Identifies potentially wasteful or misused resources and recommends alternatives if appropriate by analyzing clinical protocols. Maintains related continuing education credits = 15 per calendar year. MINIMUM REQUIREMENTS Education: Minimum of Associate's degree in Nursing. Graduate of an accredited school of nursing. CPHQ, CCM or CPUR preferred. Experience: Three years of clinical nursing or two years quality management, utilization review or discharge planning experience. Other Credentials: Registered Nurse - NJ Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review or discharge planning experience. CPHQ, CCM or CPUR preferred. Special Training: Basic computer skills including the working knowledge of Microsoft Office, UR software and EMR. Possesses familiarity with MCG guidelines. Mental, Behavioral and Emotional Abilities: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Usual Work Day: 8 Hours PHYSICAL DEMANDS AND WORK ENVIRONMENT Frequent physical demands include: Sitting , Standing , Walking Occasional physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Keyboard use/repetitive motion , Talk or Hear Continuous physical demands include: Lifting Floor to Waist 10 lbs. Lifting Waist Level and Above 5 lbs. Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate Hearing Anticipated Occupational Exposure Risks Include the following: N/A Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants 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." For benefit eligible roles, in addition to cash compensation, we provide a comprehensive and highly competitive benefits package, with a variety of physical health, retirement and savings, caregiving, emotional wellbeing, transportation, robust PTO plan, overtime to eligible roles, and other benefits, including "elective" benefits employees may select to best fit the needs and personal situations of our diverse workforce. The pay rate 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.

The registered professional nurse provides and directs skilled nursing care and implements the medical plan of treatment that is prescribed by a licensed physician. The scope of nursing practice will include “assessment, diagnosing and treating the human response to actual or potential physical or emotional health problemsâ€. (ANA nursing practice) This practice will be implemented through both supportive and restoration care. This care is delivered within the guidelines of the ANA Standards of Care and the policies of the agency. Experience: Experience in home care nursing preferred. Physical Requirements: Visual/ hearing ability sufficient to comprehend written/verbal communication Ability to perform tasks involving physical activity, which may include heavy lifting and extensive bending and standing. Ability to deal effectively with stress Performance Responsibilities: Maintains standards of Nursing care and implements the policies and procedures established by the agency. Competently assess and documents the clients biophysical, psychosocial, and educational needs. Performs a physical assessment consistent with standards of Nursing Practice Adheres to all aspects of a nursing care plan that is consistent with the medical regime to meet the clients and his/her family members needs and abilities, in conjunction with the client and family. Routinely updates the clients nursing care plan Accurately evaluates and documents clients change in status Effectively prioritizes the implementation of the clients plan of care to meet the changes in status Accurately documents implementation of the clients plan of care Documents teaching for the client & his/her family. Supervises and coaches the client and his/her family members in giving care. Documents discharge planning. Demonstrates the ability to communicate effectively with the client and his/her family members. Interprets to the client and family implications of the client's health status. Demonstrates the ability to communicate effectively with other members of the health care team and staff of the agency. Consistently reports appropriate changes in the client's condition to the Nursing Supervisor and the physician. Administers and documents clients prescribed medication competently. Demonstrates competence in performing all treatments per MD plan of care. Consistently adheres to universal precautions, aseptic technique, and infection control guidelines. Consistently implements care in a manner that is maximally safe for the client, his/her family, and self. Consistently seeks, accepts, and implements suggestions to improve performance. Demonstrates respect for the opinion of others Consistently assumes and follows through on the responsibility for assignment. Demonstrates the ability to function effectively under stressful situations. Maintains confidentiality of client assessments and records. Utilizes time effectively, maintaining a consistent level of productivity. Identifies and uses appropriate resources Coordinates scheduling of client's multidisciplinary appointments and therapies. Consistently submits timecard and patient records completed in an appropriate timely manner. Consistently maintains an adequate level of supplies and equipment in working order in conjunction with suppliers and family. Demonstrates sound judgment and clinical knowledge in planning and decision making. Consistently complies with standards for attendance, absence notification and punctuality. Consistently demonstrates professionalism through appearance, performance, and communication. Assumes responsibility for reading and comprehending all posted notices, communications, and policies/procedures. Demonstrates competencies to provide care to patients of all ages. Respects the rights, privacy, and property of others always. Assumes responsibility to participate in quality improvement activities as directed. Consistently plans and implements supportive and restorative care Consistently coordinates community and social services to meet the needs of the patient and caregiver/family Progressive Home Care, Inc. is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company

