Clinical Utilization & Denial Manager
Virtua Health
Virtua Health in Pennsauken Township, NJ, is seeking a Utilization Management professional. The role focuses on maintaining compliance and achieving patient outcomes through appropriate medical necessity tools. Candidates should have a nursing background, preferably with clinical experience and an understanding of managed care. The position includes managing denials, consulting with physicians, and documenting assessments. A comprehensive benefits package is also offered to both full-time and part-time colleagues. #J-18808-Ljbffr Virtua Health
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Clinical Utilization & Denial Manager in Pennsauken, NJ vacancy
- ...IBHS Clinical Care Manager – Neurodevelopmental Services (CCM-ND)The IBHS Clinical Care Manager –... ...Services (CCM-ND) is responsible for utilization management by conducting utilization review... ...as clinically appropriate.Generate denial letters based on physician consults and...SuggestedPart timeWork experience placementLocal areaDay shift
Community Behavioral Health
Philadelphia, PA4 days ago - ...Clinical Care ManagerThe Clinical Care Manager (CCM) is responsible for delivering integrated, whole person care management... ...multiple systems, ensures timely utilization management (UM) activities, and... ...electronic systems and generate denial letters when applicable.Conduct...SuggestedWork at officeLocal areaWork from home
Community Behavioral Health
Philadelphia, PA4 days ago - ...Clinical Care Manager The Clinical Care Manager is responsible for utilization management by conducting utilization review activities, population management, cross-system... ...as clinically appropriate. Generate denial letters based on physician reviews and in accordance...SuggestedWork experience placementLocal areaDay shift
- ...Clinical Care CoordinatorCAMcare is made of a diverse and innovative team motivated to provide... ...care coordination, population health management, care transitions, and quality/safety... ...required clinical quality measures (CQMs).Utilize registries and reports to proactively...SuggestedLocal area
Camcare Health
Camden, NJ4 days ago - ...Job Description Job Description The Clinical Care Manager is responsible for care coordination,... ...quality monitoring and potentially utilization management. The Clinical Care Manager... ...resiliency and recovery. Generate denial letters based on physician reviews and...SuggestedWork experience placementLocal areaDay shift
Community Behavioral Health.
Philadelphia, PA18 days ago - ...shape the future of PCI.Responsible for management and growth of a specific territory on the... ....Participate in tradeshows, exhibits, clinical Seminars, client events and professional... ...expansion of strategic accounts, including utilizing and directing PCI resources. As well as...Full time
- ...medical center means collaboration with top clinical, technical and business professionals... ...Services Coordinator (CSC) assists the manager and/or physicians in maintaining a patient... ...communication skills Ability to utilize critical thinking Must be attentive to...Full timeWork at officeLocal areaMonday to Friday
Penn Medicine
Philadelphia, PA1 day ago - Tractor Supply Company is seeking an Assistant Field Operations Manager to oversee field office and clinic operations, ensuring strong leadership and consistent service delivery. You will manage facilities, staff, and inventory while building partner relationships and...Work at office
$122k - $160k
...Liberty airport.Position SummaryCatalent is a global leader in clinical supply services, working with clinical trial sponsors of all sizes... ...and ensure reliable global supply chain execution.As Contracts Manager, you will be a strategic partner to Business Development, Site...Full timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift work$141.5k - $235.9k
The enterprise clinical team is reimagining its global talent model to support The Cigna... ...at scale. This position reports to the Managing Director, Enterprise Clinical Strategy and... ...operating model, including scope such as utilization management, case management, pharmacy...Full timeContract workLocal areaWork from home- ...Care, at the Right Time, in the Right Place. Job Description Clinical Team Manager Full Time Cherry Hill, NJ Salary 90-92K At Elara Caring, we... ..., and on time. Review productivity, billing, and utilization reports, identifying opportunities to improve operational efficiency...Full time
- ...medical center means collaboration with top clinical, technical and business professionals... ...Needs Position: RN Clinical Care Manager Job Summary: The Clinical Care Manager... ...diseases and high medical service utilization. Collaborates with physician and practice...Full timeRemote work
Penn Medicine
Bala Cynwyd, PA9 hours ago - ...Description Job Description RN Director of Clinical Services Reports to:... ...five (5) years' experience in health care management. Demonstrates an ability to supervise... ...service hours. 12. Monitors service utilization to ensure delivery of comprehensive care...Full timeWork at officeLocal area
Bond Health
Philadelphia, PA21 days ago - Position SummaryCatalent is seeking a General Manager to lead its Philadelphia Clinical Supply Services (CSS) operation, the company's North American Center of Excellence for clinical supply packaging, labeling, storage, and distribution supporting global pharmaceutical...Full timeContract workLocal areaWorldwide
$80k - $100k
...Project Manager, Clinical Lab Equipment InstallationAre you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology?At Beckman Coulter Diagnostics, one of Danaher's 15+ operating companies, our work saves lives—...Local areaRemote workWork from homeFlexible hoursDanaher Corporation
Philadelphia, PA1 day ago- ...Description Job Description The Specialty Populations Clinical Care Manager (CCM) is responsible for longitudinal care management and clinical... ...appropriate and person-centered care through ongoing utilization management, provider collaboration, and system coordination...Work at officeLocal area
Community Behavioral Health.
