Utilization Review Coordinator jobs in Elizabeth, 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

  • 1 Day Ago

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Utilization Management Administration Coordinator
  • Humana
  • Jersey, NJ FULL_TIME
  • Become a part of our caring community and help us put health first Humana Healthy Horizons in Ohio is seeking a Utilization Management Administration Coordinator 2 who contributes to administration of...
  • 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...
  • 21 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...
  • 28 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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Director, Master Review Board and Disposition
  • Bristol Myers Squibb
  • Summit, NJ FULL_TIME
  • Working with UsChallenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting ...
  • Just Posted

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0 Utilization Review Coordinator jobs found in Elizabeth, NJ area

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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...
  • 4/26/2024 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...
  • 4/26/2024 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, ...
  • 4/26/2024 12:00:00 AM

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Secretary III
  • Rutgers University
  • Newark, NJ
  • Position Details Position Information Recruitment/Posting Title Secretary III Job Category Staff & Executive - Administr...
  • 4/26/2024 12:00:00 AM

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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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Regional Business Office Manager
  • AristaCare
  • Cranford, NJ
  • We are looking for a Regional BOM who will be based out of our Cranford Corporate office, but must be willing to travel ...
  • 4/24/2024 12:00:00 AM

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PAS Outpatient Site Scheduling Specialist
  • RWJ Barnabas
  • Union, NJ
  • Job Overview: The outpatient site scheduling specialist is a critical role at the local level in ensuring patients and f...
  • 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

Elizabeth is both the largest city and the county seat of Union County, in New Jersey, United States.[21] As of the 2010 United States Census, the city had a total population of 124,969, retaining its ranking as New Jersey's fourth most populous city, behind Paterson. [22] The population increased by 4,401 (3.7%) from the 120,568 counted in the 2000 Census, which had in turn increased by 10,566 (+9.6%) from the 110,002 counted in the 1990 Census.[23] For 2017, the Census Bureau's Population Estimates Program calculated a population of 130,215, an increase of 4.2% from the 2010 enumeration, ran...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$91,108 to $112,859
Elizabeth, 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