- Atlantic Health System (Florham Park, NJ)
- …safety and progress in transport Expertly uses CAD Dispatch system to review trip requests, appropriately schedule transports to assure timely response and ... vehicle/resource utilization and service Keeps trip requests organized and prioritizes...fashion reports stating progress, issues, problems and statistics for review by other appropriate parties Perform basic data entry;… 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
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the effective and efficient ... an applicable health insurance plan. Primary Position Responsibilities 1. Performs utilization activities, using Milliman Care Guidelines under the guidance of the… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- Terumo Medical Corporation (Somerset, NJ)
- …field inventory-based modes, to include loaners, consignment, trunk stock. Field Inventory Specialist will ensure effective utilization of assets and compliance ... Field Inventory Specialist Date: Jun 27, 2025 Req ID: 4551...losses from expiry and maximize ROI, as well as review operational processes and data to identify opportunities for… more
- RWJBarnabas Health (Somerset, NJ)
- …quality and utilization metrics for assigned programs and practices. + Review charts to identify potential diagnosis codes and partner with the Practice ... Care Coordination Specialist (Southern Regions)Req #:0000196051 Category:Clerical / Administrative Support...and patient outreach as needed. + Facilitate quality and utilization metrics data exchange between the practices and the… more
- RWJBarnabas Health (Somerset, NJ)
- …quality and utilization metrics for assigned programs and practices. + Review charts to identify potential diagnosis codes and partner with the Practice ... Care Coordination Specialist - Northern RegionsReq #:0000207500 Category:Professional / Management...and patient outreach as needed. + Facilitate quality and utilization metrics data exchange between the practices and the… more
- Evolent (Trenton, NJ)
- …meet the minimum standards for National Committee for Quality Assurance + Utilization Review Accreditation Commission (URAC), Employee Retirement Income Security ... of legislative/oversight bodies [e.g., National Committee for Quality Assurance Utilization Review Accreditation Commission (URAC), Employee Retirement Income… more
- TD Bank (Mount Laurel, NJ)
- …and enhance our risk identification capabilities.** This role will include the review and analysis of bank and industry deliverables, whitepapers, processes, and ... + Maintain program documentation and support multiple levels of program audit/ review , + Ensure risks are appropriately identified, managed, and assessed across… more
- Bank of America (Jersey City, NJ)
- Enterprise Financial Risk Capital Markets Risk Sr. Specialist Charlotte, North Carolina;Jersey City, New Jersey; New York, New York **To proceed with your ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Enterprise-Financial-Risk-Capital-Risk-Sr- Specialist \_25003677) **Job Description:** At Bank of America, we are… more
