- 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
- 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
- Deloitte (Morristown, NJ)
- …clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… more
- Oracle (Trenton, NJ)
- …Manager and the roles within the pods (eg, Business Analyst, Integration Specialist , QA, etc.) and contribute to strategic planning, direction, and goal setting ... procedures, contractual budgets, providing expert-level insight on the development, utilization , and revision of contractual agreements. + Maintains customer… more
- Norstella (Trenton, NJ)
- Client Success Renewals Specialist Company: MMIT Location: Remote, United States Date Posted: Dec 22, 2025 Employment Type: Full Time Job ID: R-978 **Description** ... and responsive to patient needs. **The Role:** The Client Success Renewals Specialist works in collaboration with the Client Success Operations Manager and Client… more
- J&J Family of Companies (New Brunswick, NJ)
- …Description:** We are searching for the best talent for a Neuroscience Sales Specialist to cover the New Brunswick territory, including Levittown, PA, Trenton, NJ, ... of the way. Learn more at https://www.jnj.com/innovative-medicine **The Neuroscience Sales Specialist will:** + Drive demand generation of Invega through clinical… more
- Hackensack Meridian Health (Red Bank, NJ)
- …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of… more
- Eliassen Group (Trenton, NJ)
- …analyze requirements. + Provide expert advice on best practices for Workfront utilization . + Conduct/participate in regular meetings to review project progress ... **Workfront Configuration Specialist ** **Anywhere** **Type:** Contract **Category:** Development **Industry:** Insurance **Workplace Type:** Remote **Reference ID:**… more
- Evolent (Trenton, NJ)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... for the culture. **What You'll Be Doing:** Job Description **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- SHI (Somerset, NJ)
- …NJ office location. **Role Description** + Change Request Coordination: Receive and review change requests, ensuring that the requisite information is provided and ... and facilitate communication during the implementation process. + Post-Implementation Review : Participate in post-implementation reviews to assess the success and… more
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