Department Nursing Employment Type Full Time Location Stratford Manor Rehabilitation & Care Center Workplace type Onsite Compensation $90,000 - $110,000 / year Key Responsibilities About Stratford Manor Rehabilitation & Care Center Working at Stratford Manor truly means becoming a member of our family. We believe caring for seniors is a uniquely rewarding experience and there is no better place to realize that experience than with us. As a Stratford Manor employee, you will be an integral member of our team, and share in the opportunity to make a difference in the lives of our residents each and every day. Stratford Manor has a friendly work environment with many long-time employees. We offer great benefits and a competitive compensation package. You can be anything you want to be... Join our staff. Experience possibility.

Substitute/Substitute Nurse Requirements: NJ School Nurse certification or RN License - If you possess an RN License, we can assist you with obtaining the appropriate substitute nurse certificate. Application Procedure: Interested candidates must apply online. Applicants will be contacted for an interview based on district needs. Revised 5/19/21 AA/EOE

Substitute/Substitute Nurse Date Available: ASAP Requirements: RN license CPR certification Substitute School Nurse Certificate - NJ

Substitute/Nurse Date Available: TBD Substitute Nurse Mount Olive Township School District Effective for the 2024-25 school year Qualifications: RN License or NJ School Nurse Certificate required. Application Procedure (see links below): Complete online application via Applitrack. Mount Olive Township School District is an EOE/AA Employer No telephone calls please

National Park Service Structural Fire Protection Individual Placement The National Park Service (NPS) Structural Fire Protection program provides students enrolled in fire protection engineering, fire administration, or fire investigation degree programs an opportunity to gain practical work experience that will augment academic training related to the duties of a fire protection technician. Participants will support efforts to establish and maintain an effective park structural fire prevention and protection program, reducing the risks of death, injury, property loss, and damage to historic collections from the effects of structure fires. Positions are located at NPS sites across the United States. Schedule May 17, 2026 - July 25, 2026 Key Duties and Responsibilities Participants will not be performing wildland or structural firefighting activities. As a NPS Structural Fire Protection Individual Placement, you may be responsible for the following duties, which can vary by park location: Perform annual fire and life safety building inspections. Develop or update evacuation plans for park buildings. Assist with the development of inspection, testing, and maintenance plans for fire protection systems. Conduct training classes on portable fire extinguishers. Perform monthly portable fire extinguisher checks and establish a tracking program for extinguishers throughout parks. Establish a fire hydrant inspection and flow test program. Establish a hot work permit program. Revise a park's structural fire management plan (SFMP). Assess the fire protection of a historic building and make recommendations for protecting the building from structure fire better in the future. Review plans for new construction and provide feedback to the Regional Structural Fire Marshal (RSFM). Additional tasks will be specific to each work site. More information about this internship opportunity can be found here: https://www.nps.gov/articles/structural-fire-protection-internships.htm More information about the NPS Structural Fire Program can be found here: https://www.nps.gov/orgs/1231/index.htm Required Qualifications Applicants are U.S. citizens seeking a four-year degree in the following degree programs: fire protection engineering, fire protection administration, fire services administration, or fire investigation degree programs. A driver's license is required to drive government vehicles. A background investigation will be required to gain access to government computer systems. A personal vehicle is needed to travel to and from work and travel to town for amenities, such as groceries. Most parks do not have public transportation available. Applicants should have good communication skills (oral and written) and be able to work as a member of a team. Marginal Duties As determined by Position Supervisor On site Preferred Qualifications Preferred applicants have completed their junior year of college and have obtained knowledge of fire protection systems, building construction, and fire codes and standards. Hours 40 per week Living Accommodations Depending on the National Park Service site, housing may be provided in a shared apartment, shared house, dormitory, or remote cabin. Compensation $650 - Roundtrip travel allowance $467 - weekly living allowance Housing provided by the site. Depending on the National Park Service site, housing may be provided in a shared apartment, shared house, dormitory, or remote cabin. *All allowances are subject to applicable federal, state, and local taxes. Personal Vehicle Information A personal vehicle is needed to travel to and from work and travel to town for amenities, such as groceries. Most parks do not have public transportation available. Additional Benefits AmeriCorps: May be eligible, but subject to award availability Equal Opportunity Statement The Student Conservation Association, Inc., is an Equal Opportunity Employer. The SCA strives to cultivate a work environment that encourages fairness, teamwork, and respect among all staff members and is committed to maintaining a work atmosphere where lifestyles may grow personally and professionally. Physical requirements and working conditions specific to the position are available in the full job description.

