Utilization Review Technician jobs in Atlantic City, NJ

Utilization Review Technician 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 Technician 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 Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

A
Utilization Review Specialist
  • Avenues Recovery
  • Toms River, NJ FULL_TIME
  • Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with fourteen locations across five states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care, including detox, residential, PHP, IOP, and outpatient services. The secret to our success is our people - merged with a premier clinical program, it's allowed us to transform the lives of thousands of people to date. If you're passionate about recovery and want to impact others in a meaningful way - we warmly invite you to join our growing family!

    We are currently seeking to hire Utilization Review Specialists to join our corporate UR Team in NJ!

    The Utilization Review Specialist collaborates with Avenues Recovery facilities regarding Utilization Review (UR) and ensures that all clients are authorized for treatment at the appropriate level of care in a timely manner. The UR Specialist serves a dual function ensuring quality and comprehensive charting of all services rendered by maintaining collaborative lines of communication with facility leadership.


    Responsibilities Include, but are not limited to, the following:

    • Fielding incoming calls, emails and other correspondence relating to new clients that require Authorization
    • Working closely with the Avenues Recovery billing team to properly coordinate and flag potential issues that may arise
    • Assist staff with creating uniformed templates and processes that can be used at all Avenues facilities
    • Work with site administrators to ensure that proper templates and processes are being implemented
    • Manage a client caseload and Coordinate with treatment team to assess and advocate for continued stay at recommended level of care
    • Documenting and maintaining electronic records related to all UR correspondence and authorization by utilizing internal computer software
    • Nursing degree/knowledge in healthcare preferred

    Competencies (Knowledge, Skills, and Abilities):

    • Communication skills a must
    • Excellent Interpersonal Skills
    • Acute Observational Skills
    • Strong Written and Oral Communication Skills
    • Physical and Mental Stamina
    • Flexible
    • Sound Judgement
    • Team Player

    Required Education

    • Graduation from High School or GED/Bachelor's Degree
    • Must be able to read, write, speak, and understand the English language

    Required Experience

    • A minimum of 1-year experience in treatment industry preferred.

    Licensure/Certification

    • Current and valid state issued Driver License
    • Valid CPR certification and First Aid

    Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:

    · 401K with 100% employer match

    · Medical Insurance

    · Dental

    · Vision

    · Accident

    · Critical Illness

    · Hospital Indemnity

    · Voluntary Short-Term Disability

    · Voluntary Long -Term Disability

    · Employer-Paid Life and AD&D

    · LifeTime Benefit Term Insurance with Long Term Care

    · Legal Coverage

    · Pet Insurance

    · Identity Theft Protection

    · Employer-Paid Employee Assistance Program

    · Flexible Spending Account (FSA) - Medical

    · Dependent Care FSA (DCF)

    Join our growing team and discover the magic here at Avenues!

    Apply today!

  • 2 Days Ago

A
RN - Utilization Review (Evenings) #41067
  • AdeIphi MedicaI Staffing®
  • Lewes, DE FULL_TIME
  • Summary:Ref #: 41067.Profession: Registered Nurse.Specialty: Utilization Review.Job Type: Full-time.Start Date: ASAP.Location: Lewes, DE.Shift Schedule: 8 hrs per day; 2:00 PM - 10:30 PM.Weekend Requi...
  • 27 Days Ago

K
Automotive Technician with Matt Blatt Kia Toms River
  • Kia Veterans Technician Apprenticeship Program (VTAP)
  • Toms River, NJ FULL_TIME
  • Kia Retailers are offering skilled and experienced military Veterans with the opportunity to begin an inspiring career as a Kia Certified Service Technician. To support this Kia Retailer initiative, K...
  • 19 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • LEEDS POINT, NJ FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 27 Days Ago

A
Registered Nurse - Utilization Management - Full Time
  • AtlantiCare
  • Egg Harbor, NJ FULL_TIME
  • Graduate of an accredited school of nursing required. Current licensure as a Registered Nurse in the State of New Jersey POSITION SUMMARY The RN Utilization Management Days is responsible for the over...
  • Just Posted

A
Technician
  • Auto Plus
  • Egg Harbor, NJ FULL_TIME
  • Position Summary The Automotive Mechanic must professionally inspect, diagnose and repair tire and automotive services, while delivering an excellent customer experience. They are responsible for expl...
  • 17 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Utilization Review Technician jobs found in Atlantic City, NJ area

I
Maintenance Technician
  • Ingerman Group
  • Pleasantville, NJ
  • DescriptionHere, job satisfaction is part of every job description.Its not just the chance to go as far as your talent a...
  • 4/24/2024 12:00:00 AM

D
Aviation Technician
  • Diakon Solutions LLC
  • Egg Harbor Township, NJ
  • Job Description Job Description Overview: The FAA William J. Hughes Technical Center (WJHTC) is the nation's premier air...
  • 4/24/2024 12:00:00 AM

P
IT Technician Support
  • Playtech
  • Atlantic City, NJ
  • PT Services (New Jersey) LLC is part of Playtech - the world's largest online gaming software supplier traded on the Lon...
  • 4/23/2024 12:00:00 AM

P
IT Technician Support
  • Playtech
  • Atlantic City, NJ
  • PT Services (New Jersey) LLC is part of Playtech - the world's largest online gaming software supplier traded on the Lon...
  • 4/23/2024 12:00:00 AM

A
Technical Specialist 3 (NJ, Egg Harbor Township)
  • Air Traffic Engineering Co LLC dba ATEC
  • Egg Harbor Township, NJ
  • SUMMARY: Terminal Second level Engineering (TSLE) System Engineering, Integration & Field Support Team is looking for a ...
  • 4/22/2024 12:00:00 AM

I
Behavioral Technician
  • Intentional Interventions
  • Absecon, NJ
  • Job Description Job Description Behavior Technician Job Description Definition: At Intentional Intervention, LLC , our b...
  • 4/22/2024 12:00:00 AM

I
Maintenance Technician
  • Ingerman
  • Pleasantville, NJ
  • Job Type Full-time Description Here, job satisfaction is part of every job description. It's not just the chance to go a...
  • 4/21/2024 12:00:00 AM

R
Pharmacy Technician & Technician Trainee
  • Rite Aid
  • Atco, NJ
  • Pharmacy TechnicianTechnician in Training Contribute to our mission to improve Health and Wellness in your community. Be...
  • 4/20/2024 12:00:00 AM

Atlantic City is a resort city in Atlantic County, New Jersey, United States, known for its casinos, boardwalk, and beaches. In 2010, the city had a population of 39,558.[21][22] It was incorporated on May 1, 1854, from portions of Egg Harbor Township and Galloway Township.[23] It borders Absecon, Brigantine, Pleasantville, Ventnor City, Egg Harbor Township, and the Atlantic Ocean. Atlantic City inspired the U.S. version of the board game Monopoly, especially the street names. Since 1921, Atlantic City has been the home of the Miss America pageant. In 1976, New Jersey voters legalized casino g...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$67,403 to $94,050
Atlantic City, New Jersey area prices
were up 1.5% from a year ago

Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020