- Novo Nordisk Inc. (Minneapolis, MN)
- …in sales meetings, training programs, conventions and displays as directed by management , which may require work/travel on weekends, in addition to normal working ... and out of office across multiple account types: academic institutions, physician offices, and alternate site locations Routinely report territory-level market… more
- Merck & Co. (North Wales, PA)
- …identified growth opportunities supported by vaccine launches and through increased utilization of our inline vaccines. The Contracting and Distribution Strategies ... across the US Vaccines BU (marketing and sales teams), Integrated Account Management , and the many Operational headquarters extended teams to ensure contractual… more
- Prisma Health (Columbia, SC)
- …patient's advocate and coordinator of care, working collaboratively with the physician (s) and other members of the healthcare team.Supervisory/ Management ... patient. Develops the plan in collaboration with the patient and/or family, the physician , and other members of the interdisciplinary health care team. Updates the… 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 ... determinations - OBS vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based Appeals Management … more
- Hartford HealthCare (Wethersfield, CT)
- …Medicine * Experience: At least five years of acute care clinical experience. Physician advisor experience ( Utilization Management and Clinical Resource ... *Exciting Opportunity for Physician Advisor Clinical Resource Management * Every...as needed. *Reports To:*Associate Medical Director of Clinical Resource Management , Utilization Management and Appeals… more
- Munson Healthcare (Traverse City, MI)
- …clinical issues and advise on justification for continued stay, medical necessity and utilization management + Participates in physician education and ... Healthcare serving as a resource to the Patient Care Management (PCM)/ Utilization Management (UM)/Clinical Documentation... Utilization Review Physicians, Inc. (ABQAURP), or American Physician Leaders in Case Management ( APLCOM)… more
- CommonSpirit Health (Sacramento, CA)
- …out in the community. **Responsibilities** **This is a remote position.** **Summary** The Utilization Management Physician Advisor II conducts clinical case ... committee meetings such as Joint Operating Committee (JOC), as required for Utilization Management . + Contacts Attending Physicians: Makes face-to-face and… more
- Houston Methodist (Houston, TX)
- … committee, actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the liaison to other ... review/ management committee. Assist with the evaluation of the hospital's Utilization Management Program, including annual review and revision of the… more
- Catholic Health Initiatives (Chattanooga, TN)
- …resource management , case management , social services, discharge planning, and utilization management to develop and implement methods to optimize use of ... or acquire a solid foundation, knowledge, and/or experience in the areas of utilization management , quality improvement, and patient safety. + Possess a working… more
- Prime Therapeutics (Columbus, OH)
- … Clinical Reviewer- GI- REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical review of service requests ... needed or required. **Job Description** + Directs daily involvement in the following utilization management functions: + Reviews all cases in which clinical… more
- Penn Medicine (Philadelphia, PA)
- …resource management , case management , social services, discharge planning, and utilization management to develop and implement methods to optimize use of ... goals and objectives for assuring the effective and efficient utilization of health care services. The Physician ...or develop a solid foundation in the areas of utilization management and hospital operations. + Possess… more
- Dignity Health (Prescott, AZ)
- …element for CMS Conditions of Participation by active involvement in the facility utilization management processes. + Work with Chiefs of Staff / CMO's ... Medical Executive Committee (MEC), and assist in facilitation on Facility Utilization Management Committee. **Inpatient Facility Care Coordination:** + Provide… more
- WellSpan Health (York, PA)
- … Management staff. Duties and Responsibilities Essential Functions: + Renders utilization management determination in accordance with State and Federal ... regulations and coordinates resolution between the treating physician and health plan medical management services....external appeal-and funnel those cases to the Supervisor of Utilization Management for expedition. + Reviews cases… more
- SSM Health (St. Louis, MO)
- … leadership and physician coaching for all activities of care management , utilization management , and clinical documentation integrity. Collaborates with ... physician expert, providing medical direction and oversight to care management , utilization management andclinical documentation integrity (CDI)… more
- WMCHealth (Valhalla, NY)
- …role in ensuring physician support and execution of for Utilization Management and Documentation strategies and processes. Responsibilities: + Reviews ... on UM Committee .Provides Physician administrative support and leadership to the utilization and resource management areas of Integrated Case Management … more
- Catholic Health Services (Melville, NY)
- … Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises the Facility Physician ... develops standard system-wide implementation plans and policies. Works with system Care Management (CM) leadership and Catholic Health Physician Advisors (as… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …VA Texas Valley Coastal Bend Health Care System, Harlingen Texas is seeking a Physician (Chief of Pain Medicine) responsible for the overall operations of the Pain ... Management Program. A Recruitment/Relocation Incentive may be authorized for...administrative functions are integrated in order to provide optimal utilization of available resources to include responsibility for the… more
- Stanford Health Care (Palo Alto, CA)
- …role. **This is a hybrid Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be responsible for ensuring ... the institution, navigating the complexities of patient care and resource utilization management , and education. Primary responsibilities include: 1.… more
- Highmark Health (Jefferson Hills, PA)
- …with appeals of denials and participates in data collection activities for resource utilization management . + Receives daily report form Nursing Service (Bed ... - AHN** + Works in concert with the admitting physician , Case Management , and other hospital personnel,...medical necessity and appropriateness of: admission to the hospital, utilization of observation status and services for those patients,… more
