483 utilization jobs at 231 companies in Jackson, NJ

5d
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Utilization Review
Marlboro Township, New Jersey, United States
OnsiteFull Time
Discovery Institute of Addictive Disorders
Discovery Institute of Addictive Disorders: Provides professional drug and alcohol addiction treatment services.
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)
3w
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Utilization Management Nurse
Wilmington, Delaware, United States
HybridFull Time
Nemours Children's Health
Nemours Children's Health: Pediatric health system providing clinical care, research, and education.
5+ YOEBSN and active DE RN license required, 5+ years related experience, conducts concurrent utilization reviews, ensures regulatory compliance and coordinates interdisciplinary care using EMR.
EMR
1mo
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Utilization Review Specialist
Chadds Ford, Pennsylvania, United States
HybridFull Time
Diversified Treatment Alternative Centers
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.
EHR
2w
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Utilization Management Coordinator - Philadelphia
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
Malvern Treatment Centers
Malvern Treatment Centers: Provides evidence-based inpatient and outpatient addiction treatment services.
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.
Microsoft Office
2w
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Utilization Management Coordinator - Philadelphia
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
Malvern Health
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.
Microsoft Office
2w
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Manager Utilization Review - FT - Day - Utilization Resource Mgmt Trenton NJ
Trenton, New Jersey, United States
$98k-$128k/yr OnsiteFull Time
Capital Health
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.
3w
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Utilization Specialist- OMY
Philadelphia, Pennsylvania, United States
OnsiteFull Time
WES Health System
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
3mo
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Utilization Review Analyst
Eagleville, Pennsylvania, United States
$50-$57/yr OnsiteFull Time
Eagleville Hospital
Eagleville Hospital: Specialty hospital providing addiction and mental health treatment services.
3+ YOE3+ years UR or case management experience in Substance Use / Behavioral Health; good communication; ability to work independently; MS Office experience; knowledge of pre-certification, DSM V, private care managers, and county referrals.
Microsoft Office
6d
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Utilization Review Coordinator
Blackwood, New Jersey, United States
$42/hr OnsiteFull Time
Northbrook Behavioral Health Hospital
Northbrook Behavioral Health Hospital: Provides inpatient psychiatric treatment and behavioral health services.
3+ YOEBachelor's degree, 3+ years inpatient behavioral health experience; knowledge of medical necessity criteria, concurrent review, payer authorization; strong clinical assessment, documentation, and communication skills.
Electronic Medical Records (EMR)
1w
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Utilization Review Coordinator – Behavioral Health
Toms River, New Jersey, United States
OnsiteFull Time
Avenues Recovery
Avenues Recovery: Provides comprehensive drug and alcohol rehabilitation services.
1+ YOEHigh school diploma (Bachelor's preferred), 1+ year behavioral health/treatment experience preferred, strong communication and documentation skills, CPR/First Aid and valid driver license, healthcare or nursing background preferred.
2w
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Utilization Review Per Diem Elkins Park
Philadelphia, Pennsylvania, United States
OnsitePart Time
Jefferson
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.
5d
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RN Utilization Management - Day Shift
Newark, Delaware, United States
$86k-$137k/yr OnsiteFull Time
ChristianaCare
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.
1w
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RN I- Utilization Management
Hopewell or Newark or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$71k-$94k/yr RemoteFull Time
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey: Provides health insurance and managed care products in New Jersey.
2+ YOEAssociate/bachelor/diploma in nursing, active unrestricted NJ RN license, minimum 2 years clinical experience, knowledge of utilization/case management, proficiency with MS Office and Windows, strong analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Windows, intranet, internet
3w
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Registered Nurse - Utilization Management - Per Diem
Egg Harbor Township, New Jersey, United States
$45/hr OnsitePart Time, Temporary
AtlantiCare
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
1w
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Weekend Water/Wastewater Operator
Newtown, Pennsylvania, United States
FieldPart Time
ARRO Consulting
ARRO Consulting: Engineering and environmental consulting firm providing municipal infrastructure services.
5+ YOEHigh school diploma, minimum 5 years operations or engineering experience, water/wastewater license preferred, ability to perform fieldwork and physical tasks.
2mo
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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/yr RemoteFull Time
UnitedHealth Group
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.
2mo
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Product Engineer II – Utility Solutions
Denver or Philadelphia or Redlands or Remote Eligible
$80k-$133k/yr RemoteFull Time
Esri
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.
Python, Arcade, ArcGIS Pro
1mo
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ArcGIS Utilities Industry Principal Director
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/yr HybridFull Time
Accenture
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.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Esri
3mo
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Dishwasher/Utility
King Of Prussia, Pennsylvania, United States
OnsiteFull Time
Yard House
Yard HouseNYSE: DRI: Casual dining restaurant chain featuring craft beer and food.
Dishwasher/Utility role; fast-paced kitchen; ability to clean and sanitize; maintain restrooms and facilities.
2mo
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Utility (Full-Time)
Newtown Square, Pennsylvania, United States
OnsiteFull Time
Dunwoody Village
Dunwoody Village: Continuing care retirement community offering senior living and healthcare services.
Full-time utility role in kitchen; weekend and holiday rotation; responsible for cleanliness of kitchen and dish areas.