Utilization Review Coordinator Prior Experience Required
Premier Healthcare LLC
Utilization Review Coordinator Premier Healthcare LLC is seeking a highly skilled and motivated Utilization Review Coordinator to join our team! As a key member of our healthcare organization, you will be responsible for reviewing and optimizing patient care services to ensure high-quality, cost-effective outcomes. Location: Woodcliff Lake, NJ Responsibilities Review patient records and medical charts to identify opportunities for improvement in reimbursement Conduct utilization review activities to ensure compliance with regulatory requirements and company guidelines Collaborate with healthcare providers, case managers, and other stakeholders to optimize patient care and revenue Develop and maintain working relationships with Medicaid, Medicare, and other insurances Analyze data and metrics to identify trends and areas for improvement in patient care, reimbursement and utilization review processes Implement process improvements and recommend changes to optimize utilization review activities Requirements 2 years of experience in utilization review, case management, or a related field Must be available to work in‐person in our Woodcliff Lake, NJ office #J-18808-Ljbffr Premier Healthcare LLC
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Utilization Review Coordinator Prior Experience Required in Woodcliff Lake, NJ vacancy
- ...seeking a highly skilled and motivated Utilization Review Coordinator to join our team! As a key member... ...ensure compliance with regulatory requirements and company guidelines.... ...Coordinator Requirements 2 years of experience in utilization review, case management...Suggested
- Overview The Utilization Review (UR) Specialist is a critical... ...responsible for overseeing and coordinating all aspects of... ...Success in this role requires strong clinical... ...levels of care. Obtain prior authorizations and continued... ...of 2-3 years of experience in utilization review...SuggestedWork at officeLocal area
- ...Healthcare LLC is seeking a highly skilled Utilization Review Coordinator in Woodcliff Lake, NJ. The role... ...Candidates should possess at least 2 years of experience in utilization review or case management. This full-time position requires in-person attendance at the Woodcliff...SuggestedFull timeWork at office
$65k - $80k
Overview The Lead Utilization Coordinator oversees daily operations of the Managed Care... ...of services Obtain and review clinical documentation to support... ...Education: Bachelor's degree required; LPN, RN, or Social Worker preferred Experience: Minimum 2 years in home care...SuggestedShift work$103 per hour
Overview The Senior Utilization Review Specialist collaborates with the healthcare... ...and holiday coverage required as needed based on dept... ...Tools to assist with care coordination decision making. Liaison with... ...of 3 years medical practice experience. Ability to effectively...SuggestedHourly payDaily paidFull timeContract workPart timeFor contractorsApprenticeshipWork experience placementShift workNight shiftWeekend workAfternoon shift- The Senior Utilization Review Specialist collaborates with the healthcare team in the management... ...below. Weekend and holiday coverage required as needed based on dept needs. Education... ...Minimum of 3 years medical practice experience. Ability to effectively communicate with...Daily paidWeekend work
- ...We are looking for a Remote Travel Experience Coordinator to assist clients with travel preparation... ...phone, and online platforms Assist with reviewing travel details and confirming... ...service experience preferred but not required Comfortable working in a remote environment...Remote workFlexible hours
Nova Travels
Paterson, NJ4 days ago $65k - $80k
Catholic Health Services in Maywood, NY is looking for a Lead Utilization Coordinator to oversee daily operations in the Managed Care department... ...possess at least a Bachelor's degree and have 2+ years of experience in home care or managed care settings. The role offers a...$50 - $85 per hour
...Analytics) and Data analytics Experience Remote: Program Manager (... ...within the project schedule Utilize risk management strategies to... ...comprehensive project documentation Review and approve time cards... ...of professional experience is required Proven record of planning and...Contract workLocal areaRemote workVisionary Innovative Technology Solutions LLC
Allendale, NJ4 days ago$133.12k
...Assist Device (pVAD) Coordinator, APP is an expert... ...management of patients requiring advanced heart... ...intensive patients. Prior pVAD experience required. Responsibilities... ...satisfaction. 13. Utilizes and disseminates... ...therapy 16. Creates/reviews Quality and Data reports...Hourly payFull timePart timeApprenticeshipWork experience placementLocal areaShift workNight shiftWeekend workAfternoon shiftHackensack Meridian Health
Hackensack, NJ4 days ago$20 per hour
...Customer Experience Representative (French Bilingual) ID 2026-2283... ...Communicates with Logistics personnel to coordinate special delivery requirements and to resolve problems with... ...* Visual activity required for reviewing documents, spreadsheets, and computer...Hourly payShift workBenjamin Moore
Montvale, NJ4 days ago- ...Intake Coordinator SportsMed Physical Therapy is seeking an Intake... ...exceptional patient experiences. The Intake Coordinator's... ...all insurance verifications/prior authorizations are completed... ...service Bilingual Spanish Required What We Offer Competitive...
