East Brunswick • 50 milesRemote · Hybrid · Onsite · Field · All Environments
East Brunswick • 50 milesRemote · Hybrid · Onsite · Field · All Environments
East Brunswick • 50 milesRemote · Hybrid · Onsite · Field · All Environments
East Brunswick • 50 milesRemote · Hybrid · Onsite · Field · All Environments
987 utilization jobs at 342 companies in East Brunswick, NJ
3w
Save
Mark Applied
Hide
Utilization Review
Marlboro Township, New Jersey, United States
OnsiteFull Time
2+ YOE2+ years utilization review, case management, medical billing, or behavioral healthcare experience preferred; high school diploma required; knowledge of Medicaid, commercial insurance, ASAM criteria; strong communication and organizational skills.
Microsoft Office, Electronic Health Record (EHR)
3mo
Save
Mark Applied
Hide
Director, Utilization Management
New York, New York, United States
$155k-$237k/yr OnsiteFull Time
Senior-level leadership in utilization management with healthcare regulatory knowledge.
1mo
Save
Mark Applied
Hide
Utilization Management Coordinator
Piscataway, New Jersey, United States
$71k-$101k/yr HybridFull Time
3+ YOERequires RN license in New Jersey or Bachelor's in mental health, 3+ years mental health experience, utilization review and data entry skills preferred, ability to conduct reviews and communicate outcomes.
1w
Save
Mark Applied
Hide
Epic Tapestry Utilization Management
Boston or Chicago or New York City or Washington or Nashville
$85-$95/hr RemoteContract, Temporary
Design, configure, implement, and support Epic Tapestry Utilization Management workflows; ensure regulatory compliance; perform testing and documentation; partner with clinical and operational teams.
Epic, Epic Tapestry, Tapestry Care Link, SmartTools, SmartText
3mo
Save
Mark Applied
Hide
Care Coordinator, Utilization Management
Edison, New Jersey, United States
$106k/yr OnsiteFull Time
Coordinate care, review utilization, communicate with payors to manage patient progression.
Epic, Xsolis Cortex, Enterprise Analytics, Google Suites
1mo
Save
Mark Applied
Hide
Manager Utilization Review - FT - Day - Utilization Resource Mgmt Trenton NJ
Trenton, New Jersey, United States
$98k-$128k/yr OnsiteFull Time
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.
2w
Save
Mark Applied
Hide
Utilization Review Coordinator – Behavioral Health
Toms River, New Jersey, United States
OnsiteFull Time
1+ YOEHigh school diploma (Bachelor's preferred), 1+ year behavioral health/treatment experience preferred, utilization review/authorization or billing experience preferred, strong communication and documentation skills, nursing/clinical background preferred.
3mo
Save
Mark Applied
Hide
Senior Manager, Utilization Management
New York, New York, United States
OnsiteFull Time
6+ YOE3+ MgmtBachelor's degree plus RN license; 6+ years in Utilization/Case Management/Appeals within managed care; 3+ years of leadership; Milliman guidelines knowledge; strong decision-making, communication, and MS Office skills.
Microsoft Office
1mo
Save
Mark Applied
Hide
Placement & Utilization Support Coordinator
New York, New York, United States
$41k-$45k/yr HybridFull Time
1+ YOE1 year customer service experience required; healthcare experience preferred. Familiarity with utilization/case management, HealthRules Payor, Microsoft Word and Excel, 55 wpm typing, and strong customer service and interdisciplinary teamwork skills.
HealthRules Payor, Microsoft Word, Microsoft Excel
1mo
Save
Mark Applied
Hide
Placement & Utilization Support Coordinator
New York, New York, United States
$41k-$45k/yr OnsiteFull Time
1+ YOE1 year customer service experience required; healthcare experience preferred. Familiarity with utilization/case management, HealthRules Payor, Microsoft Word and Excel; typing 55 wpm; strong customer service and interdisciplinary teamwork skills.
HealthRules Payor, Microsoft Word, Microsoft Excel
1w
Save
Mark Applied
Hide
Acquisition Utilization Specialist
Smyrna or Fort Riley or Topeka or Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Hot Springs or Waco
$75k-$123k/yr OnsiteFull Time
1+ YOERequires one year of specialized procurement experience at the next lower federal grade, U.S. citizenship, and experience with acquisition strategy, contract compliance, procurement documentation, federal regulations, stakeholder coordination, and presentations.
Defense Travel System (DTS)
1mo
Save
Mark Applied
Hide
Manager, Medical Utilization and Care Management
Charlotte or Denver or New York
$95k-$130k/yr OnsiteFull Time
5+ YOE2+ MgmtActive unrestricted RN license,5+ years in utilization/care/case management,2+ years leadership,knowledge of medical necessity reviews,care coordination,URAC/NCQA familiarity;CCM/CMGT-BC/HCQM preferred.
1w
Save
Mark Applied
Hide
Wound Care Utilization Management RN
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hr RemoteFull Time
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
medical records
1w
Save
Mark Applied
Hide
Utility Locator
Newark, New Jersey, United States
FieldFull Time
1+ YOEHigh school diploma or GED, New Jersey driver's license, and 1+ year relevant experience reading blueprints and maps. Requires GIS interpretation, utility infrastructure knowledge, locating devices, and utility plate familiarity.
Geographic Information System (GIS), locating devices
2w
Save
Mark Applied
Hide
Utilization Management Registered Nurse
Paterson, New Jersey, United States
$49-$74/hr OnsitePart Time
3+ YOEBSN-required; NJ RN license; minimum 3 years nursing experience; utilization review/case management experience preferred; CCM certification preferred.
5d
Save
Mark Applied
Hide
Project Manager, Utilization Review
Parsippany-Troy Hills, New Jersey, United States
$100k-$125k/yr RemoteFull Time
4+ YOEActive RN license, utilization review and healthcare compliance experience, 3+ years of project management experience, data analysis tools, MCG and IQ expertise, and Microsoft Office proficiency.
MCG, IQ, Power BI, Microsoft Office Suite, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
3d
Save
Mark Applied
Hide
Senior Supervisor, Liquefied Natural Gas Field Operations
Brooklyn or New York City
$138k-$162k/yr OnsiteFull Time
5+ YOERequires 5+ years in utility operations, mechanical systems, instrumentation and controls, or operational leadership; team leadership, technical direction, LNG training, schematics, safety, and driver's license.
electrical schematics
1mo
Save
Mark Applied
Hide
OP Enforcement Manager
New York or New York
$160k-$170k/yr OnsiteFull Time
7+ YOEBachelor's in electrical or power system engineering,7+ years utility experience in planning or operations,PE or NERC operator cert preferred,ability to assess risk and communicate technical findings.
Microsoft Office
4w
Save
Mark Applied
Hide
Clinical Evaluation Manager, Utilization Management
New York, New York, United States
$85k-$106k/yr RemoteFull Time
2+ YOEActive NY RN or OT license, Associate's degree in Nursing or Master's in Occupational Therapy, 2+ years clinical/case management experience, knowledge of Medicare/Medicaid and utilization management, Microsoft Office proficiency.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Milliman Care Guidelines (MCG)
3mo
Save
Mark Applied
Hide
Associate Medical Director, Utilization Management
New York or Florida or Arizona or North Carolina
$240k-$315k/yr RemoteFull Time
3+ YOEBoard-certified MD or DO with unrestricted license, 3+ years clinical practice, 2+ years utilization review experience, ability to manage physicians, and willingness to obtain state licensure; strong documentation and clinical judgment.