Utilization Review Coordinator jobs in Atlantic City, NJ

Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Utilization Review Specialist
  • Avenues Recovery
  • Toms River, NJ FULL_TIME
  • Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with fourteen locations across five states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care, including detox, residential, PHP, IOP, and outpatient services. The secret to our success is our people - merged with a premier clinical program, it's allowed us to transform the lives of thousands of people to date. If you're passionate about recovery and want to impact others in a meaningful way - we warmly invite you to join our growing family!

    We are currently seeking to hire Utilization Review Specialists to join our corporate UR Team in NJ!

    The Utilization Review Specialist collaborates with Avenues Recovery facilities regarding Utilization Review (UR) and ensures that all clients are authorized for treatment at the appropriate level of care in a timely manner. The UR Specialist serves a dual function ensuring quality and comprehensive charting of all services rendered by maintaining collaborative lines of communication with facility leadership.


    Responsibilities Include, but are not limited to, the following:

    • Fielding incoming calls, emails and other correspondence relating to new clients that require Authorization
    • Working closely with the Avenues Recovery billing team to properly coordinate and flag potential issues that may arise
    • Assist staff with creating uniformed templates and processes that can be used at all Avenues facilities
    • Work with site administrators to ensure that proper templates and processes are being implemented
    • Manage a client caseload and Coordinate with treatment team to assess and advocate for continued stay at recommended level of care
    • Documenting and maintaining electronic records related to all UR correspondence and authorization by utilizing internal computer software
    • Nursing degree/knowledge in healthcare preferred

    Competencies (Knowledge, Skills, and Abilities):

    • Communication skills a must
    • Excellent Interpersonal Skills
    • Acute Observational Skills
    • Strong Written and Oral Communication Skills
    • Physical and Mental Stamina
    • Flexible
    • Sound Judgement
    • Team Player

    Required Education

    • Graduation from High School or GED/Bachelor's Degree
    • Must be able to read, write, speak, and understand the English language

    Required Experience

    • A minimum of 1-year experience in treatment industry preferred.

    Licensure/Certification

    • Current and valid state issued Driver License
    • Valid CPR certification and First Aid

    Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:

    · 401K with 100% employer match

    · Medical Insurance

    · Dental

    · Vision

    · Accident

    · Critical Illness

    · Hospital Indemnity

    · Voluntary Short-Term Disability

    · Voluntary Long -Term Disability

    · Employer-Paid Life and AD&D

    · LifeTime Benefit Term Insurance with Long Term Care

    · Legal Coverage

    · Pet Insurance

    · Identity Theft Protection

    · Employer-Paid Employee Assistance Program

    · Flexible Spending Account (FSA) - Medical

    · Dependent Care FSA (DCF)

    Join our growing team and discover the magic here at Avenues!

    Apply today!

  • 3 Days Ago

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RN - Utilization Review (Evenings) #41067
  • AdeIphi MedicaI Staffing®
  • Lewes, DE FULL_TIME
  • Summary:Ref #: 41067.Profession: Registered Nurse.Specialty: Utilization Review.Job Type: Full-time.Start Date: ASAP.Location: Lewes, DE.Shift Schedule: 8 hrs per day; 2:00 PM - 10:30 PM.Weekend Requi...
  • 28 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • LEEDS POINT, NJ FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 28 Days Ago

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Registered Nurse - Utilization Management - Full Time
  • AtlantiCare
  • Egg Harbor, NJ FULL_TIME
  • Graduate of an accredited school of nursing required. Current licensure as a Registered Nurse in the State of New Jersey POSITION SUMMARY The RN Utilization Management Days is responsible for the over...
  • Just Posted

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Coordinator
  • Tjx
  • Rehoboth, DE FULL_TIME
  • All 1,000 of our Marshalls stores embrace discovery, from designer luggage to statement shoes. Our assortment of brands is always changing, but our mission to provide the surprises that make the every...
  • 19 Days Ago