SportsMed Physical Therapy
Glen Rock, NJ2 days ago - ...applicable government regulations, and customer requirements. Hours - 7:00 AM to 3:30 PM Monday -... ...shipment. Generate, complete and/or review all documentation (including packing... ...functions. Education and/or Experience High school diploma or equivalent and...Monday to Friday
Triangle Manufacturing CO
Saddle River, NJ6 days ago $68.43k - $151.2k
...Testing Site Coordinator FirstEnergy at a Glance... ...forward-thinking electric utility powered by a diverse... ...skill, work history, experience level, and other... ...with constructability reviews and post project lessons... ...articulating quality requirements for all vendors working...Contract workFor contractorsH1bWork at officeLocal areaFirstEnergy
Passaic, NJ5 days ago- ...Practice Site Coordinator Reporting directly to the... ...This hands-on position requires the full understanding... ...enhance the patient's experience. Responsibilities... ...and performs scorecard reviews, collaborating with RPD... ...operational effectiveness. Utilizes the "scorecard" data...Work at officeImmediate startFlexible hours
Ocean Health Initiatives
Passaic, NJ3 days ago $75k - $100k
...New Homes Utility Interconnections Specialist... ...Specialist to support the coordination and execution of utility... ...to evaluate requirements, resolve issues, and... ...Responsibilities Review project requirements... ...permitting, and customer experience teams. Maintain relationships...For contractorsWork experience placementWork at officeRemote workQ-Cells
Teaneck, NJ4 days ago$100k - $115k
...patient referral process from review through to acceptance,... ...to admit patients smoothly. Utilize the CRM system to ensure proper... ...licensure preferred, but not required, except where mandated in the... ...seven years of recent clinical experience. Benefits Variable compensation...Temporary workLocal area$45k - $61k
...is looking for an EVS Coordinator Dispatcher.... ...position also tracks and reviews metrics such as response... ...identifying patterns that may require workflow adjustments... ...and bed readiness Experience monitoring dashboards,... .... ~ Effectively utilizes computer on all calls...Full timeFlexible hoursDay shiftNewbridge Health & Wellness
Paramus, NJ4 days ago$50k - $55k
...0 Annually Human Resources Coordinator - Recruiting & Onboarding Specialist... ...of all pre-joining requirements. Create & maintain personnel... ...or 3+ years of professional experience. Successful administrative... ...a fast-paced environment. Prior experience with complex calendar...Work at officeMonday to FridayFlexible hours$17 per hour
...service role focused on donor engagement and retention. The position requires exceptional communication skills to assist and educate donors throughout the donation process, ensuring a positive experience. Responsibilities include managing donor information, promoting...- ...Admitting/Registration Scheduling Coordinator Join our team as a day shift... ...clearance of these patients prior to service. Qualifications Job Requirements: High School Diploma or GED... ...education may be substituted for experience. Ability to multitask, can...Full timeWork at officeDay shift
- ...Access Triage Nurse Coordinator The Access Triage Nurse Coordinator... ...medical records and required clinical documentation prior to evaluation. Key... ...certification/authorization reviews in the absence of a pre-... ...MSN Minimum 1 year of experience in an acute care...Daily paidWork at officeShift workNight shift
Prosperity Workforce Solutions
Passaic, NJ16 days ago $23 - $27 per hour
...for a detail‑oriented Prior Authorization & Surgical... ...approvals and coordinating procedures for our pain... ...portals and phone. Review clinical documentation... ...determine authorization requirements. Schedule procedures... ...you bring ~1+ year experience in prior authorizations...Hourly payPart timeRemote workMonday to FridayCORE Medical & Wellness
Clifton, NJ23 hours ago$45k - $58k
Prior Authorization Specialist - Continuum of Care - Full Time Day... ...to clarify coverage requirements, criteria, and documentation... ...with providers to gather and review clinical documentation for medical... ...Qualifications 2+ years of experience with prior authorizations or...Full timeWork at officeDay shift$17 - $18.15 per hour
...recognize that healthcare requires a human touch, and we... ...provide exceptional experiences for our clients,... ...physician orders, and utilizing an overlay tool while... ...registration of patient accounts prior to patient visits.... ...future services. Reviews eligibility responses...Work at officeLocal areaRemote workEnsemble Health Partners
Westwood, NJ1 day ago$130k - $146k
...contractor work order review, and cost... ...for the contractor utilizing design drawings,... ...with the contractor prior to work order... ...applicable code requirements. Maintain familiarity... ...in scope. Coordinate with state agency... ...relevant professional experience in construction project...Full timeContract workFor contractorsWork at office$110k
...contractor work order review, and cost... ...for the contractor utilizing design drawings,... ...with the contractor prior to work order... ...applicable code requirements. Maintain familiarity... ...in scope. Coordinate with state agency... ...Qualifications Education & Experience: Bachelor’s...Full timeContract workFor contractorsWork at officeImmediate start$55k
...EOF) Program or designee. The coordinator researches, implements,... ...and off campus to enhance the experience as first-year students in the EOF Program. Utilizes generative AI tools like ChatGPT... ...Services, or related field required. Prior experience providing direct...Full timeContract workTemporary workSummer workFlexible hours$38.86 - $44.33 per hour
...Marketing Coordinator Greenberg Traurig (GT... ...facing documents, utilizing existing content... ...and/or production requirements are met Drafts... ...practice experience, utilizing the firm... ...Education & Prior Experience... ...consideration and review without regard to...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hoursGreenberg Traurig
Passaic, NJ1 day ago$95k
...Proposal/Marketing Coordinator 3 Job Locations US-... ...procurement process, ideally from prior AEC industry experience. The marketing coordinator... ...list client submission requirements and identify proposal team... ...quality control (QC) review of marketing peer proposals...Full timeKCI Technologies
Woodcliff Lake, NJ1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Review Coordinator Prior Experience Required. Be the first to apply!
