Utilization Review Jobs in Newark
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Search Results - Utilization Review Jobs in Newark
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 -
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 -
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 -
Capital Health (US)-Pennington (NJ), 43 mi from Newark
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...
APN Consulting Inc-Bronx, 17 mi from Newark
Job description
Job Description: RN Case Manager (Utilization Review)
Location: Bronx, NY
Start Date: September 24, 2024
Contract Duration: 13 weeks
Shift: Day Shift, 8 hours per day, 40 hours per week
Position Overview:
We are seeking...
resume-library.com -
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...
Crawford Thomas Recruiting-Springfield (NJ), 8 mi from Newark
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 -
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 -
Crawford Thomas Recruiting-Springfield (NJ), 8 mi from Newark
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...
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 -
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