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Coordinator
  • TJX Companies, Inc.
  • Rehoboth, DE FULL_TIME
  • All 1,000 of our Marshalls stores embrace discovery, from designer luggage to statement shoes. Our assortment of brands is always changing, but our mission to provide the surprises that make the every...
  • 19 Days Ago

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0 Utilization Review Coordinator jobs found in Atlantic City, NJ area

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Registered Nurse - Psychiatric Intervention Prevention - Part Time
  • AtlantiCare
  • Atlantic City, NJ
  • Job Description POSITION SUMMARY The Registered Nurse is a member of the interdisciplinary team working in collaboration...
  • 4/24/2024 12:00:00 AM

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Medical Laboratory Technologist
  • Nucleus Healthcare
  • Atlantic City, NJ
  • Are you a dedicated Medical Lab Technologist looking to take your career to the next level? Join the Nucleus Healthcare ...
  • 4/24/2024 12:00:00 AM

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Assistant Stylist
  • Ulta Beauty
  • Manahawkin, NJ
  • OVERVIEW: Experience a perfect blend of deliberate purpose and clear-eyed vision. At Ulta Beauty, some of the industry's...
  • 4/22/2024 12:00:00 AM

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Cook | Part-Time| Atlantic City Convention Center
  • Oak View Group
  • Atlantic City, NJ
  • Oak View Group: Oak View Group is the global leader in venue development, management, and premium hospitality services f...
  • 4/22/2024 12:00:00 AM

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Food Service Worker (City Campus - Utility)
  • Atlanticare Regional Medical Center, Inc.
  • Atlantic City, NJ
  • POSITION SUMMARY The Food Service Aide performs a variety of food service assignments to provide meals and service to cu...
  • 4/22/2024 12:00:00 AM

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Lead Transportation Security Officer
  • Department Of Homeland Security
  • Atlantic City, NJ
  • Summary Securing Travel, Protecting People - At the Transportation Security Administration, you will serve in a high-sta...
  • 4/22/2024 12:00:00 AM

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Medical Laboratory Technologist
  • Nucleus Healthcare
  • Atlantic City, NJ
  • Are you a dedicated Medical Lab Technologist looking to take your career to the next level? Join the Nucleus Healthcare ...
  • 4/22/2024 12:00:00 AM

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Clinical Assistant - Unite Here Health (Atlantic City , NJ) - FT Days M-F Shift Varies
  • Mount Sinai Hospital
  • Atlantic City, NJ
  • Job Description Clinical Assistant - Unite Here Health (Atlantic City , NJ) - FT Days M-F Shift Varies Provides clinical...
  • 4/21/2024 12:00:00 AM

Atlantic City is a resort city in Atlantic County, New Jersey, United States, known for its casinos, boardwalk, and beaches. In 2010, the city had a population of 39,558.[21][22] It was incorporated on May 1, 1854, from portions of Egg Harbor Township and Galloway Township.[23] It borders Absecon, Brigantine, Pleasantville, Ventnor City, Egg Harbor Township, and the Atlantic Ocean. Atlantic City inspired the U.S. version of the board game Monopoly, especially the street names. Since 1921, Atlantic City has been the home of the Miss America pageant. In 1976, New Jersey voters legalized casino g...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$86,351 to $106,966
Atlantic City, New Jersey area prices
were up 1.5% from a year ago

Utilization Review Coordinator in Fort Lauderdale, FL
Some review coordinator positions require that professionals have training and experience within a more specific field.
January 10, 2020
Utilization Review Coordinator in Asheville, NC
Schick Shadel Hospital is seeking a part-time (20 hours per week) Utilization Review Coordinator (UR Coordinator) to help oversee and perform the process of utilization review to ensure appropriate reimbursement by third party payers.
January 04, 2020
Utilization Review Coordinator in Jacksonville, FL
Excellent benefits, pay, small on-site employee gym, wonderful co-workers and managersFull Review.
January 04, 2020