- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... areas centered around rare diseases and immune disorders. Job Summary: The Manager , Medical Coding is accountable for delivery of medical coding services for… more
- Novo Nordisk Inc. (Sacramento, CA)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... positioning Novo Nordisk as a leader in the diabetes care market, understanding the local market and customer needs...Internally, the EDCS reports to the Endocrinology District Business Manager of the specific sales territory. The EDCS interacts… more
- Novo Nordisk Inc. (Winter Park, FL)
- …Commercial team, you will have the opportunity to help people with obesity receive the care they deserve. The Novo Nordisk aspiration is to be a driving force in the ... providers, positioning Novo Nordisk as a leader in obesity care , understanding the local market and customer needs and...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community health systems. The… more
- UPMC (Hanover, PA)
- **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a ... rotating weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall … more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. ... work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further… more
- South Central Regional Medical Center (Laurel, MS)
- …patients admitted through the ED - work collaboratively with the inpatient care manager and the utilization review department to support transitions from ... SUMMARY Through the Quality Care Management department, the Quality Care Manager supports clinical workflow that integrates value-based performance criteria.… more
- Community Health Systems (Franklin, TN)
- …enhancing the overall utilization review process to optimize patient care and manage resources effectively. The manager supports and coordinates the ... **Job Summary** The Manager of Utilization Review ...**Job Summary** The Manager of Utilization Review oversees a team of...a nurse required + 1-3 years work experience in Care Management or Utilization Review … more
- Beth Israel Lahey Health (Burlington, MA)
- …The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse...care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ability to communicate… 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 operations ... internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with...of progressive acute care leadership and acute care utilization review experience. +… more
- Ascension Health (Baltimore, MD)
- …salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes ... with associates in similar roles_ **Registered Nurse, Certified Case Manager (CCM, ACM, URAC) preferred or willing to obtain...review programs and key performance indicators for all utilization review activities. + Interact with medical,… more
- UCLA Health (Los Angeles, CA)
- …assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our UCLA ... effective coordination of care . In this role you will perform utilization review while assuring the delivery of concurrent and post-hospital care . We're… more
- UNC Health Care (Raleigh, NC)
- **Description** **Full time exempt, 40 hours per week Utilization Manager - Medical necessity review for Surgical admissions** Become part of an inclusive ... through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
- Covenant Health (Bangor, ME)
- …of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other members of ... the healthcare team. The nurse case manager also acts as an advocate for the patient... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Utilization Review Physician collaborates with the healthcare team in the** **management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review ,** **hospital reimbursement, clinical compliance, case management, and… more
- Morris Hospital (Morris, IL)
- …using evidenced-based clinical guidelines. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure ... time frames for assigned patients. Coordinates the plan of care with the physicians, nurses and other health ...setting. + Strong clinical expertise. + Prior experience in utilization management or case management preferred. + Ability to… more
- UNC Health Care (Hendersonville, NC)
- …daily with the Care Manager to manage level of care transitions & appropriate utilization of services. Coordinates with the appropriate staff/payers ... the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge … more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189323/case- manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Behavioral Center of Michigan (Warren, MI)
- …skills to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs… more
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