Utilization review jobs in Trenton, NJCreate job alerts

Job Description: Work ShiftCapital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing e...

Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Performs concurrent and retrospective clinical reviews with various payers ...

Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Performs concurrent and retrospective clinical reviews with various payers ...

Experience in case management field including utilization review, discharge planning, outcomes management, assessment care planning and care coordination, related experience or training preferred

Advocates for patient rights and appropriate utilization of services. Documents patient care ... peer review, orientation and employee input. * Evaluates own performance based on professional ...

Assesses, plans, evaluates, and coordinates management of patient care including discharge planning and utilization needs. Supports ministry and system goals for capacity management through achieving ...

Reviews and coordinates patient's medical phone calls, assesses the patient's status, and schedules treatment according to established protocol. Reviews medication refill requests, laboratory and ...

Reviews and coordinates patient's medical phone calls, assesses the patient's status, and schedules treatment according to established protocol. Reviews medication refill requests, laboratory and ...

Reviews laboratory and other test results daily and prioritizes them for LIPs according to established protocol. Prepares patients, exam rooms and medical records for scheduled and non-scheduled ...

Adheres to CMS guidelines for utilization reviews as evidenced by utilization of the relevant guidelines and appropriate referrals to the physician advisor and the UR Committee. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Main...

Adheres to CMS guidelines for utilization reviews as evidenced by utilization of the relevant guidelines and appropriate referrals to the physician advisor and the UR Committee. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Main...

Adheres to CMS guidelines for utilization reviews as evidenced by utilization of the relevant guidelines and appropriate referrals to the physician advisor and the UR Committee. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Expe...

Adheres to CMS guidelines for utilization reviews as evidenced by utilization of the relevant guidelines and appropriate referrals to the physician advisor and the UR Committee. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Main...