Utilization Review Jobs in Jersey City
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Search Results - Utilization Review Jobs in Jersey City
Jersey City
for pre-authorization, concurrent reviews and appeals/denials management throughout the duration of a consumer’s stay. Assists the treatment planning team in understanding insurance requirements and completes UR audits for billing compliance...
icims.com -
New York State Office of Mental Health-New York, 2 mi from Jersey City
Job Description
Minimum Qualifications
NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services provided to individual diagnosed...
Jersey City
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Compass Healthcare Consulting and Placement-New York, 2 mi from Jersey City
of the hospital-wide functions of Case Management, Utilization Review and Discharge Planning. Oversees and coordinates the collection of pertinent Hospital data and provides educational activities to all levels of Hospital staff regarding the above functions...
Jersey City
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Greenlife Healthcare Staffing, Inc-New Hyde Park, 19 mi from Jersey City
JOB TITLE (#25188): Registered Nurse / Clinical Reviewer / Remote - New York State
Minimum 1-3 years of experience in acute care utilization review/appeals background
Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical...
resume-library.com -
Jersey City
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Valley Health System-Ridgewood (NJ), 18 mi from Jersey City
Job Description
Position Summary
Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on appropriate utilization review guidelines and documentation...
Jersey City
and/or collateral meetings, interdisciplinary treatment team meetings, case conferences or other meetings as required to ensure continuity of care. Completes all required utilization review tasks as assigned. For Outpatient and Residential services/programs...
icims.com -
Interborough Developmental and Consultation Center-Brooklyn (NY), 8 mi from Jersey City
in utilization review and quality improvement review.
Job Type: Part-time and Full Time (hybrid, in-person start up/training)
*Experience:*
Psychotherapy: 1 year (Preferred)
Education:
• *Master's (Required)*
*License:*
• LMSW (Preferred)
• LMHC (Preferred...
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