Rahway, NJ · On-site
$125K - $135K/yr
... part-time roles at Robert Wood Johnson University Hospital Rahway. The Physician Advisor will ... Familiarity with CMS Regulations and Nationally Accepted Guidelines such as MCG and InterQual
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Rahway, NJ · On-site
$125K - $135K/yr
... part-time roles at Robert Wood Johnson University Hospital Rahway. The Physician Advisor will ... Familiarity with CMS Regulations and Nationally Accepted Guidelines such as MCG and InterQual
Salem, OH · On-site
Position: Part Time Utilization Review/RN Case Manager Department : Case Management Shift: Days ... Expert knowledge of MCG or InterQual Level of Care Criteria and knowledge of local and national ...
Salem, OH · On-site
Position: Part Time Utilization Review/RN Case Manager Department : Case Management Shift: Days ... Expert knowledge of MCG or InterQual Level of Care Criteria and knowledge of local and national ...
$125K - $135K/yr
... for part-time employment at Jersey City Medical Center (JCMC) in Jersey City, NJ. The Physician ... and InterQual * Excellent Communication and Interpersonal Skills * Proficient Computer Skills
$125K - $135K/yr
... for part-time employment at Jersey City Medical Center (JCMC) in Jersey City, NJ. The Physician ... and InterQual * Excellent Communication and Interpersonal Skills * Proficient Computer Skills
$125K - $135K/yr
... part-time employment at Robert Wood Johnson University Hospital Rahway, in New Jersey. The ... and InterQual * Excellent Communication and Interpersonal Skills * Proficient Computer Skills
$125K - $135K/yr
... part-time employment at Robert Wood Johnson University Hospital Rahway, in New Jersey. The ... and InterQual * Excellent Communication and Interpersonal Skills * Proficient Computer Skills
... part-time or PRN status classification. Duties and Responsibilities: 1. Perform initial and concurrent review of inpatient cases applying evidenced based criteria. (Interqual Criteria) 2. Discuss ...
... part-time or PRN status classification. Duties and Responsibilities: 1. Perform initial and concurrent review of inpatient cases applying evidenced based criteria. (Interqual Criteria) 2. Discuss ...
Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred. Why You'll Love Us: * Health, dental, prescription, and vision coverage for full-time & part-time employees
Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred. Why You'll Love Us: * Health, dental, prescription, and vision coverage for full-time & part-time employees
Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred. Why You'll Love Us: * Health, dental, prescription, and vision coverage for full-time & part-time employees
Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred. Why You'll Love Us: * Health, dental, prescription, and vision coverage for full-time & part-time employees
UPMC Health Plan is hiring a part-time UM Care Manager to join the UM Clinical Operations team ... Conduct clinical reviews for authorization requests using established criteria including Interqual ...
UPMC Health Plan is hiring a part-time UM Care Manager to join the UM Clinical Operations team ... Conduct clinical reviews for authorization requests using established criteria including Interqual ...
Pittsburgh, PA · On-site
$34.49 - $56.83/hr
UPMC Health Plan is hiring a part-time UM Care Manager to join the UM Clinical Operations team ... Conduct clinical reviews for authorization requests using established criteria including Interqual ...
Pittsburgh, PA · On-site
$34.49 - $56.83/hr
UPMC Health Plan is hiring a part-time UM Care Manager to join the UM Clinical Operations team ... Conduct clinical reviews for authorization requests using established criteria including Interqual ...
Weymouth, MA · On-site
$59.42 - $86.20/hr
SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of ... Using Interqual Criteria, physician certification, and payor specific criteria, assists the ...
Weymouth, MA · On-site
$59.42 - $86.20/hr
SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of ... Using Interqual Criteria, physician certification, and payor specific criteria, assists the ...
$59.42 - $86.20/hr
SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of ... Using Interqual Criteria, physician certification, and payor specific criteria, assists the ...
$59.42 - $86.20/hr
SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of ... Using Interqual Criteria, physician certification, and payor specific criteria, assists the ...
Weymouth, MA · On-site
$59.42 - $86.20/hr
SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Day (United States of America ... Using Interqual Criteria, physician certification, and payor specific criteria, assists the ...
Weymouth, MA · On-site
$59.42 - $86.20/hr
SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Day (United States of America ... Using Interqual Criteria, physician certification, and payor specific criteria, assists the ...
Days Employment Type: Part Time - 3 shifts per week Hours: 8 Hour shift Location: St. Mary's ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Experience and knowledge in ...
Days Employment Type: Part Time - 3 shifts per week Hours: 8 Hour shift Location: St. Mary's ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Experience and knowledge in ...
Days Employment Type: Part Time - 3 shifts per week Hours: 8 Hour shift Location: St. Mary's ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Experience and knowledge in ...