Substitute Date Available: ASAP Job Description: SUBSTITUTE SCHOOL NURSE (certified, nontenurable, per diem, as needed basis) QUALIFICATIONS: ? New Jersey Department of Education School Nurse Standard Certification ? Current Nursing License from the State of New Jersey Division of Consumer Affairs REPORTS TO: Principal DUTIES: 1. Provide critical care services to medically fragile students as assigned 2. Provide specialized and specific health care pursuant to student's individual health care plan or individualized education program as determined by a physician's or advanced practice nurse's care orders 3. Administer medication as required 4. Complete and maintain documentation of first-aid and administration of medication as required 5. Assist with personal hygiene tasks for assigned student(s) 6. Maintain effective communication with medical, nursing, and district personnel 7. Provide nursing care consistent with school nurse certificate 8. Monitor health status of student(s) at offsite locations and in the school building 9. Assist the school bus driver in securing assistive apparatus, such as wheelchairs and harnesses on the vehicle. 10. Assist medically fragile students in exiting and entering the vehicle 11. Accompany medically fragile students to and from the vehicle and on offsite excursions as required. 12. Perform other assigned tasks as required by administration

Substitute/Substitute Nurse Are you looking to make a difference in the life of a child? Are you interested in helping students realize their potential? Are you looking for a great place to work with positive vibes? If you answered yes to any of these questions, you should apply today! We value our substitute teachers because they are an essential part of our staff. They help to ensure continuity of instruction while helping our students embrace growth opportunities daily. We need substitute school nurse! We need substitute nurses! WE NEED YOU!!! Check out our competitive rates! Qualifications: RN License and valid New JerseySubstitute Nurse Certificate (County Certified) Strong and effective communication skills We are looking for dedicatated and energetic individuals people to work in our District. We will also guide you through the process of attaining your substitute certification. We provide training and ongoing support for our substitute staff. If you are a certificated teacher, this is a great entryway into Burlington Township. Responsibilities include assuming classroom duties, student supervision, while building positive relationships in a district that is dedicated to keeping students first. Substitute Nurses: $250 day The Burlington Township Board of Education is an Equal Opportunity Employer, and will not discriminate against any person because of race, color, religion, national origin, ancestry, age, political affiliation, sexual orientation, armed forces liability, physical disability, social or economic status.

Job Description Kent Place School is seeking nurses to serve as daily substitutes in our Jr. pre-K - 12th grade school. All interested candidates should send a resume and cover letter to ********************** with "Nurse Substitute" in the subject line. Must have current NJ nursing license and experience in an educational setting is preferred. Kent Place School is an equal opportunity employer. We seek candidates who support the development of a school community that is culturally competent, a working environment that is affirming and inclusive, where each member feels safe and valued, as described in our Diversity statement.

Substitute/Nurse Robbinsville School District The following substitute position is available for Sharon Elementary, Pond Road Middle and Robbisnville High School: Substitute School Nurse DOE Nurse certification or substitue nurse certification required $260/day Non-Benefits eligible