Utilization Review Specialist - Healthcare Optimization
Premier Healthcare LLC
Premier Healthcare LLC is seeking a skilled Utilization Review Coordinator for their Woodcliff Lake, NJ office. The role entails reviewing patient care services to ensure high-quality outcomes. Responsibilities include compliance checks, collaboration with healthcare providers, and data analysis for continuous improvement. Ideal candidates will have at least 2 years of experience in utilization review or case management and be ready to work on-site. Join us to make a positive impact in patient care! #J-18808-Ljbffr Premier Healthcare LLC
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Review Specialist - Healthcare Optimization in Woodcliff Lake, NJ vacancy
- Premier Healthcare, LLC in Woodcliff Lake, New Jersey is looking for a dedicated Utilization Review Coordinator. This role involves reviewing patient records, conducting utilization reviews, and collaborating with healthcare teams to enhance patient care and maximize reimbursement...Suggested
- ...Patient Access Specialist Ensemble is a leading provider of technology... ...healthy. We recognize that healthcare requires a human touch, and... ...physician orders, and utilizing an overlay tool while providing... ...for future services. Reviews eligibility responses in insurance...SuggestedWork at officeLocal areaRemote work
Ensemble Health Partners
Westwood, NJ3 days ago - Summary The Experience Optimization Specialist will be integral in optimizing customer interactions... ...consistently enhance the client experience. By utilizing customer feedback, competitive... ...customer top of mind. Perform regular reviews of customer support cases to ensure...SuggestedWork at officeWork from home
$19 - $22 per hour
...community. As a leading healthcare provider, we offer a... ...Patient Access Scheduling Specialist. Requirements:... ...registration system to provide optimal access to these... .... Consistently reviews all scheduled Same Day... ...* Ability to plan and utilize time management skills...SuggestedHourly payDaily paidFull timeShift work$21.73 per hour
...Integrated Case Management Specialist Our team members are the... ...advancing our mission to transform healthcare and serve as a leader of... ...with the Care Coordinator, reviews daily admission data to verify... ...log reconciliation. Utilizes EPIC computer software to retrieve...SuggestedHourly payFull timePart timeApprenticeshipWork experience placementWork at officeShift workNight shiftWeekend workAfternoon shiftHackensack Meridian Health
Hackensack, NJ3 days ago$21.73 per hour
...advancing our mission to transform healthcare and serve as a leader of... ...Integrated Case Management Specialist performs selected services... ...with the Care Coordinator, reviews daily admission data to verify... .... Daily log reconciliation. Utilizes EPIC computer software to...Hourly payFull timePart timeApprenticeshipWork experience placementWork at officeShift workNight shiftWeekend workAfternoon shiftHackensack Meridian Health
Hackensack, NJ19 hours ago$22.5 per hour
...diverse community. As a leading healthcare provider, we offer a... ...Center is looking for a Recovery Specialist. Job Duties Serves as a recovery... ...client with respect and utilize training to ensure that solutions... ...clinical staff to report and review program progress. Assist in...Full timeFlexible hours- ...growing and critical segment of healthcare providers (HCPs) delivering patient care. The APP Specialist, Gastroenterology is... ...support HCPs in appropriate utilization of our client's access and fulfilment... ...of client resources to drive optimal patient experience and care...Work at officeLocal areaHome office
Syneos Health/ inVentiv Health Commercial LLC
Paramus, NJ4 days ago - ...Advanced Practice Provider Specialist Updated: June 17, 2026 Location... ...and critical segment of healthcare providers (HCPs) delivering... ...support HCPs in appropriate utilization of our client’s access and fulfilment... ...client resources to drive optimal patient experience and care...Work at officeLocal areaHome office
- ...A healthcare organization located in Ramsey, New Jersey, is looking for a highly motivated individual to join their team. The role requires excellent communication, organizational, and multitasking skills, with a passion for patient interaction. The position involves...
Kinetic Rehab and Spine
Ramsey, NJ4 days ago $27.13 per hour
...better - advancing our mission to transform healthcare and serve as a leader of positive change. The Patient Access Specialist is responsible for all Inpatient and... ...proper unit according to admit order. Reviews orders to ensure patient is in appropriate...Hourly payFull timePart timeApprenticeshipWork experience placementWork at officeShift workNight shiftRotating shiftWeekend workAfternoon shiftHackensack Meridian Health
Hasbrouck Heights, NJ4 days ago$28.72 - $36.92 per hour
...Top Healthcare Provider Network The 61st Street Service Corporation provides administrative... ...! Job Summary The AR Follow-Up Specialist III, Coding and Complex Denials is responsible... ...Elevate cases requiring advanced coding review to appropriate CPCs or supervisors as...Remote jobHourly payFull timeWork at officeLocal area- Premier Healthcare LLC is seeking a Corporate Admissions Coordinator in Woodcliff Lake, New Jersey. This role involves managing patient referrals, collaborating with admissions teams, and ensuring timely processing of referrals. Ideal candidates should have a background...