Days Employment Type: Part Time - 3 shifts per week Hours: 8 Hour shift Location: St. Mary's ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Experience and knowledge in ...
$59.42 - $86.20/hr
SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Day (United States of America ... Using Interqual Criteria, physician certification, and payor specific criteria, assists the ...
$59.42 - $86.20/hr
SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Day (United States of America ... Using Interqual Criteria, physician certification, and payor specific criteria, assists the ...
... and InterQual Criteria preferred.6. Experience and knowledge in basic to intermediate computer ... Employment Type: PART_TIME
... and InterQual Criteria preferred.6. Experience and knowledge in basic to intermediate computer ... Employment Type: PART_TIME
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts ... Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts ... Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply ...
Woonsocket, RI · On-site
... InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. #TASourcing #ARSourcing Part Time > 59 Days Company is an equal employment opportunity employer.
Woonsocket, RI · On-site
... InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. #TASourcing #ARSourcing Part Time > 59 Days Company is an equal employment opportunity employer.
Woonsocket, RI · On-site
... and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. #TASourcing #ARSourcing Employment Status Part Time > 59 Shift Days Equal Employment ...
Woonsocket, RI · On-site
... and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. #TASourcing #ARSourcing Employment Status Part Time > 59 Shift Days Equal Employment ...
... InterQual guidelines. * Leading and facilitating multi-disciplinary patient care conferences ... Employment Type: PART_TIME
... InterQual guidelines. * Leading and facilitating multi-disciplinary patient care conferences ... Employment Type: PART_TIME
$12.02 - $15.28
6% of jobs
$15.28 - $18.53
13% of jobs
$19.67 is the 25th percentile. Wages below this are outliers.
$18.53 - $21.79
16% of jobs
The median wage is $23.79 / hr.
$21.79 - $25.04
24% of jobs
$28.25 is the 75th percentile. Wages above this are outliers.
$25.04 - $28.30
16% of jobs
$28.30 - $31.56
12% of jobs
$31.56 - $34.81
4% of jobs
$34.81 - $38.07
3% of jobs
$38.07 - $41.32
1% of jobs
$41.32 - $44.58
0% of jobs
$44.58 - $47.84
4% of jobs
$12
$26
$47
| Aspect | Part Time Interqual | Part Time Utilization Review Nurse |
|---|---|---|
| Certifications | Typically requires Interqual certification or training | Requires nursing license and possibly utilization review certification |
| Work Environment | Healthcare facilities, insurance companies, or consulting firms | Hospitals, insurance companies, or healthcare organizations |
| Job Focus | Applying Interqual criteria to assess medical necessity | Reviewing patient records to determine appropriate care and coverage |
| Common Usage | Used by healthcare organizations for criteria-based assessments | Used by insurance companies and hospitals for utilization management |
Part Time Interqual professionals focus on applying specific criteria tools like Interqual to evaluate medical necessity, often requiring specialized certification. In contrast, Part Time Utilization Review Nurses use their nursing expertise to review patient records for appropriate care, typically holding a nursing license. Both roles are integral to healthcare quality and insurance processes but differ mainly in certification requirements and job focus.
Rahway, NJ • On-site
$125K - $135K/yr
Full-time, Part-time
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
7.6
Based on 321 frontline employees who took The Breakroom Quiz
183rd of 864 rated healthcare providers
Our organization, the largest integrated health system in New Jersey, is actively looking for Physician Advisors for part-time roles at Robert Wood Johnson University Hospital Rahway. The Physician Advisor will collaborate closely with both local and corporate administration, the medical team, and the leadership of the case management department. This collaboration aims to deliver a thorough clinical resource management program that encompasses utilization management, care progression management, social work services, and intricate discharge planning.
Key ResponsibilitiesThe expected salary range for this position is between $125,000 and $135,000 annually.
The final compensation offered will be influenced by various factors, including the candidate's educational qualifications, skills, and professional experience.
Application ProcessIf you are interested in exploring this opportunity further or wish to submit your application, please reach out to us.
Additional InformationOur organization represents the most extensive healthcare delivery system in New Jersey, serving a population of five million. The system comprises eleven acute care hospitals, three acute care children's hospitals, a leading pediatric rehabilitation facility, a standalone 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state's largest behavioral health network, comprehensive home care and hospice services, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers, and an accountable care organization.
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RWJBarnabas Health is New Jersey’s largest integrated health care delivery system, providing treatment and services to more than three million patients each year. Throughout RWJBarnabas Health, our dedicated physicians, nurses, and health professionals are committed to providing the highest quality of patient care and health education to the community and region. We aim to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey - whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
Hospitals
10,000+ Employees
West Orange, NJ, US
2015
