459 utilization jobs at 219 companies in Camden, NJ
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Utilization Review Specialist
Chadds Ford, Pennsylvania, United States
HybridFull Time
Diversified Treatment Alternative Centers: A provider of behavioral health services focused on quality care, compliance, and growth.
1+ YOEBachelor's degree in a related field, 1+ years utilization review/case management or behavioral health revenue cycle experience, strong understanding of medical necessity and authorization processes, attention to detail, and strong communication skills.
Conduct concurrent utilization reviews for psychiatric and residential drug/alcohol clients using ASAM criteria; coordinate appeals, maintain authorization and denial logs, and communicate with payers and treatment teams.
Malvern Health: Provides specialized inpatient and outpatient behavioral health treatment.
Master's degree or nursing graduate with Pennsylvania licensure; knowledge of ASAM and medical necessity criteria; utilization review experience preferred; Microsoft Office and billing experience; strong communication and documentation skills.
Manager Utilization Review - FT - Day - Utilization Resource Mgmt Trenton NJ
Trenton, New Jersey, United States
$98k-$128k/yrOnsiteFull Time
Capital Health: Provides comprehensive healthcare services through hospitals and medical clinics.
4+ YOEBSN required (ADN with additional experience may be considered), active NJ RN, BLS recommended, 4+ years nursing experience with utilization review/case management, strong analytical and leadership skills.
WES Health System: Provides behavioral health and intellectual disability support services.
2+ YOEBachelor's in human services/care management, 2 years mental health or social services experience, familiarity with EHRs, proficient with Microsoft Office, strong communication and analytical skills.
EHR, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
Jefferson: Providing healthcare services and academic programs in Pennsylvania.
2+ YOEMaster of Social Work and 2 years hospital social work experience required; performs psychosocial assessment, discharge planning, counseling, and multidisciplinary collaboration.
ChristianaCare: Provides hospital care and outpatient medical services.
3+ YOEDE or compact RN license, Bachelor’s in Nursing required, minimum 3 years acute care RN and 3 years utilization management, denial management and insurer experience, 8 CEUs/year in utilization/case management.
Registered Nurse - Utilization Management - Per Diem
Egg Harbor Township, New Jersey, United States
$45/hrOnsitePart Time, Temporary
AtlantiCare: Integrated healthcare system providing hospital and medical services.
BSN required, active NJ or multistate RN license, BLS required within 6 months, MCG certification required within 2 years, utilization/coding certification preferred; experience in utilization/insurance case management and familiarity with MCG/InterQual/HEDIS/CDI preferred.
MCG (Milliman Clinical Guidelines), InterQual, HEDIS, CDI, Microsoft Word, Microsoft Excel
Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
Denver or Philadelphia or Redlands or Remote Eligible
$80k-$133k/yrRemoteFull Time
Esri: Developing software for digital mapping and spatial data analysis.
2+ YOE2+ years in utilities/telecommunications with ArcGIS; ArcGIS Utility Networks; GIS workflows; strong communication; Bachelor in geography or related field.
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
KCI Technologies: Provides engineering, consulting, and construction services for infrastructure projects.
0+ YOEEntry-level field role supporting utility systems; requires high school diploma/GED, valid driver\u0002s license, ability to obtain DOT medical card, 0-2 years field experience preferred, willingness to train on vacuum excavation and handheld utility-location tech, basic computer skills.
Utilities One: Turnkey infrastructure engineering and construction for the utility sector.
Experience leading large-scale distribution, transmission, substation, or utility infrastructure projects; managing construction operations and field teams; and business development in the utility market.
Shaheed A. Smith Geospatial: Provides professional land surveying and geospatial mapping services.
10+ YOE5+ Mgmt10+ years in SUE/utility locating with 5+ years in leadership; expert in EM locating, GPR, CAD/GIS; strong client relations and budgeting.
AutoCAD Civil 3D, GNSS, GIS, EM locating equipment, GPR
University of Delaware - General Utility Worker Lead
Newark, Delaware, United States
OnsiteSeasonal
AramarkNYSE: ARMK: Provides food, facilities, and uniform management services.
Overseeing utility staff, ensuring cleaning/sanitation of kitchen equipment and areas, performing light maintenance, and meeting physical demands such as lifting and extended standing.