Philadelphia, PA14 days ago - ...Job Description Job Description Regional Director of Clinical Services (Skilled Nursing) We are conducting a search for a Regional... ...leadership staff. Lead and assist with survey readiness and manage responses to any deficiencies. Collaborate with...
Healthcare Nursing Center
Philadelphia, PA21 days ago $120k - $160k
GFT is seeking a Project Manager to join our team. If you are in Chicago, IL, Phoenix, AZ, Charlotte, NC, St. Louis, MO, Marlton, NJ,... ...solutions for power transmission, distribution, and renewable energy, utilizing advanced technologies and creative problem-solving to meet...Full timeContract workFor subcontractorRemote work- Woods Services in Mount Holly Township, NJ, seeks a leader to oversee clinical services at a state-certified special education school and residential treatment facility. In this full-time position, you'll ensure adherence to therapeutic values and lead quality improvement...Full timeRemote workFlexible hours
- ...Responsibilities What You Will Do: Organize, develop, manage, and direct the home health functions of your community health... ...and Company policy Prepare and maintain accurate and complete clinical and progress notes on a timely basis Qualifications Qualifications...Weekly payImmediate startRelocation packageFlexible hours
$75k
...participation and employer match Salary: $75000 / annually - depending upon education / experience / licensure. Summary: Oversee and manage clinical services at a New Jersey State-certified special education school and accredited residential treatment facility. You'll lead...Full timeRemote workFlexible hours$1,800 per month
...team working in a fun, diverse atmosphere. The Regional Clinical Development Manager (RCM) is responsible for a broad range of activities... ...radiation and surgical site exposures. PPE must be obtained and utilized when performing all patient exposure activities...Remote jobWork at officeHome officeShift workNight shiftCalyxo
Philadelphia, PA8 days ago$128.86k - $286.36k
...currently seeking a Speciality Client Partner Manufacturing Energy/Utilities industry (Remote) to join our team in Philadelphia,... ...drive sustainable growth through a focus on strategic account management.You’ll collaborate closely with Launch teams—strategy, design,...Temporary workWork at officeRemote workFlexible hours$88k - $104.5k
...Business Development Manager Location: South Jersey | Type: Full-time | Schedule... ...referral pipeline. Stay Organized : Utilize CRM tools as a strategic resource to plan... ...working directly with physicians, nurses, and clinical staff. Sales Experience : Knowledge...Full timeTemporary workPart timeWork at officeLocal areaMonday to FridayFlexible hoursIvx Health
Cherry Hill, NJ17 hours ago- Global Director of Procurement - Clinical Supply Services Position Summary:Catalent’s Philadelphia site is a dynamic hub specializing... ...procurement teams with full accountability for performance, supplier management, and sourcing strategies. The position focuses on driving cost...Full timeContract workLocal areaWorldwide
- ...the world’s most critical — and most dynamic — industries?The Utilities Industry is transforming at unprecedented speed. Clean energy... ...Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting,...Full timeWork experience placementLive inWork at officeLocal area
- ...supplies necessary to operate the facility. Performing staff management duties. ESSENTIAL DUTIES AND RESPONSIBILITIES: · Staffing... ...and orientation of racing karts and race track barriers · Utilizing racing flags and instructional signs as tools · Carefully...Work at office
K-1 Speed Inc
Riverton, NJ17 days ago $110.7k - $218.3k
...deliver capital projects with confidence Help organizations plan, manage and control project cost and schedule through construction... ...construction management4+ years of experience working within the power utilities and or/renewable energy industry with exposure to transmission...Contract workLocal area$175k - $195k
Job DescriptionDewberry’s growing Commercial Utilities - Energy/Renewables Group is looking for a Senior Project Manager to play a key role in delivering complex, high‑impact infrastructure projects. You’ll work alongside multidisciplinary teams to provide full‑service...Full timeTemporary workLocal areaFlexible hours- ...building the foundation for a long-term advisory career. At the Manager level, your first responsibility is delivery excellence: you... ...project teams or workstreamsMinimum of 2 years of experience in the Utilities IndustryBonus points if you have:Demonstrated fluency with...Full timeLive inWork at officeLocal areaShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Utilization & Denial Manager. Be the first to apply!
