Medical Records Technician (Multiple Vacancies) Rutgers The State University of New JerseyMedical Records Technician (Multiple Vacancies)Piscataway, NJServices are readily accessible and include: inpatient, outpatient, partial hospitalization, screening, crisis stabilization, family/caregiver support, community outreach and case management, supportive housing, supported employment, prevention and consultation, employee assistance programs, and a licensed therapeutic school from preschool through high school. Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption.
Medical Records Specialist Oaks Integrated Care Inc.Medical Records SpecialistMount Holly, NJResponsibilities: Reviewing requests for release of information to ensure compliance with all laws and regulations and notifying requestor in courteous and timely manner if release is non-compliant; Retrieving requested documentation, preparing it for release to requestor, and ensuring records are sent in a timely and secure manner; Ensuring log is kept up to date with regard to date request was received and when records were sent to requestor; Other tasks related to medical records. Competencies: The Medical Records Specialist should have good interpersonal, organizational and customer services skills; detail oriented with the ability to meet deadlines; maintain the highest level of confidentiality; communicate effectively with all levels of personnel; proficiency in obtaining records from electronic health records systems.
ROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistPaterson, New Jersey$16–$22 / yearFull timeResponsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
Medical Records Coder II, Full Time, Family Medicine, Summit Atlantic Health System IncMedical Records Coder II, Full Time, Family Medicine, SummitSummit, NJAtlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania.
Medical Records Associate The Cardiovascular Care GroupMedical Records AssociateNJConsistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Effective communication skills facilitate collaboration with healthcare providers and administrative personnel to resolve documentation issues and support quality patient care.
Orthopedic Surgery Telecommute Medical Review ConcentraOrthopedic Surgery Telecommute Medical ReviewSecaucus, New JerseyCurrent, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services.
Physical Medicine and Rehabilitation Telecommute Medical Review Concentra Inc.Physical Medicine and Rehabilitation Telecommute Medical ReviewSecaucus, NJCurrent, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services.
Neurosurgeon Telecommute Medical Review ConcentraNeurosurgeon Telecommute Medical ReviewNewark, New JerseyCurrent, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services.
Spine Surgeon Telecommute Medical Review Concentra Inc.Spine Surgeon Telecommute Medical ReviewNewark, NJMust be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
Utilization Review Discovery Institute of Addictive Disorders Inc.Utilization ReviewMarlboro Township, NJThe Utilization Review (UR) Specialist is responsible for obtaining and maintaining insurance authorizations for clients receiving substance use disorder treatment services. Minimum of two years of utilization review, case management, medical billing, or behavioral healthcare experience preferred.
Documentation Review Nurse Hunterdon HealthDocumentation Review NurseFlemington, NJQualifications Minimum Education: Required: Registered Nurse (RN) with an active and unencumbered license Preferred: Bachelor of Science in Nursing (BSN) preferred Minimum Years of Experience (Amount, Type and Variation): Required: Minimum of three (3) years clinical nursing experience Preferred: Previous nursing experience in an emergency department License, Registry or Certification: Required: RN certification Preferred: Knowledge, Skills and/or Abilities: Required: Strong understanding of ICD-10, CPT and HCPCS coding principles Knowledge of Medicare reimbursement and coding structures/systems Preferred: Experience in clinical documentation improvement (CDI), coding or utilization review is highly desirable/preferred Excellent analytical, organizational and communication skills Proficient in electronic health records (EHRs) and clinical documentation systems High level creativity, judgment and initiative, tempered with flexibility to deal with rapidly changing healthcare environment and expanding technology Ability to maintain concentration with attention to detail even in areas containing multiple levels of distraction Self-motivated, well organized and possess confidence and ability to wor work independently and deal with ambiguity and ask critical questions to problem solve issues as required. Primary Position Responsibilities Clinical Documentation Review: Assess emergency department documentation using Emergency Department E/M and Critical Care Facility Charge Assessment tool to ensure the patient documentation accurately reflects the patients clinical presentation, diagnoses, and captures all treatment and services provided.
