Utilization Review Coordinator jobs in New Brunswick, 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 Coordinator/Counselor Intern (Substance Use Disorder)
  • Overcome Wellness & Recovery, LLC
  • Lakewood, NJ INTERN
  • We are looking for a Utilization Review Coordinator to join our team! This position facilitates all aspects of the utilization review process for clients in a trauma informed care setting that promotes a strong team environment of support.

    Job Responsibilities include, but are not limited to:

    -Handling all aspects of utilization review.

    -Calling in initial authorizations, single case agreements, and concurrent reviews.

    -Reviewing charts with clinical team to determine level of care, and reviewing documentation to ensure it accurately describes level of care and ongoing need for treatment.

    -Demonstrating knowledge and application of ASAM criteria and NJSAMS.

    -Working with the Clinical Director and team.

    Qualifications

    -Knowledge in addiction and co-occurring disorders

    -Knowledge of insurance companies and clinical assessment skills

    -Organized and flexible, with at least 1 year of working in mental health/addictions/ co-occurring treatment environment

    Please submit your resume and salary requirements if you are interested in joining our team.

    Job Types: Full-time, Part-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Day shift

    Education:

    • High school or equivalent (Preferred)

    Experience:

    • mental health/addictions/co-occuring: 1 year (Preferred)

    Ability to Relocate:

    • Lakewood, NJ 08701: Relocate before starting work (Required)

    Work Location: In person

  • 2 Days Ago

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Utilization Management Coordinator
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER
  • Neptune, NJ PART_TIME
  • Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in c...
  • 21 Days Ago

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Utilization Management Coordinator
  • Hackensack Meridian Health
  • Neptune, NJ FULL_TIME
  • OverviewOur team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture roo...
  • 26 Days Ago

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Care Coordinator, Utilization Management
  • HMH HOSPITALS CORPORATION
  • Neptune, NJ FULL_TIME
  • Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in c...
  • 1 Month Ago

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Coordinator
  • RWJBarnabas Health
  • Brunswick, NJ FULL_TIME
  • RWJBH is seeking a Quality Coordinator in the Quality Resources Department at the New Brunswick campus.The Quality Coordinator is responsible for assisting with developing implementing and evaluating ...
  • 17 Days Ago

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Catering Coordinator
  • Panera Bread
  • Howell, NJ FULL_TIME
  • Come join Panera Bread, an industry leading, award winner!We are committed to maintaining the standards that make Panera Bread special including fresh food, welcoming environment, exceptional service,...
  • 16 Days Ago

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0 Utilization Review Coordinator jobs found in New Brunswick, NJ area

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Utilization Review Coordinator
  • Foundations Behavioral Health
  • Doylestown, PA
  • Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Departmen...
  • 4/25/2024 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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Keyboarding Clerk 1
  • Middlesex County
  • New Brunswick, NJ
  • Overview: Under close supervision, performs routine, repetitive clerical work involving the processing of documents in a...
  • 4/24/2024 12:00:00 AM

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Operations Support Supervisor-Somerset, NJ.
  • dsm-firmenich
  • Somerset, NJ
  • Operations Support Supervisor Somerset, NJ, US On-Site S13 The Operations Support Supervisor is responsible for safety, ...
  • 4/24/2024 12:00:00 AM

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Utilization Review Coordinator
  • Foundations Behavioral Health
  • Doylestown, PA
  • Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Departmen...
  • 4/22/2024 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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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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Police Administrative Assistant
  • Township of Edison
  • Edison, NJ
  • Police Administrative Assistant Police Administration Senior - Principal 2019 Salary $47,150 Interested candidates must ...
  • 4/21/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 5.789 square miles (14.995 km2), including 5.227 square miles (13.539 km2) of land and 0.562 square miles (1.456 km2) of water (9.71%). New Brunswick is in Raritan Valley (a line of cities in central New Jersey). New Brunswick is on the south side of Raritan Valley along with Piscataway Township, Highland Park, Edison Township, and Franklin Township (Somerset County). New Brunswick lies southwest of Newark and New York City and northeast of Trenton and Philadelphia. New Brunswick is bordered by Piscataway, Highland Park...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$91,027 to $112,759
New Brunswick, 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