- Novo Nordisk Inc. (Shreveport, LA)
- …of patients with obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and ... resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company...care models, protocols, etc. to engage HCPs in clinical conversations to appreciate how they manage patients with… more
- Eisai, Inc (San Francisco, CA)
- …about product access / safe administration by working with appropriate Health Care Providers. Complete ongoing clinical acumen and compliance training with ... provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through… more
- Eisai, Inc (Louisville, KY)
- …about product access / safe administration by working with appropriate Health Care Providers. Complete ongoing clinical acumen and compliance training with ... provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through… more
- Merck & Co. (North Wales, PA)
- Job Description Position Description: Senior Specialist , Financial Planning & Analysis Our company's mission is to be the world's premier research-intensive ... Laboratories drive break-through science through drug discovery, development, and clinical evaluation to address the significant unmet medical needs.-Finance is… more
- Eisai, Inc (Nashville, TN)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... to Alzheimer's disease (AD) or mild AD. TheNeurology Account Specialist (NAS) will be part of a diverse team...the primary role of demand generation by conveying complex clinical information to customers and key stakeholders consistent with… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a...continue to grow, our focus is providing quality patient care by adding to our team of clinical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of care , as outlined in ... **Overview** The Senior Utilization Review Specialist collaborates with the...direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight… more
- CaroMont Health (Gastonia, NC)
- …requested. Assesses for best utilization regarding level of patient care , diagnostic testing, and clinical procedures without jeopardizing patient quality ... to managed care organizations. Communicates with attending physicians regarding utilization issues. Collaborates with discharge planning specialist and other… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- Cleveland Clinic (Vero Beach, FL)
- …or visit. Some of the responsibilities of a Utilization Management Specialist include medical record review, providing clinical information to payers, UM ... May design and initiate special projects as supervised by the Team Manager. Utilization Management Specialist Join our team at Cleveland Clinic Indian River… more
- BayCare Health System (Clearwater, FL)
- …and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Senior **Location** Clearwater | Clinical | Part Time **Req ... and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and compassionate… more
- CareFirst (Baltimore, MD)
- …authorization, appropriateness of care determination and benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review ... Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent... Nurse Specialist Preferred **Experience:** 5 years Clinical nursing experience. 2 years Care Management.… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... clinical and healthcare services, product acquisition and support services...of items to include specialized services. Responsibilities The Acquisition Utilization Specialist will render expert contract pre-award… more
- FLACRA (Clifton Springs, NY)
- Utilization Management Specialist Finger Lakes Addiction Counseling and Referral Agency Inc Clifton Springs, NY (Onsite) Full-Time $16.50 - $17.30/Hour Apply Now ... (https://flacra.jobs.net/apply/j3v25k5zd9n260hk0cx?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title: Utilization Management Specialist Location: Finger Lakes Region,… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- Summary The Acquisition Utilization Specialist is located at the Jonathan M. Wainwright Memorial VA Medical Center with Supply Chain Management service and is ... located in Walla Walla, Washington. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on… more
- Henry Ford Health System (Troy, MI)
- …regimens to optimize the quality of care provided by the primary care team. He/she works with utilization management reports, corporate data stores, and ... waste, and rework in the region, and improve drug utilization . The Pharmacy Specialist will be instrumental...Pharmacy degree or equivalent experience with evidence of advanced clinical training and knowledge in patient care … more
- Sutter Health (Berkeley, CA)
- …with case managers, clinical nursing staff and others to ensure appropriate utilization and quality care through utilization review, tracking and ... acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for...staff, and clerical unit staff to assure that quality care is delivered at the appropriate level of service… more
- ManpowerGroup (Durham, NC)
- Our client, the largest health care industry, is seeking a utilization management specialist to join their team. If you are detail-oriented, experienced in ... you to apply for this remote opportunity. **Job Title:** Utilization Management Specialist **Location: REMOTE** **Pay Range:...+ Act as a subject matter expert on the non- clinical review process within the Care Management… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care . The ... care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround...assure compliance with reporting and turnaround times. + Addresses care issues with the Director of Clinical … more
- Sharp HealthCare (San Diego, CA)
- …formulary management.Assists other healthcare team members in keeping up with managed care policies specifically relating to drug utilization and reimbursement ... hospital setting. Duties and responsibilities include coordinating with prescribers, clinical pharmacy team members, and payers to ensure appropriate reimbursement… more
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