• Sr Utilization Review

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... Utilization Review (UR) Department as Senior Utilization Review Physician Specialist . Prior...( ie MCG ) b. Supports & Participates in pre- admission review , utilization management, and… more
    Hackensack Meridian Health (11/02/24)
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  • Physician Utilization Review

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... Management Criteria ( ie MCG, Xsolis) b. Supports & Participates in pre- admission review , utilization management, and concurrent and retrospective review more
    Hackensack Meridian Health (08/19/24)
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  • Utilization Review Admission

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** ... The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions , pre- admission testing and operating room… more
    Mount Sinai Health System (09/04/24)
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  • Utilization Management Specialist

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
    Mount Sinai Health System (10/10/24)
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  • Clinical Documentation Specialist , RN…

    Hackensack Meridian Health (Edison, NJ)
    admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance with ... **Overview** The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of medical record documentation… more
    Hackensack Meridian Health (10/12/24)
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  • Prior Authorization Specialist - Inpatient…

    Select Medical (West Orange, NJ)
    …a physical rehabilitation setting preferred + Experience submitting prior authorizations and/or utilization review preferred. + Experience working with Excel and ... **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This is an**… more
    Select Medical (09/07/24)
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  • Integrated Case Management Specialist

    Hackensack Meridian Health (Hackensack, NJ)
    …information, inclusive of free text fields, to support the case management, utilization review process. + Retrieves information for the Physician Advisors ... a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance...discharge dates. + Enters LAD into EPIC. + Keeps Utilization Review RN current on updates needed… more
    Hackensack Meridian Health (08/20/24)
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