Utilization Review Coordinator jobs in Bloomfield, 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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Specialist III, Quality Control (Data Review)
  • SGS
  • Fairfield, NJ FULL_TIME
  • Job Description

    Specialist III, Quality Control is responsible for the review of data generated in the laboratory and to assist Operations Management in the conduct of investigations and other specialized reviews and reports. In addition, the Quality Control Specialist 3 must be sensitive to the demanding regulatory compliance requirements attending to the operation of a pharmaceutical testing laboratory.

    Job Functions

    Conduct, Lead and mentor other team members in performing Out of Specification and Method Validation Failures (MVF) investigations and ensure they are being performed in an efficient and timely manner

    Respond to all customer requests for information pertaining to testing issues in a timely and accurate manner

    Perform trending as assigned

    Participate in answering customer questions or resolving customer concerns that arise during audit data reviews

    Perform all duties for the QC Specialist 2 position

    Play a lead role and assist the Team Leader or Department Manager in improving the internal efficiency and overall quality of work performed in the laboratory and within the department review team.

    Assist the Team Leader or Department Management in fielding questions and resolving review issues that arise internally within the review team.

    Be a source of information on documentation practices both to laboratory personnel and internally within the review team.

    Assist in training department personnel as needed.

    Play a lead role in becoming a key department source on documentation and OOS investigations both to the laboratory personnel and internally within the Quality Control review team

  • 17 Days Ago

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Specialist I, Quality Control (Data Review)
  • SGS
  • Fairfield, NJ FULL_TIME
  • Company DescriptionSGS is the global leader and innovator in inspection, verification, testing and certification services. Founded in 1878, SGS is recognized as the global benchmark in quality and int...
  • 1 Month Ago

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COORDINATOR OF
  • Paterson Public Schools
  • Paterson, NJ FULL_TIME
  • JobID: 9794 Position Type: NON-CERTIFIED PROFESSIONALS/Coordinator Date Posted: 10/23/2023 Location: Central Office - 90 Delaware Avenue Date Available: Immediately Staff Needed: One (1) COORDINATOR P...
  • 1 Month Ago

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Coordinator
  • Prime Healthcare
  • Dover, NJ FULL_TIME
  • Overview At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is ac...
  • 1 Month Ago

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Investment Coordinator
  • Summit Financial, LLC
  • Parsippany, NJ FULL_TIME
  • Summary: The Investment coordinator has accountability for processing new accounts and maintenance requests, ensuring accuracy of paperwork, timely research of any questions or issues, tracking invest...
  • 10 Days Ago

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Scheduling Coordinator
  • NJ05, SYNERGY HomeCare of Parsippany
  • Parsippany, NJ FULL_TIME
  • Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their terms, in their own homes. And t...
  • 10 Days Ago

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0 Utilization Review Coordinator jobs found in Bloomfield, NJ area

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Treatment Plan Coordinator
  • ClearChoice
  • Roseland, NJ
  • Treatment Plan Coordinator (TPC) Treatment Planning involves maintaining the Center's clinical calendar in our Practice ...
  • 4/18/2024 12:00:00 AM

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Practice Coordinator
  • Binding Minds Inc. (certified Disability Owned Business Enterprise)
  • Roseland, NJ
  • About the job - Essential Job Requirements Provide day-to-day technical support to case teams, Practice Support members,...
  • 4/18/2024 12:00:00 AM

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Sr Electrical Engineer
  • Qcells Enable
  • Teaneck, NJ
  • QCELLS Enable is the EPC branch of Qcells for the Commercial, Industrial, Distributed Generation, and Small Utility Scal...
  • 4/18/2024 12:00:00 AM

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Civil Engineer - Senior
  • Blue Signal Search
  • New York, NY
  • Our client is renowned for their innovative and comprehensive approach to complex construction, engineering, and archite...
  • 4/17/2024 12:00:00 AM

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Practice Support Coordinator
  • Considine Search
  • Roseland, NJ
  • Practice Support Coordinator Roseland, NJ Firm Our client is one of the most sophisticated law firms in the United State...
  • 4/17/2024 12:00:00 AM

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MDS Coordinator RN
  • HC&N Healthcare Solutions
  • Maplewood, NJ
  • HC&N Healthcare Solutions - MDS Coordinator RN MDS Coordinator RN Job description Oversees accurate and thorough complet...
  • 4/17/2024 12:00:00 AM

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Practice Support Coordinator
  • Considine Search
  • Roseland, NJ
  • Practice Support Coordinator Roseland, NJ Firm Our client is one of the most sophisticated law firms in the United State...
  • 4/16/2024 12:00:00 AM

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Orthopedic Surgical Coordinator-Full Time-Bergen, Essex, & Hudson County
  • Hiring Now!
  • Jersey City, NJ
  • Job Summary: The Surgical Coordinator is responsible for scheduling all patient surgical procedures for the practice. Ob...
  • 4/16/2024 12:00:00 AM

Bloomfield is a township in Essex County, New Jersey, United States. As of the 2010 United States Census, the township's population was 47,315, reflecting a decline of 368 (-0.8%) from the 47,683 counted in the 2000 Census, which had in turn increased by 2,622 (+5.8%) from the 45,061 counted in the 1990 Census. It surrounds the Bloomfield Green Historic District. According to the United States Census Bureau, the township had a total area of 5.328 square miles (13.801 km2), including 5.304 square miles (13.738 km2) of land and 0.024 square miles (0.063 km2) of water (0.46%). Silver Lake (2010 t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$92,801 to $114,956
Bloomfield, 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