Healthcare Utilization Review Professional
1 week ago
Incredible Health is actively hiring and accepting applications for a Healthcare Utilization Review Professional in the Brick, NJ area.
OverviewWe are a rapidly growing healthcare company dedicated to providing top-notch care to our patients. Our team of professionals is passionate about delivering exceptional service and making a positive impact on our community.
Job SummaryThis is an exciting opportunity for a skilled Registered Nurse to join our team as a Healthcare Utilization Review Professional. In this role, you will work closely with our clinical staff to review patient cases, ensure accurate coding and billing, and provide expert advice on treatment options.
The ideal candidate will have experience in utilization review, clinical pathway development, or navigator roles, and be familiar with industry best practices. If you are a motivated and detail-oriented professional looking for a challenging and rewarding career, we encourage you to apply.
Key Responsibilities:- Conduct thorough reviews of patient cases to determine medical necessity and appropriateness of treatment
- Collaborate with clinical staff to develop and implement effective treatment plans
- Analyze data to identify trends and areas for improvement in patient care
- Develop and maintain relationships with external partners, such as insurance companies and medical facilities
- RN Diploma degree or higher from an accredited school of nursing
- Active and unencumbered Registered Nurse license in the state of New Jersey
- A competitive salary range of $70,920 to $117,990 per year
- A comprehensive benefits package, including health insurance, 401(K), paid time off, and tuition assistance
- Ongoing training and professional development opportunities
If you are a motivated and detail-oriented professional looking for a challenging and rewarding career, please submit your application today
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