- Novo Nordisk Inc. (Worcester, MA)
- …EDCS maintains relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community health ... to ensure an aligned approach to benefit improved patient health . Internally, the EDCS reports to the Endocrinology District...would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …most diverse and collaborative groups within the organization. From health -care-provider interactions and developing and implementing regulatory strategies with the ... projects for NACD & Novo Nordisk (eg Investigators and site staff, Health Systems, Contract Research Organizations and Site Management Organizations etc.) Establish… more
- Novo Nordisk Inc. (West Hollywood, CA)
- …to deliver on this aspiration. The team is comprised of both our home office strategy and marketing execution teams and our field based teams focusing ... in helping people living with chronic disease achieve greater health outcomes. If you are passionate about being a...resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company… more
- Beth Israel Lahey Health (Exeter, NH)
- …Strong understanding of care management principles under the PDGM model, case management in home health , and utilization impact on fiscal and quality ... as a clinical resource to personnel when needed. Utilizes working knowledge of home health regulations and requirements while triaging patients to ensure they… more
- Alameda Health System (San Leandro, CA)
- …as a Registered Nurse in the State of California. **Additional Information** Note: Home Health experience and Utilization Review are highly preferred ... preferred. Preferred Licenses/Certification: Public Health Nurse, Case Management, or Home Health . Required Licenses/Certifications: BLS - Basic Life Support… more
- CaroMont Health (Gastonia, NC)
- …At least 1 year social work experience required. Experience in case management, home health , quality and/or utilization management, community or hospital ... 1 year social work experience required. Experience in case management, home health , quality and/or utilization management, community or hospital setting… more
- HCR Home Care (Rochester, NY)
- Role and Responsibilities The Utilization Review Specialist is responsible for performing utilization review activities including technical audit of assigned ... provide corrective action as needed. + Provide staff training for new Utilization Review initiatives and monitors the performance of assigned branches. + Participate… more
- Hackensack Meridian Health (Little Falls, NJ)
- …the health care team to ensure effective coordination, appropriate resource referral, and utilization of home health aide services. + Act as a ... Health (https://www.stjosephshealth.org/) , provides a comprehensive continuum of home health care and hospice services, support, and resources to patients… more
- Hackensack Meridian Health (Little Falls, NJ)
- …the health care team to ensure effective coordination, appropriate resource referral, and utilization of home health aide services. + Educate the patient ... Health (https://www.stjosephshealth.org/) , provides a comprehensive continuum of home health care and hospice services, support, and resources to patients… more
- CareFirst (Baltimore, MD)
- …5 years clinically related experience working in Care Management, Discharge Coordination, Home Health , Utilization Review, Disease Management, or other ... supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with… more
- CareFirst (Baltimore, MD)
- …5 years clinically related experience working in Care Management, Discharge Coordination, Home Health , Utilization Review, Disease Management or other ... Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager...care and positive member experience that leads to optimal health and cost-effective outcomes. We are looking for an… more
- Beth Israel Lahey Health (Burlington, MA)
- …Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and ... in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical...Lahey Hospital and Medical Center in Burlington Hospital at Home Program Full Time Days 8:00am-4:30pm Weekend and holiday… more
- Sanford Health (SD)
- **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many ... Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote...Details** opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care… more
- Rising Medical Solutions (South Bend, IN)
- …industrial rehabilitation nursing, medical case management, occupational health , orthopedics, home health care, utilization review, or quality assurance ... injuries. The successful PDM case manager works from their home office, and they drive to physician appointments where...Benefits + Opportunity to make a difference in reducing health care costs and increasing the value of … more
- VNS Health (Manhattan, NY)
- … Health policies and procedures. Assures quality of services, appropriate access and utilization , within the VNS Health Plans contracts. + Acts as resource ... Degree or equivalent work experience in management for a health plan or utilization /case management Required +...of care begins with you. Together, we will revolutionize health care in the home and community.… more
- BayCare Health System (Clearwater, FL)
- …Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With ... Review + Managed care strongly preferred **Facility:** BayCare Health System, Utilization Management-BHS **Location:** **Park Place**...- every 3rd weekend availability to log on from home ** **How often will this team member be working… more
- Humana (Columbus, OH)
- …put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- Community Health and Counseling Services (Bangor, ME)
- …patient insurances and verify eligibility and benefits and determine the primary payor for home health , mental health and hospice services. Obtain prior ... Insurance Verification and Utilization Review Specialist - Health Services Job Type(s):Full-Time Location(s):Bangor, Maine Education:Associates Degree - Business… more
- CVS Health (Carson City, NV)
- …Qualifications** + 5+ years of a variety clinical experience required including acute care, home health , or long-term care. + 5+ years demonstrated ability to ... Bring your heart to CVS Health . Every one of us at CVS ...is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that… more
- Matrix Providers (Aurora, CO)
- Registered Nurse (RN) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... Matrix Providers is hiring a Registered Nurse (RN) - Utilization Management to join our team of talented professionals...to join our team of talented professionals who provide health care services to our Military Service Members and… more
