4d
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
Utilization Management RN
Paterson, New Jersey, United States
OnsiteFull Time
3+ YOEBSN required; 3+ years nursing experience; 3+ years utilization review/case management preferred; CCM certification preferred; NJ RN licensure required.
1w
Save
Mark Applied
Hide
Utilization Review Coordinator
Parsippany, New Jersey, United States
$33/hr OnsiteFull Time
2+ YOEBachelor's required (master's preferred), 2+ years behavioral health or utilization review experience, familiarity with insurance authorization and medical necessity, strong documentation and communication skills.
3w
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.
1mo
Save
Mark Applied
Hide
Utilization Management Manager
New York or New Jersey or Connecticut
$100k-$169k/yr HybridFull Time
Oversee utilization management and case management teams; clinical license required (RN/LPN/LMSW/LMHC/LCSW or similar); associate's degree minimum; Microsoft Office proficiency; leadership, communication, and managed care experience preferred.
Interqual, Milliman, TruCare, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
2mo
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
2w
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.
5d
Save
Mark Applied
Hide
Utilization Review Coordinator
Blackwood, New Jersey, United States
$42/hr OnsiteFull Time
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)
1mo
Save
Mark Applied
Hide
Utilization Management Manager
New York or New Jersey or Connecticut
$117k-$169k/yr RemoteFull Time
Clinical license (RN/LPN/LMSW/LMHC/LCSW) and Associate's degree required; leadership and managed-care experience, Microsoft Office (Excel, Word, PowerPoint, Outlook) proficiency; strong communication, chart review, and regulatory knowledge.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Interqual, Milliman, TruCare
6d
Save
Mark Applied
Hide
Utilization Review RN Per Diem
New Brunswick, New Jersey, United States
$51/hr OnsitePart Time
3+ YOEActive New Jersey RN license, 3+ years acute care nursing experience, ability to assess clinical records for medical necessity, strong communication and computer skills.
1w
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, strong communication and documentation skills, CPR/First Aid and valid driver license, healthcare or nursing background preferred.
1w
Save
Mark Applied
Hide
Director of Utilization Management
New York City or New Jersey or Connecticut
$118k-$133k/yr HybridFull Time
3+ YOE5+ MgmtMinimum 5 years management in health-related field, 3 years quality management, Bachelor's required (Master's preferred), active NYS RN license or willing to obtain within 3 months, experience analyzing data and knowledge of Medicare/Medicaid quality regulations.
1mo
Save
Mark Applied
Hide
Utilization Management Nurse Consultant
Michigan or Mississippi or Pennsylvania or North Carolina or Maryland or Minnesota or Nebraska or Missouri or Colorado or New York or New Jersey or Arizona or Connecticut or Texas or District of Columbia or Florida or Rhode Island or Iowa or Alaska or Arkansas or South Dakota or Idaho or Illinois or Kansas or Tennessee or Virginia or Delaware or Wisconsin or Georgia or West Virginia or Oregon or Oklahoma
$29-$62/hr RemoteFull Time
3+ YOEActive unrestricted RN license in state of residence, 3+ years Med-Surg RN hospital experience, Associates in Nursing required (BSN preferred), 1+ year Microsoft Office (Outlook, Teams, Excel) experience, ability to work multiple IT platforms.
Microsoft Outlook, Microsoft Teams, Microsoft Excel
3d
Save
Mark Applied
Hide
Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yr RemoteFull Time
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
1w
Save
Mark Applied
Hide
RN I- Utilization Management
Hopewell or Newark or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$71k-$94k/yr RemoteFull Time
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
2w
Save
Mark Applied
Hide
Registered Nurse - Utilization Management - Per Diem
Egg Harbor Township, New Jersey, United States
$45/hr OnsitePart Time, Temporary
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
Save
Mark Applied
Hide
Field Representative
Edison, New Jersey, United States
$25/hr FieldFull Time
0.5+ YOEHigh school diploma, 6–12 months customer service, valid driver's license, 21+ years old, pass pre-employment drug test and motor vehicle record, ability to perform home inspections and install efficiency measures.
19h
Save
Mark Applied
Hide
Strategy Consultant - Utilization Management and Medical Policy
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$109k-$181k/yr RemoteFull Time
6+ YOEMasters in Business/Healthcare/Economics required (or Bachelor's with experience),6+ years related experience (or 2 years post-grad consulting plus 6 years related),healthcare strategy experience,advanced data modeling and analytics skills.
SQL, Python, R, Power BI, Tableau, Microsoft PowerPoint, Microsoft Excel, EHR, ICD-10
3mo
Save
Mark Applied
Hide
Utility Analyst
Piscataway, New Jersey, United States
$60k-$65k/yr OnsiteFull Time
2+ YOEBachelor’s degree in Finance, Accounting, Business Administration, or related field; 2+ years in utilities/accounts payable; proficient in Excel; knowledge of utility billing; strong analytical and organizational skills.
RealPage, Microsoft Excel (Pivot Tables, VLOOKUP)
1mo
Save
Mark Applied
Hide
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
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
Explore Jobs
Expand Your Job Search
Top Cities in New Jersey for Utilization
- Utilization jobs in Newark, NJ
- Utilization jobs in Jersey City, NJ
- Utilization jobs in Paterson, NJ
- Utilization jobs in Elizabeth, NJ
- Utilization jobs in Edison, NJ
- Utilization jobs in Toms River, NJ
- Utilization jobs in Clifton, NJ
- Utilization jobs in Trenton, NJ
- Utilization jobs in Camden, NJ
- Utilization jobs in Passaic, NJ
- Utilization jobs in Cherry Hill, NJ
- Utilization jobs in Union City, NJ
- Utilization jobs in Bayonne, NJ
- Utilization jobs in Middletown, NJ
- Utilization jobs in East Orange, NJ
- Utilization jobs in North Bergen, NJ
- Utilization jobs in Irvington, NJ
- Utilization jobs in Vineland, NJ
- Utilization jobs in Wayne, NJ
- Utilization jobs in New Brunswick, NJ