Utilization review jobs in Trenton, NJCreate job alerts

Walker HealthForce is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Trenton, New Jersey. Specialty: Utilization ReviewDiscipline: RNDuration: 17 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Local Contract**Candidates can live anywhere withi...

Are you passionate, success driven and looking for an outstanding opportunity?NOW HIRING: Medical Director ResponsibilitiesWork directly with providers to educate them on our care process and determine what can be done to improve overall care qualityAct as the medical expert in dealings with vend...

Reporting directly to the Medical Management Supervisor and indirectly to the Medical Management Administrator and Medical Services, the Precert Coordinator supports our Workers Compensation and Auto (PIP/Medpay) lines of business by performing prospective and retrospective Utilization Review of ...

Walker HealthForce is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Trenton, New Jersey. Utilization Review Certification. Retrospective Medical Policy Review.

The Division must also be responsive to inquiries received from the Centers for Medicare and Medicaid Services (CMS), various federal and state auditing agencies, the State Legislature, the NJ Drug Utilization Review Board, managed care plans, and internal inquiries from other State agencies, inc...

Represents Utilization Management at various committees, professional organizations an physician groups as needed. * Promotes the use of evidence based protocols and or order sets to influence high ...

Work Shift Capital 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 ...

Walker HealthForce is seeking a travel nurse RN Utilization Review for a travel nursing job in Trenton, New Jersey. Job Description & Requirements * Specialty: Utilization Review * Discipline: RN * ...

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

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 ...

Responsible for the independent review of TPA trigger reports, claim referrals or similar information identifying potential catastrophic diagnoses or cases of concerns regarding potential cost ...

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 ...

Walker HealthForce is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Trenton, New Jersey. Utilization Review Certification. Retrospective Medical Policy Review.

Walker HealthForce is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Trenton, New Jersey. Utilization Review Certification. Retrospective Medical Policy Review.