Utilization Review Coordinator jobs in West 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...
  • 19 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...
  • 26 Days Ago

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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...
  • 9 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...
  • 20 Days Ago

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Mandarin Language Document Review Attorney - Remote
  • Dauntless Discovery
  • Newark, NJ FULL_TIME
  • Experienced Document Review Attorney with Mandarin Language skills – RemoteGreat opportunity for licensed attorneys with Mandarin language skills interested in joining an upcoming project. This is a g...
  • 25 Days Ago

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

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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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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...
  • 4/23/2024 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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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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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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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

West Orange is a suburban[22][23] township in central Essex County, New Jersey, United States. As of the 2010 United States Census, the township's population was 46,207, reflecting an increase of 1,264 (+2.8%) from the 44,943 counted in the 2000 Census, which had in turn increased by 5,840 (+14.9%) from the 39,103 counted in the 1990 Census.[24] According to the United States Census Bureau, the township had a total area of 12.171 square miles (31.522 km2), including 12.046 square miles (31.198 km2) of land and 0.125 square miles (0.324 km2) of water (1.03%). It is located approximately 5 miles...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$91,108 to $112,859
West 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