Utilization Review Jobs in Jersey City
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Search Results - Utilization Review Jobs in Jersey City
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 -
Jersey City
and Retrospective drug utilization review (DUR) efforts by reviewing physician prescribing patterns, consulting with physicians regarding these patterns using evidence:based best practices, working closely with internal staff in the refinement of the pharmacy...
tiptopjob.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 -
Atlas Search-Bronx, 13 mi from Jersey City
Utilization Review Nurse*
• Job Description: *A leading hospital network is looking to hire a Utilization Review RN for a full-time position. This hospital is focused on providing high-quality, person-centered care to all patients and is affiliated...
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 -
Interborough Developmental and Consultation Center-New York, 2 mi from Jersey City
timeframes.
• Develop and coordinate implementation of treatment plan collaboratively with patient
• Collaborate with other providers to provide best possible client care
• Participate in utilization review and quality improvement review.
• Conduct individual...
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 -
Centers Care Solutions-Staten Island, 11 mi from Jersey City
primary caregiver, the primary and attending physicians, and various other providers involved in the member’s care.
• Initiates utilization review for preauthorization and post service reviews
• Utilizes knowledge of community resources and the member’s...
Comunilife Inc-Hempstead (NY), 22 mi from Jersey City
Coordinator will perform evaluations and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with the Sr. Vice President of Programs to assure quality psychiatric...
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 -
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