- Prime Healthcare (Boonton Township, NJ)
- …#LI-TS1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/195356/ utilization - review - coordinator ... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- Comunilife (New York, NY)
- …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... Program Coordinator -(OMH) LIP Washington Heights Job Details Job Location...all program and family oriented activities; in addition the Coordinator is responsible for all intake and family engagement.… more
- Hackensack Meridian Health (North Bergen, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- City of New York (New York, NY)
- …and system concerns and issues to the Assistant Program Manager to ensure effective utilization of resources. - Review and audit selected records of two to ... as Fair Hearing Process Coordinators in the Fair Hearing Tracking Monitoring and Review Unit (FHTMRU). FHTMRU comprises of the Centralized Fair Hearing Aid to… more
- Humana (Trenton, NJ)
- …service telephone experience desired + Behavioral health experience + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization ...Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2… more
- RWJBarnabas Health (Newark, NJ)
- …Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title:Quality Coordinator Location:Newark Beth Israel Medical Center Req#:0000172007 Status:Full-Time Shift:Day ... Department name:Quality Resource Service Job Overview: The Quality Coordinator for the National Surgical Quality Improvement Program (NSQIP) will be a surgical… more
- Comunilife (New York, NY)
- …Program Director to assure quality program service delivery and participates in Utilization Review /Quality Improvement process. + Participate in case finding, ... Care Coordinator -(NYCT) Care Coordination Job Details Job Location New...experiencedCare Coordinatorsto join it Care Coordination Team. The Care Coordinator is responsible for providing care management for clients… more
- City of New York (New York, NY)
- …is recruiting one (1) City Research Scientist II, to function as Care Coordinator , who: Reporting directly to the Assistant Director of Evaluation, the VPS Care ... Coordinator will work in collaboration with the VPS multidisciplinary...improving the use and effectiveness of the program, compare utilization of and outcomes for the four different entities… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Staffing Office Coordinator is responsible for administrative services including staffing, scheduling, payroll, system orientation and ... the Nursing Department. The Staffing Office collaborates with Nursing Leadership to review and develop schedules based on agreed upon staffing guidelines, models and… more
- City of New York (New York, NY)
- …Acts; the NYC Watershed Rules and Regulations; and City Environmental Quality Review (CEQR) procedures. The Permit Coordinator 's daily activities will include ... Scientist (Water Ecology) 2 to serve as a Permit Coordinator for the Permitting section within the PMO. This...using computer software and/or mathematical models to support the review and development of environmental assessment statement (EAS) and… more
- City of New York (New York, NY)
- …Staff Development seeks a highly motivated individual to serve as the Payroll Coordinator , reporting to the Director of Payroll. The selected candidate will assist ... with bi-weekly payroll such as: detailed review of various reports in RMDS and Pi including...including the 160, 161, 700 and 320 and the utilization of employee level approval/holds, stop payments, reversals, manual… more
- RWJBarnabas Health (Hamilton, NJ)
- …literate, working knowledge of Microsoft applications ex. Word ,Excel Preferred: + Utilization review and discharge planning experience + Case Management ... RN Case Manager (Patient Care Coordinator ) - Hamilton, NJReq #:0000157940 Category:Nurse Case Manager Status:Per Diem Shift:Day Facility:RWJ Hamilton Department:Case… more
- City of New York (New York, NY)
- …(1) Principal Administrative Associate III to function as Housing Team Coordinator , who will: Provide oversight, monitoring and screening of perspective placements ... Assesses placements according to consumer need and preference; assist in the review and evaluation of housing facilities; compose and coordinate various housing and… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Care Management** is a member of the healthcare team and is responsible for ... services. **Responsibilities** A day in the life of a **Care Coordinator , Care Management** at **Hackensack Meridian** **_Health_** includes: + Assesses patients… more
- Humana (Trenton, NJ)
- …make an impact** **Required Qualifications** + 1 or more years of experience with Utilization Review and/or Prior Authorization + 1 or more years of Healthcare ... and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and...appropriate treatment, care or services for members. UM Administration Coordinator 2 + Support the UM Nurses to process… more
- EMCOR Group (New York, NY)
- **Description** **Job Title: Dispatcher /Service Coordinator ** **Location:** New York, NY **Reports to:** Director of Operations **FLSA Status:** Full Time/Exempt ... be assigned. + Monitor personnel or equipment locations and utilization to coordinate service and schedules. + Schedule or...work from start (initial call) to completion (billing). + Review service jobs, quoted jobs, & service projects to… more
- Penn Medicine (Plainsboro, NJ)
- …with knowledge in Excel, Outlook and EMR.** **Summary:** + The registered nurse/care coordinator will work on a multidisciplinary healthcare team in a primary care ... to help identify high risk, high need, and high utilization patients. + Assist physicians and others on care...self-management goals. + Determine that screening tests are up-t-date; review test results and take action on abnormal testing.… more
- City of New York (New York, NY)
- …coordination, lease and property management, land use and environmental review activities, contract administration for facilities services, and warehouse operations. ... (1) Space Analyst II to function as the Furniture and Equipment Coordinator who will: - Perform specialized space management activities to support/facilitate project… more
- City of New York (New York, NY)
- …looks to hire a PERMANENT Staff Analyst II to serve as a Procurement Coordinator . The selected candidate will report to the Director of Health Contracts. DUTIES WILL ... a regular basis. Communicate with vendors to request required documents, and review submitted documents for completion and compliance with procurement rules and… more
- Highmark Health (Trenton, NJ)
- …1 day off during the week. This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the ... for the member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review . Ensures all accurate… more