Latest Utilization Review Physician jobs in Paterson, NJ

17 Utilization Review Physician Jobs in Paterson, NJ

Clinical Sales Specialist Proclinical Staffing - , NY, United States principles of key physician/account prioritization, daily call reporting, and resource utilization. Develop and maintain professional relationships with customers, guided by the best interests of patients Yesterday
Sr Utilization Review Spec-Physician FT HUMC Hackensack Meridian Health - Hackensack, New Jersey Overview: The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records 16 days ago
Pharmacy Manager RightPro Staffing - , NY, United States Formulary tool and makes recommendations to the Corporate Director for revisions or enhancement. Monitors and reports Physician prescribing patterns and medication utilization trends. Under the direction 12 days ago
Appeal Nurse Specialist Hackensack Meridian Health - Hackensack, New Jersey , trains, and serves as a resource person for the Care Management team, medical staff, residents, and other hospital staff on current utilization review methodologies, requirements and criteria. Collaborates 9 days ago
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Chiropractor Telecommute Medical ReviewStream Concentra - Newark, New Jersey of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities 27 days ago
Medical Director -Radiologist - eviCore - Remote Cigna - Remote, New York, USA necessity of services that do not meet utilization review criteria. Review appeals for denied services related to relevant medical experience and our evidence-based guidelines, in accordance with appeal 24 days ago
Medical Director Village Care - New York, NY 10014, USA should have a strong grasp of healthcare software and tools to effectively document case reviews and analyze utilization patterns for continuous improvement in medical management practices. A Medical $130000 - $150000 per year 13 days ago
OB/GYN Needed| Excellent Pay and Benefits| Maplewood, New Jersey Provider Healthcare - Maplewood, New Jersey, United States Participate in the development of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical 2 days ago
RN Director of Quality and Oasis Coding Personal Touch Home Care - Brooklyn, New York : *As the Director of Quality, you will manage the timely review of OASIS and physician orders to ensure accuracy of documentation, appropriate reimbursement, and timely filing of claims. Oversight of ICD-10CM 3 days ago
Telephonic Nurse Case Manager AmTrust Financial Services, Inc. - Latham, New York . Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. Sends letters as needed to prescribing physician(s 6 days ago

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