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The Cigna Group
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Morris Plains, New Jersey
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client specific and customized solution needs that drive down overall healthcare spend. The Senior ... analysis of claims utilization including analysis of trend, most common indications, drug level market
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Atlantic Health System
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Newton, New Jersey
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Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the ...
Responsible for providing care and services of selected member populations across the continuum
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Anchor Behavioral Solutions
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West Orange, New Jersey
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services with a strong emphasis on creativity, utilization maximization, revenue growth, market share ... with the Executive Director and collaborate closely with management across several key departments
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Atlantic Health System
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Summit, New Jersey
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Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the ...
Responsible for providing care and services of selected member populations across the continuum
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Atlantic Health System
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Morristown, New Jersey
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Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the ...
Responsible for providing care and services of selected member populations across the continuum
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Atlantic Health System
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Morristown, New Jersey
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Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the ...
Responsible for providing care and services of selected member populations across the continuum
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Atlantic Health System
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Summit, New Jersey
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Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the ...
Responsible for providing care and services of selected member populations across the continuum
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Atlantic Health System
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Morristown, New Jersey
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Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the ...
Responsible for providing care and services of selected member populations across the continuum
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Atlantic Health System
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Summit, New Jersey
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Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the ...
Responsible for providing care and services of selected member populations across the continuum
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Prime Healthcare
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Boonton Township, New Jersey
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based on youth needs and practices utilization management.
Qualifications ... committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint
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Prime Healthcare
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Boonton Township, New Jersey
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based on youth needs and practices utilization management.
**Sign-On Bonus of $7,500 ... committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint
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Humana
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Trenton, New Jersey
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Experience with Pharmacy Benefit Manager, Pharmacy, or Healthcare data, in particular drug utilization ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for
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Prime Healthcare
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Boonton Township, New Jersey
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based on youth needs and practices utilization management.
**Sign-On Bonus of $7,500 ... committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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the member/family among various sites to coordinate resource utilization and evaluation of services ... long term support and services case management program.Knowledge:</font
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Anchor Behavioral Solutions
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West Orange, New Jersey
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and UKG development teams to maximize application performance, utilization efficiency and reduce ... emerging technologies relevant to behavioral health services.- Ensure that all technology initiatives
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St. Joseph's Health
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Wayne, New Jersey
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Candidate) Save This Job Job Saved
Overview
St. Joseph’s Healthcare System is ... staff have made us one of the most highly respected healthcare organizations in the state, the largest
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Hackensack Meridian Health
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Belle Mead, New Jersey
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positive change.
The Utilization Management Coordinator utilizes clinical knowledge and ... resources and benefits on a case by case basis. Applies case management and utilization review principles in
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Sevita
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Delran, New Jersey
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NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ... therapy programs, day treatments, and specialized services for infants, children, adolescents, Military
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Veolia North America
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Haworth, New Jersey
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, Veolia North America (VNA) offers a full spectrum of water, waste and energy management services ... consulting and resource recovery. VNA helps commercial, industrial, healthcare, higher education and
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Concentra
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Jersey City, New Jersey
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interpretation and decisions about the appropriateness of services provided by other healthcare professionals in ... , with an excellent understanding of network services and managed care, appropriate utilization of
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Concentra
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Jersey City, New Jersey
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interpretation and decisions about the appropriateness of services provided by other healthcare professionals in ... , with an excellent understanding of network services and managed care, appropriate utilization of
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Penn Medicine
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Plainsboro, New Jersey
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's mission to provide consistent quality health care services in a professional, caring and responsive environment. Will demonstrate responsibility for individual performance and efficient utilization of products
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Humana
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Trenton, New Jersey
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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Hackensack Meridian Health
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Perth Amboy, New Jersey
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. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The House Supervisor directs and coordinates nursing administrative services
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Hackensack Meridian Health
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Hackensack, New Jersey
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healthcare and serve as a leader of
positive change.”
Come join our Amazing team here at ... , Employee Discounts and much more!!!
The Appointment Coordinator is responsible for the management
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Penn Medicine
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Plainsboro, New Jersey
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's mission to provide consistent quality health care services in a professional, caring and responsive environment. Will demonstrate responsibility for individual performance and efficient utilization of products
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Highmark Health
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Trenton, New Jersey
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captures all inbound phone inquires for utilization management review from providers and pharmacies. The ... Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
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The Cigna Group
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Morris Plains, New Jersey
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necessary (utilization and/or health management strategy/reporting) for each client assigned.
Acts in ... home). Candidates can be based out of any US Cigna Healthcare office and is not limited to locations
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RWJBarnabas Health
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Somerset, New Jersey
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, as well as experience in clinical care operations, case management and/or patient throughput ... community resources
Must demonstrate critical thinking, conflict resolution, time management, and
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Humana
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Trenton, New Jersey
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, other healthcare providers, clinical group practice management.
Utilization management experience ... medical interpretation and determinations whether services provided by other healthcare professionals are
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