• Utilization Review

    Sedgwick (Trenton, NJ)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign ... utilization review requests; to verify and enter data in appropriate...and RESPONSIBILITIES** + Accesses, triages and assigns cases for utilization review (UR). + Responds to telephone… more
    Sedgwick (01/19/26)
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  • UM Coordinator - Utilization

    Hackensack Meridian Health (Belle Mead, NJ)
    …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... transform healthcare and serve as a leader of positive change. The ** Utilization Management Coordinator ** utilizes clinical knowledge and understanding of… more
    Hackensack Meridian Health (01/10/26)
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  • Quality Clinical and Regulatory Data Improvement…

    RWJBarnabas Health (Oceanport, NJ)
    …per year Location: Oceanport, Oceanport, NJ 07052 Job Title: Quality Coordinator Location: SBC Corporation Department Name: Quality Resource Services Req #: ... Registered Nurse Essential Job Functions: + Capabilities for data solution utilization including CMS Quality Net national benchmarking, Vizient clinical database,… more
    RWJBarnabas Health (01/14/26)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (NJ)
    …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
    CVS Health (01/21/26)
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  • Cardiovascular Registry Administrator

    Hackensack Meridian Health (Edison, NJ)
    …performance of the national STS/TVT, ACC-NCDR, and NJDHSS CV databases. Develops utilization of the Cardiovascular Registry Program to its full potential, by ... continually providing database utilization education, and training of appropriate personnel, including the CV Registry abstractor(s), regarding accurate and complete… more
    Hackensack Meridian Health (12/14/25)
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  • Associate Project Manager - Cybersecurity

    SHI (Trenton, NJ)
    …position will schedule resources, manage escalations, track hours and budget, review deliverables, and maintain clear communication with stakeholders on project ... closure which includes project acceptance,andfinal invoicing, andconduct a thorough review toidentifylessons learned and best practices for future projects +… more
    SHI (12/10/25)
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  • Mobility Technician - Full Time, Days 8a-4p,…

    Atlantic Health System (NJ)
    …in responding to patient need. Completes all assignments unless redirected by rehab coordinator /manager. Works as a team member in meeting assigned unit and rehab ... in role responsibilities, unit routine of patient care, documentation and equipment utilization . Assist new employees during their shifts. Provide coverage for the… more
    Atlantic Health System (01/16/26)
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  • Respiratory Registered Nurse

    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 ... the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy program. . Establishing… more
    Chatham Hills Subacute Care Center (12/23/25)
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