- Daiichi Sankyo, Inc. (Bernards, NJ)
- …including handling internal audit. Work closely with IT regarding implementation and utilization of new software tools developed by the DS organization and/ or ... vendor contracts, contractor data, and critical database information.Responsibilities- Project Management - Plan and execute various projects within the organization… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …operate autonomously with limited up front information Certified Professional in Supply Management (CPSM) and/or Certified Purchasing Manager (CPM) a plus ... organization to guide enterprise-wide resource allocations, investment choices, drive core operations and develop insights to drive growth and operational excellence… more
- Merck & Co. (Rahway, NJ)
- …Office of General Counsel is seeking an Associate Director, IP Technology & Operations to provide application administration and technology management support to ... responsibilities are to oversee and manage the cloud-based IP management system and cloud-based IP document management ...curiosity for applying emerging technology. This is a people manager role and is responsible for managing two legal… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …organization to guide enterprise-wide resource allocations, investment choices, drive core operations and develop insights to drive growth and operational excellence ... to maximize your potential with us? The Position Responsible for managing day-to-day operations of pharmacy programs. This person will be responsible for driving new… more
- Novo Nordisk Inc. (San Francisco, CA)
- …drives the long-term strategic direction of Novo Nordisk Inc. (NNI)/North America Operations (NAO) and leads all US commercial efforts for Novo Nordisk's Rare ... thought-leaders in an assigned territory. The Rare Renal Clinical Account Manager will be principally responsible for driving disease awareness, overall market… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …value and helps influence and inform budgeting decisions by the Business and the utilization of suppliers.- Serve as the Project Management Owner for DSI's ... Global) for given commodities/business areas and leading the overall supplier relationship management program for DSI, for DS products and alliances. Cultivates a… more
- VNS Health (Manhattan, NY)
- …regarding interventions and outcomes. * Monitors and ensures that utilization management processes are followed by the service operations staff, ... OverviewManages the utilization management team to ensure that standards for service delivery and team/staff performance levels are met or exceeded. This… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Huron Consulting Group (Chicago, IL)
- …as the expert you are now and create your future. **Qualifications** The Utilization Management Specialist is responsible for ensuring the appropriate ... to facilitate optimal patient outcomes while managing healthcare costs. The Utilization Management Specialist ensures compliance with regulatory requirements and… more
- Trinity Health (Silver Spring, MD)
- …Type:** Full time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision and in collaboration with ... area. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + Knowledge of...trusted provider of health services within our community. A Manager at Holy Cross Hospital is expected to demonstrate… more
- LifeCenter Northwest (Bellevue, WA)
- …for cost management . + Work in concert with Director, Organ Utilization , OUPM, Surgical Recovery Manager , Surgical Organ Recovery Specialist(s), Organ ... Organ Utilization Manager Job Details Job Location...is responsible for the strategic direction and daily operational management of the Organ Utilization Coordinator Team… more
- Trinity Health (Silver Spring, MD)
- …acute healthcare setting required. + Extensive knowledge of payer mechanisms and clinical utilization management is required **Preferred:** + At least 5-7 years ... - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible...RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions of staff with outside activities… more
- Children's Hospital Boston (Boston, MA)
- 76592BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem… more
- Amazon (Seattle, WA)
- …software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people ... them to completion. We're seeking an experienced Technical Infrastructure Program Manager to oversee data center electrical infrastructure optimization projects. You… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Trinity Health (Silver Spring, MD)
- …. Assumes primary responsibility for the following direct reports Manager of Utilization Review and Case Management Manager of Continuum of Care ... activity + Extensive knowledge of payer mechanisms and clinical utilization management is required. + Minimum of...operations of the Department of Care Management… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for... (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care… more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
- Evolent Health (Columbus, OH)
- …with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager in supervising the ... department. The UM Lead, in collaboration with the UM Manager and Director, ensures compliance with all regulatory standards...and NCQA preferred. + 2 - 4 years of operations and Utilization Management experience… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based...documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate… more
