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Brick Chapel

    Utilization Management Coordinator - Brick Township, United States - Hackensack Meridian Health

    Hackensack Meridian Health
    Hackensack Meridian Health Brick Township, United States

    5 days ago

    Default job background
    Full time
    Description

    Our team members are essential to our success at Hackensack Meridian Health. We strive to improve the lives of our patients and each other. Our culture values collaboration and connection, where employees work together as a team. Competitive benefits are just the start - we focus on supporting each other and our community. Together, we continuously enhance our mission to revolutionize healthcare and lead positive change.

    Care Management, Care Coordinator, Utilization Management at Hackensack Meridian Health:

    • Follows departmental workflows for utilization review activities, including admission reviews, denials, and communication with insurance companies.
    • Evaluates medical records for admissions to ensure documentation requirements are met.
    • Reviews inpatient charts for admission appropriateness based on clinical criteria.
    • Participates in committees, identifying and referring quality issues for review.
    • Collaborates with the multidisciplinary team to support length of stay reduction goals.
    • Maintains competencies and completes training in relevant platforms.
    • BSN or in progress degree required. Effective decision-making and leadership skills.
    • Excellent communication and computer skills.
    • Familiarity with hospital and community resources.
    • NJ State RN License and Health Care Life Support Certification required.
    • Care Management certification within 1 year.

    *This position focuses on Utilization Review in the ED.



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