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Company Name : Biogensys
Location : Trenton, NJ
Position : Utilization Review Specialist
Job Description : Title: Utilization Review SpecialistLocation: Trenton, NJDuration: Full time 4+ Months ContractPay Rate: $33.30/hr.Shift: 1st ShiftBiogensys is hiring a Utilization Review Specialist, for one of our client in Trenton, NJ.Duties/Responsibilities: Utilization review of recipients Æ paid claims history and medical records to identify misuse of Medicaid services, implementation of lock-in action which may require selection of primary providers.Prepares appeal summary.Coordinates activities with local departments of social services.Performs and other related or assigned duties.Experience Required: 3 years of Public health or psychiatric nursing experience.Utilization review experience.Job Types: Full-time, ContractPay: $33.00 per hourSchedule:8 hour shiftMonday to FridayExperience:Public health / psychiatric nursing / Utilization review: 3 years (Required)Work Location: One location
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