Utilization Management Coordinator COHQ UCHC

Rutgers University

United States, New Jersey, New Brunswick

Jan 05, 2025

Position Details

Position Information

Recruitment/Posting Title	Utilization Management Coordinator COHQ UCHC
Job Category	Staff & Executive - Medical (Clinical) - Nursing
Department	UCHC-Ph-UCHC'S Admin
Overview	University Correctional Health Care ( UCHC), operating within Rutgers, The State University of New Jersey, is dedicated to excellence in providing physical, mental health, dental and sex offender treatment services to those involved in the criminal justice systems in New Jersey. UCHC operates with a total budget of $150 million and approximately 1,000 staff. We are committed to being a leader in the delivery of effective, compassionate and accessible care informed by research within correctional environments. We Care. We Teach. We Heal. We Improve. Rutgers, The State University of New Jersey, is a leading national research university and the state of New Jersey's preeminent, comprehensive public institution of higher education. Established in 1766 and celebrating a milestone 250th anniversary in 2016, the university is the eighth oldest higher education institution in the United States. More than 67,000 students and 22,000 faculty and staff learn, work, and serve the public at Rutgers locations across New Jersey and around the world.
Posting Summary	Rutgers University Correctional Healthcare ( UCHC) is seeking a Utilization Management Coordinator for in Central Administration Offices located in Trenton, NJ. The Utilization Management Coordinator performs utilization reviews for medical services provided by hospitals and other auxiliary medical services; negotiates re-pricing charges for hospital and other auxiliary medical services. Duties include: Performs utilization/quality improvement reviews in accordance with established quality management procedures. Maintains close interaction with internal and external customers in a professional manner. Develops and manages the existing UCHC provider network. Maintains provider database
Position Status	Full Time
Hours Per Week	40
Daily Work Shift	Day
Work Arrangement	This position requires a full onsite work arrangement.
FLSA	Exempt
Grade	25S
Position Salary
Annual Minimum Salary	70041.00
Annual Mid Range Salary	84083.00
Annual Maximum Salary	99858.00
Standard Hours	40.00
Union Description	HPAE 5094
Payroll Designation	PeopleSoft
Benefits	Rutgers offers a comprehensive benefit program to eligible employees. For details, please go to http://uhr.rutgers.edu/benefits/benefits-overview.
Seniority Unit
Terms of Appointment	Staff - 12 month
Position Pension Eligibility	ABP

Qualifications

Minimum Education and Experience
Certifications/Licenses
Required Knowledge, Skills, and Abilities	Bachelor of Nursing (BSN) or bachelor's degree in related clinical field (LCSW, LFC, Psychology). Additional related experience may be substituted for the degree on a year-for-year basis. A minimum of two (2) years of related experience required. CPR Certification required. Computer literacy. A valid driver's license is required. Possesses own vehicle or alternative means of transportation from one site to another.
Preferred Qualifications	Minimum of one (1) year of experience in a correctional setting preferred. Minimum of one (1) year of experience as a Utilization Review Nurse is highly desirable.
Equipment Utilized
Physical Demands and Work Environment
Special Conditions	Must be approved by the Department of Corrections ( DOC) and adhere to all DOC requirements

Posting Details

Posting Number	24ST2793
Posting Open Date
Special Instructions to Applicants
Regional Campus	Rutgers Biomedical and Health Sciences (RBHS)
Home Location Campus	Off Campus
City	Trenton
State	NJ
Location Details	Central Administration Offices location Trenton, NJ

Pre-employment Screenings

All offers of employment are contingent upon successful completion of all pre-employment screenings.

Immunization Requirements

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. Additional infection control and safety policies may apply. Prospective employees should speak with their hiring manager to determine which policies apply to the role or position for which they are applying. Failure to provide proof of vaccination for any required vaccines or obtain a medical or religious exemption from the University will result in rescission of a candidate's offer of employment or disciplinary action up to and including termination.

Affirmative Action/Equal Employment Opportunity Statement

It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. For additional information please see the Non-Discrimination Statement at the following web address: http://uhr.rutgers.edu/non-discrimination-statement