- ...Dementia Specialist Westwood, NJ Balance Life & Work with a New Career... ...best-in-class dementia care, optimal resident placement, and... ...Maintain strong partnerships with healthcare providers and external... ...Oversight & Collaboration Review and align activity programming...Full timeTemporary workPart timeImmediate startFlexible hours
- Spectrum 360 A NJ Non Profit Corp. is seeking a skilled Utility Worker to join the team at Academy of the Holy Angels in Demarest. The role involves overseeing sanitation operations and ensuring cleanliness in dining areas. The ideal candidate should be able to follow safe...
- Electric Vehicle Incentives Specialist Applegreen is seeking to recruit an Electric Vehicle Incentives Specialist who will provide management... ...and with internal Electric Vehicle colleagues Analyse and review utility plans, state and federal legislation related to electric...Work at officeLocal area
$18 per hour
Elior is looking for a skilled utility worker for our education team at the Academy of the Holy Angels in Demarest, NJ. In this role, you will oversee sanitation operations, clean and maintain dining areas, restock supplies, manage waste disposal, and ensure equipment is...Hourly pay$45k - $58k
Prior Authorization Specialist - Continuum of Care - Full Time Day Shift (25384) Location:... ...to our diverse community. As a leading healthcare provider, we offer a supportive and inclusive... ...with providers to gather and review clinical documentation for medical necessity...Full timeDay shift$70k - $85k
...consulting and resource recovery. Veolia helps commercial, industrial, healthcare, higher education and municipality customers throughout North... ...Primary Duties/Responsibilities: Responsible for ensuring the Utility SCADA standards are maintained and the control systems are in...Remote workNight shift- ...Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. Senior Child Life Specialist The Senior Child Life Specialist utilizes child life interventions to provide a safe and nurturing environment where...Work at office
- The Experience Optimization Specialist at Columbia Bank New Jersey will optimize customer interactions across all platforms, ensuring seamless user experiences. The role involves conducting usability tests, analyzing data, and collaborating with teams to enhance client...Work at officeRemote work
$78.4k - $121.7k
...looking for a skilled individual to join their team in Carlstadt, NJ. The role involves developing and executing marketing strategies, optimizing e-commerce listings, and analyzing customer data to improve engagement. Applicants should possess strong computer and analytical...$17.36 - $24 per hour
Lead, Area Health Information Specialist I Location: Hackensack, NJ | On-Site | Full-Time |... ...data collaboration platform trusted for healthcare. Guided by our mission to make the world... ...other legally protected status. Please review our Employee Equity and Opportunity Commitment...Hourly payFull timeWork at office$17.36 - $24 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the... ...You’ll Do As a Lead Health Information Specialist (LHIS), you will play a critical role in... ...exempted from these requirements will be reviewed by Datavant Human Resources and determined...Hourly payFull timeWork at office$24.14 - $30.17 per hour
...precertification/preauthorization from physician offices and insurance companies. Education Associates degree preferred. Experience Healthcare experience required, preferably in Radiology. Knowledge of medical coding preferred. Medical terminology knowledge required....Hourly payFull timeTemporary workPart timeWork at officeLocal areaFlexible hoursShift work- ...business practices on a global scale. Join Kedrion as a key driver of healthcare compliance and integrity. In this role, you will support and... ...and support third‑party due diligence activities, including review and approval processes. Contribute to the Global Speak Up...Live inWork at officeLocal area
$19.81 - $24.76 per hour
06 Valley Physician Services in Ridgewood seeks a Front Desk Coordinator for essential services like checking-in and checking-out patients. Candidates should have a high school diploma and six months of relevant experience in customer service or office management. The role...Hourly payWork at office$60.2k - $100.4k
...and cell biology, you will evaluate and optimize current vaccine platforms and contribute... ...laboratory-based). Must be able to access or utilize reliable transportation to the Pearl... ...public disclosure. Subject to further legal review and statutory or regulatory clarification...Permanent employmentH1bWork at officeLocal areaVisa sponsorshipWork visaRelocation packageWeekend work$60.2k - $100.4k
...and cell biology, you will evaluate and optimize current vaccine platforms and contribute... ...laboratory-based). Must be able to access or utilize reliable transportation to the Pearl... ...public disclosure. Subject to further legal review and statutory or regulatory clarification...Permanent employmentFull timeH1bWork at officeLocal areaVisa sponsorshipWork visaRelocation packageWeekend workPfizer
Pearl River, NY9 hours ago- ...community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance management with various...
HACKENSACK UNIVERSITY MED CNTR
Hackensack, NJ2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Review Specialist - Healthcare Optimization. Be the first to apply!
Related searches
- housing specialist Woodcliff Lake, NJ
- health career services Woodcliff Lake, NJ
- health care administrator Woodcliff Lake, NJ
- health care driver Woodcliff Lake, NJ
- healthcare Woodcliff Lake, NJ
- entry level healthcare administration Woodcliff Lake, NJ
- healthcare team leader Woodcliff Lake, NJ
- health service specialist Woodcliff Lake, NJ
- health services nurse Woodcliff Lake, NJ
- accountant healthcare Woodcliff Lake, NJ