HackensackRecruiter Since 2001
the smart solution for Hackensack jobs

Utilization Review Specialist (Physician Advisor)

Company: Hackensack Meridian Health
Location: Hackensack
Posted on: January 15, 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


Caregivers Needed - All Skill Levels Offered!
Description: No Certification No Problem We are hiring caregivers of all skill levels to provide compassionate In Home Care to some of our friendly senior clientele. Our caregivers enjoy perks
Company: CareInHomes
Location: Rocky Point
Posted on: 01/19/2021

Psychiatric Nurse Practitioner
Description: We are seeking an experienced Psychiatric Nurse Practitioner for 4 hours per week to work in our chemical dependence clinic in
Company: Catholic Charities of Long Island
Location: Coram
Posted on: 01/19/2021

Registered Respiratory Therapist
Description: Job Description Requirements Registered Respiratory Therapist - RRT StartDate: 01/18/2021Available Shifts: 12 D Pay Rate: 1250.00 - 1600.00 RRT needed on Long Island for 6 weeks. Required Qualifications (more...)
Company: Club Staffing
Location: Brookhaven
Posted on: 01/19/2021


In Home Caregiver - New York area
Description: We are hiring caregivers for all kinds of in home positions near you We make sure that all caregivers on our care team are given every available resource so that you truly enjoy the work you do everyday (more...)
Company: CareInHomes
Location: Oakdale
Posted on: 01/19/2021

Certified Nurse Midwife or Women's Health Nurse Practitioner (Midwife
Description: Certified Nurse Midwife CNM or Women's Health Nurse Practitioner WHNP needed in Coram,NY. About the company: We provide the highest quality comprehensive primary, preventive, and behavioral health (more...)
Company: KA Recruiting Inc.
Location: Farmingville
Posted on: 01/19/2021

Travel Nurse RN - ED - Emergency Department - $3,060 per week
Description: MedPro Healthcare Staffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Smithtown, New York.Job Description Requirements ul li Specialty: ED - Emergency Department (more...)
Company: NurseFly
Location: Smithtown
Posted on: 01/19/2021

NP / Registered Nurse / New York / Any / Primary Care Nurse Practition
Description: Reference Code: JAW800 TOP HEALTH CENTER in Long Island, NY is looking for an experienced Nurse Practitioner to join their team This
Company: K.A. Recruiting, Inc.
Location: Holbrook
Posted on: 01/19/2021

Physician / Critical Care / New York / Locum or Permanent / Physicians
Description: The IMA Group is a national leader with a reputation for providing high-quality medical, psychological, and
Company: FourStone Partners
Location: Bohemia
Posted on: 01/19/2021

In Home Caregiver - Flexible Scheduling
Description: No need to job search any further, we have the caregiver position that you've been looking for Apply now and you can start within the week Full-time or part-time, morning, afternoon, or evening shifts (more...)
Company: CareInHomes
Location: Lake Grove
Posted on: 01/19/2021

LPN
Description: LPNFacility:St Catherine of Siena Med CtrLocation:Smithtown, NYDepartment:Wound CareCategory:Nursing / Nursing LeadershipSchedule:Per
Company: Catholic Health Services
Location: Smithtown
Posted on: 01/19/2021

Log In or Create An Account

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

Hackensack RSS job feeds