Utilization Review Jobs in New Jersey
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Search Results - Utilization Review Jobs in New Jersey
Capital Health (US)-Pennington (NJ)
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...
Capital Health (US)-Pennington (NJ)
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...
Valley Health System-Ridgewood (NJ)
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 in accordance with CMS...
Mitchell Martin-Clark (NJ)
of the clinical staff. He/she consults with the CEO, Physician, and Utilization Review Department as needed.
The Clinical Director maintains close communication with the clinical staff, provides any information relevant to the program's operation and assists...
resume-library.com -
Valley Health System-Ridgewood (NJ)
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...
Capital Health (US)-Hopewell (NJ)
Maternal Child Health
• Cardiology Inpatient
• ICU/CCU
• Neuro
• Interventional Radiology
• Cardiac Cath
• Float Pool
• Mental Health
• Hemodialysis
• Perioperative
• Forensics
• Utilization Review
Full-Time; Part-Time and Per diem opportunities available...
Newark
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 -
2 similar jobs: Jersey City, Trenton
Valley Health System-Ridgewood (NJ)
by the ANCC, are met, whichever comes first.
Experience
Minimum five years experience in utilization review management and/or case management preferred. Minimum of 5 years experience as a registered nurse required.
Special Skills
Registered Nurse. Licensed...
Rutgers University-Stratford (NJ)
Overseeing patient assessment activities, utilization review, and quality assurance programs.
• Conducting regular patient record reviews to evaluate documentation quality and care/treatment appropriateness.
• Educating hospitalists on accurate patient...
appcast.io -
Valley Health System-Ridgewood (NJ)
by the ANCC, are met, whichever comes first.
Experience
Minimum five years experience in utilization review management and/or case management preferred. Minimum of 5 years experience as a registered nurse required.
Special Skills
Registered Nurse. Licensed...
Valley Health System-Ridgewood (NJ)
exam, as stated by the ANCC, are met, whichever comes first.
Experience
Minimum five years experience in utilization review management and/or case management preferred. Minimum of 5 years experience as a registered nurse required.
Special Skills...
Camden (NJ)
of choice in South Jersey.
Short Description:
• Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.
• Performs utilization review in accordance with all state...
icims.com -
Capital Health (US)-Pennington (NJ)
For
• Med/Surg
• Emergency
• Maternal Child Health
• Cardiology Inpatient
• ICU/CCU
• Neuro
• Interventional Radiology
• Cardiac Cath
• Float Pool
• Mental Health
• Hemodialysis
• Perioperative
• Forensics
• Utilization Review
Full-Time; Part-Time and Per...
Hackensack (NJ)
Overview:
The Utilization Review Physician collaborates with the healthcare team in the
management and resolution of activities that assure the integrity of clinical records for the
patient population and Hackensack UMC. These include...
icims.com -
Valley Health System-Ridgewood (NJ)
as stated by the ANCC, are met, whichever comes first.
Experience
Minimum five years experience in utilization review management and/or case management preferred. Minimum of 5 years experience as a registered nurse required.
Special Skills...
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