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)-Trenton
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...
mindmatch.ai -
Saint Clare's Health-New Jersey
for contacting external case managers and managed care organizations 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...
Collaborative Support Programs-Freehold (NJ)
establishing key performance indicators, and reviews policies and procedures.
• Completes internal audits/utilization review of clinical records to assure that all clinical documentation is completed correctly and timely by program staff across all clinical...
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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Crawford Thomas Recruiting-Springfield (NJ)
or LPN license 2+ years of nursing experience (case management, utilization review, or insurance-related roles preferred). Strong understanding of healthcare systems and insurance precertification. Excellent organizational and communication skills...
Axelon Services Corporation-Newark
of 5+ years experience in Health Insurance/quality chart audits and/or Utilization Review
" Bachelor's degree required
Knowledge
Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding
Requires knowledge of medical terminology of medical...
resume-library.com -
Crawford Thomas Recruiting-Springfield (NJ)
or LPN license 2+ years of nursing experience (case management, utilization review, or insurance-related roles preferred). Strong understanding of healthcare systems and insurance precertification. Excellent organizational and communication skills...
mindmatch.ai -
Integrated Resources, Inc-Newark
and/or Utilization Review
Bachelor's degree required
Knowledge, Skills and Abilities:
Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding
Requires knowledge of medical terminology of medical procedures, abbreviations and terms
Requires knowledge...
resume-library.com -
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 -
RWJBarnabas Health Corporate Services-Somerset (NJ)
staffing needs.
• Monitors and assesses the use of hospital services by administering utilization review procedures under Federal, State and hospital guidelines.
• Participates in facilitating new hire orientation
• Participates in special projects...
mindmatch.ai -
Capital Health (US)-Trenton
Experience:Three years experience in clinical nursing required. Experience in case management field including utilization review, discharge planning, outcomes management, assessment care planning and care coordination, related experience or training preferred...
RWJBarnabas Health Corporate Services-Somerset (NJ)
emergent staffing needs.
• Monitors and assesses the use of hospital services by administering utilization review procedures under Federal, State and hospital guidelines.
• Participates in facilitating new hire orientation
• Participates in special projects...
Capital Health (US)-Trenton
Experience:Three years experience in clinical nursing required. Experience in case management field including utilization review, discharge planning, outcomes management, assessment care planning and care coordination, related experience or training preferred...
mindmatch.ai -
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