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The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack University Medical Center. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of care, as outlined in the responsibilities below.

Education, Knowledge, Skills and Abilities Required:

1. Medical degree from a recognized Medical School.

2. Completion of a residency program from an accredited medical institution.

3. Minimum of 3 years medical practice experience.

4. Ability to effectively communicate with professional peers, department members and all levels of administration.

Education, Knowledge, Skills and Abilities Preferred:

Licenses and Certifications Required:

1. Medical Doctor License.

Licenses and Certifications Preferred:

1. Maintains at least one Medical Board Certification.

2. At least two years experience in Utilization Review processes including knowledge of regulatory requirements relative to performing status determinations and Peer to Peer denial interactions with medical directors of third-party payers.

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HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.