HackensackRecruiter Since 2001
the smart solution for Hackensack jobs

Utilization Review Specialist (Physician Advisor)

Company: Hackensack Meridian Health
Location: Hackensack
Posted on: January 14, 2021

Job Description:

Hackensack Meridian Health is seeking physician advisors for our Care Management Department at Hackensack University Medical Center in Hackensack, NJ. The Utilization Review Specialist (Physician Advisor) is a key member of the healthcare organization---s leadership team and is charged with meeting the organization---s goals and objectives for assuring the effective and efficient utilization of health care services. The Utilization Review Specialist (Physician Advisor) provides physician support and leadership to the utilization and resource management areas of care management including mentoring/coaching Utilization Review Coordinators/Care Coordinators, reviewing cases for medical necessity, collaborating with physicians, house staff, hospitalists in determining appropriate inpatient versus outpatient/observation status, and participating in denial and appeal processes. The Utilization Review Specialist (Physician Advisor) will act as a member of the Utilization Review Committee, aid Clinical Documentation Specialists, act as a liaison to EHR/IT systems to support best practice medicine, oversee the function and performance of the observation unit, and proactively educate residents, hospitalists, and attending physicians in preventing denials and determining appropriate levels of care for patients. The Utilization Review Specialist (Physician Advisor) will also identify and address issues related to throughput, efficiency, length of stay, resource utilization, readmission avoidance, quality, safety, and patient satisfaction primarily through the performance of multi-disciplinary rounds. This is an administrative position and the successful candidate will form a collaborative partnership with the hospital administration, the medical staff, and the case management department leadership and staff. This partnership will provide a comprehensive clinical resource management program that includes utilization management, progression of care management, social work services, and complex discharge planning. Highlights include: Full-Time Utilization Review Specialist (Physician Advisor) Robust Benefits and Competitive Compensation Packages Being part of a truly integrated health care network consistently voted to be a--- Best Place to Work--- and ---Most Wired--- Employment at a hospital ranked as 4 in New Jersey by U.S. News and World Report Proximity to the Jersey coastline, a highly desirable place to live and a region celebrated for its summer season offering a myriad of activities associated with its sand and surf and varied entertainment Qualifications: Board Certified/Board Eligible and Valid NJ License Minimum of 3 years of Clinical Practice Experience, Preferably in Primary Care Previous Utilization Management Experience in Acute Care Setting Preferred Knowledge of CMS Regulations and Knowledge of Nationally Accepted Guidelines such as MCG and InterQual Preferred Excellent Communication and Interpersonal Skills Knowledge of CMS Regulations and Knowledge of Nationally Accepted Guidelines such as MCG and InterQual Preferred Proficient Computer Skills Strong Organizational Skills with Ability to Multi-task and Set Priorities. Ability to effectively communicate with professional peers, department members and all levels of administration. Hackensack University Medical Center Hackensack University Medical Center, a 781-bed nonprofit teaching and research hospital located in Bergen County, is the largest provider of inpatient and outpatient services in the state. Founded in 1888, it was the county---s first hospital. It was the first hospital in New Jersey and second in the nation to become a Magnet-recognized hospital for nursing excellence; receiving its sixth consecutive designation in 2019 Hackensack Meridian Health is seeking physician advisors for our Care Management Department at Hackensack Uni

Keywords: Hackensack Meridian Health, Hackensack , Utilization Review Specialist (Physician Advisor), Healthcare , Hackensack, New Jersey

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Respiratory Therapist / RRT - Travel Contract
Description: br br Respiratory Therapists are responsible for assessing, br planning, implementing, and evaluating the treatment, care, and needs of br patients with breathing disorders or cardiopulmonary (more...)
Company: Jackson Therapy Partners
Location: Smithtown
Posted on: 01/25/2021

Caregivers needed in your area!
Description: ATTENTION CAREGIVERS Are you looking for an in-home caregiver position that offers great pay, extensive benefits, AND flexible hours
Company: CareInHomes
Location: Holbrook
Posted on: 01/25/2021

Travel Nurse ICU Trauma Unit RN
Description: Nationwide Travel Nurse Jobs - Trauma ICU RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified registered (more...)
Company: HealthCare Employment Network
Location: Levittown
Posted on: 01/25/2021


RN Travel Nurse Emergency Department (ED/ER)
Description: Nationwide Travel Nurse Jobs - Emergency Department RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HCEN
Location: Westport
Posted on: 01/25/2021

MICU Medical Intensive Care RN Travel Nurse
Description: Nationwide Travel Nurse Jobs - Medical Intensive Care RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Employment Network
Location: Westport
Posted on: 01/25/2021

Certified Medical Assistants Needed ASAP-Smithtown and Bohemia Ny
Description: Our client in Smithtown and Bohemia is hiring CERTIFIED Medical Assistants A Flexible Schedule
Company: Access Staffing LLC
Location: Smithtown
Posted on: 01/25/2021

MANHATTAN :: Nurse Practitioner/Physician Assistant - Home Visits
Description: About Landmark Health There is a care gap in America for those who need extra time with medical providers and easier access to care. Landmark cares for this group-people perhaps much like your parents, (more...)
Company: Landmark Health
Location: Ridge
Posted on: 01/25/2021

Mental Health Worker - Adult Behavioral Health
Description: Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 3 Shift Details: 40 hours per week night shift MHW, 11:00pm-7:30am. Required to work every other weekend Work where every moment (more...)
Company: Hartford HealthCare
Location: Westport
Posted on: 01/25/2021

SICU Surgical Intensive Care Travel Nurse RN
Description: Nationwide Travel Nurse Jobs - Surgical Intensive Care RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HCEN
Location: Westport
Posted on: 01/25/2021

SUFFOLK :: Nurse Practitioner/Physician Assistant - Home Visits
Description: About Landmark Health There is a care gap in America for those who need extra time with medical providers and easier access to care. Landmark cares for this group-people perhaps much like your parents, (more...)
Company: Landmark Health
Location: Ridge
Posted on: 01/25/2021

Log In or Create An Account

Get the latest New Jersey jobs by following @recnetNJ on Twitter!

Hackensack RSS job feeds