Utilization Review RN - PT - Day - Utilization Resource Mgmt Pennington NJ Capital HealthUtilization Review RN - PT - Day - Utilization Resource Mgmt Pennington NJHopewell, New JerseyOccasional physical demands include: Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Keyboard use/repetitive motion, Talk or Hear. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ Capital HealthUtilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJHopewell, New JerseyOccasional physical demands include: Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Keyboard use/repetitive motion, Talk or Hear. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Utilization Review Specialist Oaks Integrated Care Inc.Utilization Review SpecialistTrenton, NJManaging and tracking prior authorization approvals and requests for all clients enrolled and ensuring prior authorization/approval for services are obtained in a timely manner from payer sources to ensure no gaps in care or coverage. Qualifications: Bachelor's Degree required in psychology/human services/nursing/healthcare or related field; Master's Degree Preferred in Behavioral Health/HealthCare or related field; OR LPN or RN.
Clinical Denials Utilization Review RN - FT - Day - Utilization Resource Management Pennington NJ Capital HealthClinical Denials Utilization Review RN - FT - Day - Utilization Resource Management Pennington NJPennington, NJ$86,964.80–$113,672 / yearOccasional physical demands include: Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Annual Product Quality Review Program Lead Tris PharmaAnnual Product Quality Review Program LeadMonmouth Junction, NJ$100,000–$145,000 / yearMinimum education and years of relevant work experience: Bachelors degree in Chemical Engineering, Pharmaceutical Sciences, Chemistry, or a related scientific discipline and minimum 5 years in quality systems, process validation, product quality review or quality engineering in the pharmaceutical or biotechnology industry in positions of increasing technical responsibility OR combination of education and related quality systems, process validation, product quality review or quality engineering in the pharmaceutical or biotechnology industry in positions of increasing technical responsibility. Analyzes and interprets large datasets from Manufacturing, Packaging, Laboratory departments, complaints, deviations, Corrective Action Preventive Action (CAPAs), change controls and stability programs to identify statistically significant trends, process shifts and emerging quality risks including, but not limited to: analyzing Deviation and Rejection Profiles, trending manufacturing deviations, batch failures, yield losses and Out-of-Specification (OOS) laboratory findings (i.e., dissolution, uniformity, particle size), etc.
NewDirector, Management Review Strategy & Insights Bristol-Myers Squibb CoDirector, Management Review Strategy & InsightsMadison, NJ$200,940–$243,492 / yearPredictive insight & data integration - Analyze quality performance data and metrics to identify trends, patterns, and areas of concern; partner with QRM, External Engagement, Quality Metrics, Competitive Compliance, and other GxP functions to integrate internal and external data, delivering insights that drive proactive, predictive discussion and risk mitigation at Quality Councils. Predictive analytics tool development - Lead the design and development of a data-driven tool to support Quality Council discussions, integrating internal and external data sources to proactively surface key risks and answer critical questions that inform decision-making across the organization.
Certified Medical Assistant Vanguard Medical GroupCertified Medical AssistantRandolph, New Jersey$19–$25 / hourFull timeMAs are responsible for assisting with direct patient care, preparing for visits and procedures, and collaborating with both clinical and administrative teams to deliver team-based, patient-centered care. Medical Assistants (MAs) are integral members of the care team, supporting providers and clinical operations to ensure efficient, high-quality care and an excellent patient experience.
Lead Certified Medical Assistant Vanguard Medical GroupLead Certified Medical AssistantCranford, New Jersey$25–$27 / hourFull timePlease note that individual total compensation will be determined at the Company’s sole discretion and may vary based on several factors, including but not limited to: location, skill level, years and depth of relevant experience, and education. Collaborate with providers, nurses, medical receptionists, and other care team members to enhance workflows and the overall patient journey.
Certified Medical Assistant III Vanguard Medical GroupCertified Medical Assistant IIIRandolph, New Jersey$23–$25 / hourFull timeIn addition to performing core Medical Assistant responsibilities, this position provides training, support, and coaching to new clinical support staff and Medical Assistants to help them successfully support clinicians, patients, and office workflows. This role follows established clinical workflows and participates in both clinical and administrative tasks to support efficient, high-quality care delivery.