Utilization management jobs in Newark, New Jersey - Page 11Create job alerts

The Behavioral Health Utilization Management (BH UM) Clinician is responsible for conducting utilization and quality management activities in accordance with New York State and MetroPlusHealth Utilization Management policies and procedures. The position responsibilities include the management of med

Makes recommendations to the development, utilization, and evaluation of internal processes to ensure customer satisfaction, efficient operat Management, Supervisor, Part Time, Business Operations, Weekend, Evaluation, Healthcare. Supervises the day-to-day operations of VNS Health Plans Medical Mana

Experience with both inpatient and outpatient utilization management (medical, pharmacy). The Medical Director for VillageCareMAX is a physician who serves as clinical lead for the Utilization Management Department and medical quality and cost effectiveness activities. The Medical Director assists t

Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost effective. For Utilization Management Only:. Ensures all records/logs related to d

Utilization Management RN (Registered Nurse). Like to be accountable to monitor and maintain inventory in the Utilization Management queue to meet productivity standards. Knowledge of Utilization Review Accreditation Commission (URAC).

Medical Director - Family Nurse Practitioner Division HC - Providers (Advanced Practice) Location New York, New York Employment Type Permanent Medical Director to oversee and lead the clinical affairs of a community health FQHC - positions available in Manhattan, Queens or the Bronx.

Saturday a month and on call once a month.Gold-seal accreditation from The Joint Commission.Services offered include primary care, dental, podiatry, women's health, and pediatrics.Patient Centered Medical Home (PCMH).Jersey City, New Jersey, offers a unique blend of urban living and cultural di

The Behavioral Health Utilization Management (BH UM) Clinician is responsible for conducting utilization and quality management activities in accordance with New York State and MetroPlusHealth Utilization Management policies and procedures. Minimum 3 years of Behavioral Health (Serious Mental Illnes

Experience in trauma care and critical care management.

This position is for a Medical Director within the CDK4 program.This individual contributor position will be responsible for supporting clinical trial(s).The successful candidate should ideally have prior experience in clinical trials and supporting development programs.ROLE RESPONSIBILITIES Study-l

Gastroenterologist - Medical Group Division HC - Providers (Physicians) Location East Orange, New Jersey Employment Type Permanent A leading multispecialty practice in NJ, recognized for its commitment to high-quality patient care, is seeking a Gastroenterologist to join their expanding team.This fu

Ability to communicate effectively and exhibit excellent relationship building skills with all levels of employees, management, and students (families). Exceptional organizational and time management skills.

Now Hiring: Pharmacist Liaison – Brooklyn, Manhattan, Queens.Immediate Start | Full-Time | Entry-Level Welcome.Join a fast-growing healthcare team making a real difference across New York! We’re looking for Pharmacist Liaisons to help support our patients and physicians while working with one of

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Job Title: Pharmacist (Contract).The Pharmacist will provide comprehensive inpatient pharmacy services in a fast-paced acute care environment.This role supports medication dispensing, clinical verification, and collaboration with interdisciplinary healthcare teams, including emergency and psychiatri

This is a full-time on-site role for a Pharmacist, based in Brooklyn, NY.Excellent communication and patient education skills.Attention to detail, accuracy in record-keeping, and ability to ensure patient safety.Team-oriented mindset with the ability to collaborate with healthcare professionals.Curr

Full-Time (Minimum 30 hrs/week per NYS requirement).Midtown East Pharmacy & Surgical.Our store also offers a range of surgical and medical supplies, making us a trusted resource in the community.We are seeking a reliable and compassionate.This role is ideal for someone who values a calm, friendly wo

Adult Congenital Heart Disease (ACHD) Cardiologist – Medical Director.Location: Newark Beth Israel Medical Center (RWJBarnabas Health).Reports To: Division Chief, Cardiology.Newark Beth Israel Medical Center (NBI), part of RWJBarnabas Health—the largest academic health system in New Jersey—is

Every day, our team members do amazing things in pursuit of our shared purpose to build trust with our clients, partners, subcontractors, and teammates.No matter your background, education, or career path, if you share our vision to create extraordinary experiences, you belong at HITT.Commercial Con

Proven experience in project management, with a minimum of 5 years in a similar role. Proficient in project management software. Certification in Project Management Professional (PMP) is preferred.

The Benefits Competitive salary of $90,000 – $125,000 Health, dental and vision insurance 401(k) with company match Flexible paid time off Professional development support Vehicle or mileage allowance The chance to lead meaningful energy and infrastructure projects The Person To succeed as a Proje

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Responsibilities Calendar Management – Diligent, pro-active management of complex agenda and setting of meetings across all time zones Schedule, track client meetings and support, including Board and Regulatory meetings Domestic and International Travel arrangements, expense claims, expedited trav

Duties: The Administrative Assistant will provide a variety of administrative support services to the Administrative Officer and administrative staff in the following manner: provide information regarding federal and local policy; operate office equipment; prepare and review travel vouchers; prepare

Job Title : Inpatient Pharmacist Location: New York, NY 10016 Job Duration : 3 + months: High possibility of extension Pay Range: Up to $3800 weekly ($80 - $90/Hr) Shift - Different shifts available Required: Acute inpatient.At least 1 year of Pharmacist experience.Valid license to practice as a pha

Headquartered in Manhattan’s Financial District, our full-service team delivers innovative solutions in civil, structural, electrical, and transportation engineering, as well as bridge and facility inspections, program/construction management, construction inspection. We are seeking a highly quali

Our client is seeking a tech‑savvy, detail‑oriented Senior Administrative Assistant to support a high‑performing professional services practice.This role requires exceptional organization skills, strong communication, and the ability to support multiple senior stakeholders in a fast‑paced, c

Engineering, Energy Efficiency, and Building Management systems.

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Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architectural, and program management solutions. Qualifications Minimum 10 years of successful construction project management experience in ground up constru

Background in construction, project management, or built environment disciplines.

Strong command of project planning, scheduling, and budget management.

Senior Architect / Project Manager (Registered).Our client is a purpose-driven architecture firm dedicated to socially responsible housing and community development.For more than 40 years, the firm has been at the forefront of inclusive, sustainable, and healthy urban design.Their work spans residen