Utilization Review Coordinator jobs in East Orange, 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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Registered Nurse-Utilization Review
  • Ambe Healthcare Staffing
  • Secaucus, NJ FULL_TIME
  • Candidate criteria:

    Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand we need to fill were staff is needed)

    Day Shift 0800-1630, (UR positions will be remote)

    Need to have UR experience, specifically with InterQual

    Possibly will need to work some Holidays if needed.

    Backfill for Patrina Tyler

    COVID-19 Vaccine (Facility Guideline):

    Required - Medical/Religious Exemptions Only

  • Just Posted

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Sales Paralegal - On Site (210)
  • Denovo Review
  • Newark, NJ FULL_TIME
  • A national full-service business law firm with over 200 attorneys and offices across the United States is seeking a Foreclosure Sales Paralegal with prior NY Sales experience needed to support the Ban...
  • 20 Days Ago

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Director Utilization & Case Management
  • University Hospital, Newark NJ
  • Newark, NJ FULL_TIME
  • Responsibilities The Director Utilization and Case Management will be responsible for the strategic direction setting, management, continuous improvement, and maintenance of the Utilization and Case M...
  • 27 Days Ago

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Document Review Attorney - Remote
  • Dauntless Discovery
  • Newark, NJ FULL_TIME
  • Experienced Document Review Attorney – RemoteGreat opportunity for licensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to st...
  • Just Posted

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Remote Document Review Attorney (Temporary)
  • TrustPoint International, LLC
  • Jersey, NJ TEMPORARY
  • Trustpoint is staffing a remote document review project starting the first week of April. Candidates with 1-2 years of document review experience are encouraged to apply! Project Details Start Date: T...
  • 10 Days Ago

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Physician Spine Surgeon Telecommute Medical Review
  • Concentra Career Choice
  • Newark, NJ OTHER
  • Overview Are you an accomplished Board Certified Spine Surgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream divisio...
  • 21 Days Ago

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0 Utilization Review Coordinator jobs found in East Orange, NJ area

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Senior PV/Electrical Engineer
  • Vallum Associates
  • Farmingdale, NJ
  • Responsibilities: Participate and lead several phases of PV projects including: Administration related to construction p...
  • 4/24/2024 12:00:00 AM

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Case Management Coordinator
  • University Hospital New Jersey
  • Newark, NJ
  • Responsibilities The primary purpose of the Case Management Coordinator position is to coordinate the patient’s progress...
  • 4/24/2024 12:00:00 AM

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Utilities Supervisor
  • System One Holdings, LLC
  • Hightstown, NJ
  • SUMMARY Perform periodic maintenance of utilities equipment. Responsible for HVAC, water system and Boiler area day to d...
  • 4/22/2024 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...
  • 4/22/2024 12:00:00 AM

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Inpatient Care Manager (RN)- FT Days MMC-FILLED
  • Atlantic Health System
  • Morristown, NJ
  • Job Description Responsible for providing care and services of selected member populations across the continuum of illne...
  • 4/21/2024 12:00:00 AM

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HVAC & R Mechanic
  • Northwell Health
  • Staten Island, NY
  • Job Description Job Description Installs, maintains, repairs and replaces heating, ventilating, air conditioning, refrig...
  • 4/21/2024 12:00:00 AM

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Civil Engineer
  • NV5
  • Parsippany, NJ
  • Overview: NV5 (NASDAQ: NVEE) is a provider of engineering and consulting services to public and private sector clients, ...
  • 4/21/2024 12:00:00 AM

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Manager, Demand Generation
  • Sika AG
  • Lyndhurst, NJ
  • Company Description With over 100 years of experience, Sika is a worldwide innovation and sustainability leader in the d...
  • 4/21/2024 12:00:00 AM

East Orange is a city in Essex County, New Jersey, United States. As of the 2010 United States Census the city's population was 64,270, reflecting a decline of 5,554 (−8.0%) from the 69,824 counted in the 2000 Census, which had in turn declined by 3,728 (−5.1%) from the 73,552 counted in the 1990 Census.[21] The city was the state's 20th most-populous municipality in 2010, after having been the state's 14th most-populous municipality in 2000.[22] According to the United States Census Bureau, the city had a total area of 3.924 square miles (10.164 km2), all of it land. East Orange shares border...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$91,108 to $112,859
East Orange, New Jersey area prices
were up 1.6% 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