Physician / Non Clinical Physician Jobs / New York / Permanent / Utilization Review Physician
Hackensack Meridian Health
Not Specified, NY, USA
Not Specified, NY, USA
- Healthcare
- Full-time
- utilization review
- clinical compliance
- case management
The Utilization Review Physician oversees the evaluation and management of clinical records to ensure proper utilization and compliance within the healthcare system. They collaborate with healthcare teams to support case management, hospital reimbursement, and patient care transitions. This role focuses on maintaining clinical integrity and optimizing healthcare resource use at Hackensack University Medical Center.
The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack University Medical Center. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of care, as outlined in the responsibilities below. Education, Knowledge, Skills and Abilities Required: 1.




