Utilization Review Jobs in Newark
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Search Results - Utilization Review Jobs in Newark
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 -
New York State Office of Mental Health-New York, 9 mi from Newark
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...
Newark
with Concentra Physician Review policies, 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...
icims.com -
Capital Health (US)-Pennington (NJ), 43 mi from Newark
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...
Newark
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 -
Capital Health (US)-Pennington (NJ), 43 mi from Newark
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...
Newark
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-Brooklyn (NY), 13 mi from Newark
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...
Newark
policies, 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...
icims.com -
Newark
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 -
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