- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Atlantic Health System (Summit, NJ)
- …from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), AAPL (American Association for Physician Leadership's Physician ... in Management course), or CPUR (Certification Program in Utilization Review ), Institute for Healthcare Improvement courses, or physician advisor training… more
- Elevance Health (Morristown, NJ)
- …+ Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in ... decisions to members and providers. **How you will make an impact:** + Perform physician -level case review , following initial nurse review , of Medical… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …Nutrition, Pharm D, Social Work, etc.). Coordinate with the patient care team to review the clinic utilization by using various reports (eg, Clinic ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules… more
- Elevance Health (Morristown, NJ)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- Atlantic Health System (Union, NJ)
- …reviews patient data, history, proper two patient identifiers. + Verifies physician orders and ensures information for radiologist's interpretation is available ... charging and completes exam end procedures in and EPIC/Centricity PACS. + Proper utilization of the PenRad system. + Accurately and effectively performs QA, maintain… more
- Deloitte (Morristown, NJ)
- …physician , physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health IT ... tools as necessary for physicians, CDI team and ancillary staff and assist physician champion to conduct education as needed + Train CDI team, physicians and… more
- Atlantic Health System (Morristown, NJ)
- …efficiency, across all facilities. * Partner with clinical, administrative, and physician leaders to advance operational excellence, patient experience, and safety. ... standards for service delivery, staffing, technology platforms, supply chain utilization , and performance management. * Ensure integration of operations across… more
- Fresenius Medical Center (Teaneck, NJ)
- …staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible ... for strong Director and physician relationships and facilitating staff relationships with physicians. +...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
- Chatham Hills Subacute Care Center (Chatham, NJ)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... plan of treatment and obtaining appropriate approvals from a referring physician . . Communicating with supervisor and interdisciplinary team members regarding… more
- Atlantic Health System (Morristown, NJ)
- …Retiree Medical, Tuition Assistance Benefits including Tuition Advancement/Reimbursement and Physician Loan Repayment, 403B, 457, and Defined Benefit Pension Plans. ... + Communicates provisions of the plan documents. Analyze plan utilization and financial performance to recommend improvements. + Respond...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more