Utilization Review Jobs in New Jersey
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Search Results - Utilization Review Jobs in New Jersey
Pinelands Recovery Center of Medford-Medford (NJ)
and resources to the client and clinical staff. Support will be provided in the areas of client orientation/assessment, utilization review and other areas as directed.
Responsibilities
Actively participates in Multidisciplinary Treatment Team meetings...
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R.A.M. Healthcare Consulting Group, Inc.-Secaucus
of care and correct patient status for service delivery.
*Job Qualification*
• Required- Active New Jersey RN License
• Required - Minimum of 1+ years experience with hospital Case Management/Utilization Review
• Required - Minimum of 1+ years experience...
1 similar job: Montgomery
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...
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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 -
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...
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Center For Discovery-Bridgewater (NJ)
and psychoeducation groups one to two times, daily.
Required to sit at a meal and/or snack a minimum of once per week.
Facilitates multi-family groups, family program, and/or family weekend.
Provides utilization reviews to insurance companies, providing appropriate...
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Trenton
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...
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2 similar jobs: Jersey City, Newark
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 -
2 similar jobs: Newark, Trenton
Holmdel
Responsibilities:
A day in the life of a Care Coordinator, Utilization Management at Hackensack Meridian Health includes:
• Follows departmental workflows for utilization review activities including admission reviews, admission denials, continued stay reviews...
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Avon (NJ)
and regulations appropriate to the ages of patients served.
• Provides on a daily basis physical therapy with ongoing input and feedback for patient re-assessment.
• Coordinates with the Utilization Review/Discharge Planning Department to provide for patient's...
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Plainsboro
to achieve best in class outcomes for claims. These responsibilities may include review of utilization review programs, pharmacy program clinical oversight, home health and all care coordination for claims in addition to identification and analysis of trends...
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Woodbridge (NJ)
through multiple system applications
• Prior utilization review experience from a NJ/NY Automobile, Workers Comp, or Managed Care company is a plus.
About the Company
The Plymouth Rock Company and its affiliated group of companies write and manage over...
icims.com -
Neptune (NJ)
inclusive of free text fields, to support the case management, utilization review process.
• Retrieves information for the Physician Advisors as needed.
• Works the DNFB report to determine outlier days, approved days, etc., and releases accounts...
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Edison (NJ)
plans.
• Responsible for oversight of the care coordination, social work and utilization review department's processes in accordance with federal, state, and local standards, guidelines and regulations with in their region.
• Supports the individual...
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Belle Mead
practices
• Maintains computer skills
Education, Knowledge, Skills and Abilities Preferred:
• Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case management
Licenses and Certifications Required:
• NJ State...
icims.com -
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