- Novo Nordisk Inc. (Torrance, CA)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent ... this aspiration. The team is comprised of both our home office strategy and marketing execution teams and our...office strategy and marketing execution teams and our field based teams focusing on customer engagements and execution of… more
- Novo Nordisk Inc. (Los Angeles, CA)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A Bachelors degree ... Position The Novo Nordisk Sickle Cell Community Liaison (SCCL) is a field- based , community-facing colleague who serves as the center of coordination for… more
- Novo Nordisk Inc. (Minneapolis, MN)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A Bachelor's degree ... product information for maximum effect Recommend solutions for sales and marketing based on evaluation and comprehension of data, dynamics, trends, customer needs,… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …& Regional Marketing leadership to oversee and execute all aspects of field- based programs, product theaters, & national broadcasts in conjunction with the Brand ... areas.Meet with Sales Leadership on a regular basis to review processes and gain insight of the field needs...goal of enhancing processes. This will ensure coordination with home office Marketing tactics and field delivery on these… more
- Novo Nordisk Inc. (San Jose, CA)
- …opportunities and adapting to business priorities Educate HCPs to increase product utilization , optimize treatment, and align with evidence- based medicine and ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records....legal, critical illness, identity theft protection, pet insurance and auto/ home insurance. The Company also offers time off pursuant… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings Clinic ... family activities. Amazing outdoor recreation is just minutes from home . Four seasons of sunshine! You can make a...- 44.18 Under the direction of department leadership, the Utilization Review / Management RN. This position is… more
- Actalent (San Bernardino, CA)
- Description: As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care coordination ... as it relates to acute inpatient stay and post-acute facility stay. The Utilization Review RN Coordinates continuing care/outside services for value based… more
- Henry Ford Health System (Detroit, MI)
- The Medical Director of Utilization Review is responsible for the medical oversight of activities related to appropriateness of Henry Ford Hospital (HFH) ... and continued stays of inpatients. The Medical Director of utilization review will ensure the most efficient...and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and… more
- BayCare Health System (Clearwater, FL)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... the Tampa Bay area. Our network consists of 16 community- based hospitals, a long-term acute care facility, home...compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +… more
- Ascension Health (Milwaukee, WI)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Ascension Health (Manhattan, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee...home health services. Ascension is a leading non-profit, faith- based national health system made up of over 134,000… more
- BayCare Health System (Clearwater, FL)
- …+ RN License **Experience:** + 2 years - Case Management + 2 years - Utilization Review + Directly working for Medicare Advantage Plan - preferred **Facility:** ... be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Nurse - Health Plan **Location** Clearwater:Park… more
- Ascension Health (Austin, TX)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- HCA Healthcare (Ogden, UT)
- …Apply Today! **Job Summary and Qualifications** The Mental Health Professional/ Utilization Review role primarily involves reviewing medical records ... guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality… more
- CareFirst (Baltimore, MD)
- …detail can be shared during the interview process. Plans, organizes, and manages utilization review programs. Directs the utilization of referral services. ... expected to work a portion of their week from home and a portion of their week at a...Required. **Experience:** 8 years' Experience in a clinical and utilization review role. 3 years Management experience.… more
- VNS Health (Manhattan, NY)
- …general supervision. Compensation Range:$98,200.00 - $130,800.00 Annual * Reviews specific utilization issues or requests with Clinical Review team, focusing ... by assigned staff or through contract relationships in both home and community- based settings. * Manages and...Manages and evaluates staff in delivery and coordination of utilization management review services in compliance with… more
- LA Care Health Plan (Los Angeles, CA)
- …providing clinical review and authorization for alternate levels of care, home health, durable medical equipment, and other discharge needs. Provides support to ... Utilization Management Admissions Liaison RN II (After Hours...in real-time and post admission to issue a determination based on clinical criteria for medical necessity. Assures timely,… more
- Humana (Salem, OR)
- …our caring community and help us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and procedures;… more
- Humana (Boise, ID)
- …and independent determination of the appropriate courses of action. The Post-Acute Utilization Management Nurse 2: + Review cases using clinical knowledge, ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- VNS Health (Manhattan, NY)
- …subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is ... general supervision. Compensation Range:$85,000.00 - $106,300.00 Annual * Conducts comprehensive review of all components related to requests for services which… more
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