Utilization Review Jobs in Trenton
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Search Results - Utilization Review Jobs in Trenton
Trenton
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 -
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...
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...
icims.com -
Capital Health (US)-Pennington (NJ), 24 mi from Trenton
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...
Centers Care Solutions-Staten Island, 45 mi from Trenton
primary caregiver, the primary and attending physicians, and various other providers involved in the member’s care.
• Initiates utilization review for preauthorization and post service reviews
• Utilizes knowledge of community resources and the member’s...
Capital Health (US)-Pennington (NJ), 24 mi from Trenton
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...
Mitchell Martin-Clark (NJ), 43 mi from Trenton
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...
resume-library.com -
Rutgers University-Stratford (NJ), 27 mi from Trenton
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 -
Capital Health (US)-Pennington (NJ), 24 mi from Trenton
For
• Med/Surg
• Emergency
• Maternal Child Health
• Cardiology Inpatient
• ICU/CCU
• Neuro
• Interventional Radiology
• Cardiac Cath
• Float Pool
• Mental Health
• Hemodialysis
• Perioperative
• Forensics
• Utilization Review
Full-Time; Part-Time and Per...
Capital Health (US)-Pennington (NJ), 24 mi from 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...
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