Utilization Review Jobs in Ridgewood (NJ)
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Search Results - Utilization Review Jobs in Ridgewood (NJ)
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...
Newark, 17 mi from Ridgewood (NJ)
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 -
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...
First Connect-Bronx, 15 mi from Ridgewood (NJ)
time management skills. Utilization Review (UR) is a separate dept- UR will do insurance approvals and arranging transportation
• Case load: Floors typically have 33-40 patients; Most floors are split with 1 CM & 1 SW; Caseload: 17-25 patients. Pilot...
resume-library.com -
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...
Calvary Hospital-Bronx, 15 mi from Ridgewood (NJ)
Management Department which is responsible for the coordination of the hospital-wide functions of Case Management, Utilization Review and Discharge Planning. Oversees and coordinates the collection of pertinent Hospital data and provides educational...
resume-library.com -
New York State Office of Mental Health-New York, 19 mi from Ridgewood (NJ)
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...
Interborough Developmental and Consultation Center-Brooklyn (NY), 26 mi from Ridgewood (NJ)
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...
Compass Healthcare Consulting and Placement-New York, 19 mi from Ridgewood (NJ)
of the hospital-wide functions of Case Management, Utilization Review and Discharge Planning. Oversees and coordinates the collection of pertinent Hospital data and provides educational activities to all levels of Hospital staff regarding the above functions...
Counseling Services of New York-Bronx, 15 mi from Ridgewood (NJ)
Using assigned committees to yield successful outcomes with regard to Utilization Review and Case Conferences, including but not limited to ensuring that admitted clients remain appropriate for treatment.
Ongoing enhancement of group counseling...
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