- Daiichi Sankyo, Inc. (Bernards, NJ)
- …areas centered around rare diseases and immune disorders. Job Summary: The Manager , Medical Coding is accountable for delivery of medical coding services for ... in working in a fast-paced environment, continuous improvement, project management , change management , and risk management .Responsibilities:Leadership,… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …while reducing complexity across the team. Relationships The Associate Manager Operational Efficiency reports to the Director, People Operations within ... the Strategy & People Operations team. The Associate Manager Operational Efficiency role directly collaborates with the following...P&O Help build and maintain the holistic map for review monthly by POLT and POLT teams Establish cadence… more
- Novo Nordisk Inc. (Sacramento, CA)
- …improved patient health. Internally, the EDCS reports to the Endocrinology District Business Manager of the specific sales territory. The EDCS interacts on a regular ... appropriate patients that would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services by sharing approved… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative ... productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights… more
- Novo Nordisk Inc. (Winter Park, FL)
- …improved patient health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also interacts and collaborates ... sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and… more
- Stanford Health Care (Palo Alto, CA)
- …Skills and Abilities** + Knowledge of principles and best practices of case management , utilization review , social work, care coordination and discharge ... practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation,… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical ... Manager to facilitate coordination of services related to utilization review . Collaborates with the multidisciplinary team,...ensure quality, timely, and cost effective utilization management to achieve optimal outcomes. The manager … more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management … 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 ... medical records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to… more
- Ascension Health (Baltimore, MD)
- …and salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing ... with associates in similar roles_ **Registered Nurse, Certified Case Manager (CCM, ACM, URAC) preferred or willing to obtain...the areas of utilization criteria, appeal and review process, and case management system documentation.… more
- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... coordination of care. In this role you will perform utilization review while assuring the delivery of...License and BLS certification + Recent experience in case management , utilization management and discharge… 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
- 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 ... (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management , and transitions of ... documentation e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate...ie MCG, Xsolis) b. Supports & Participates in pre-admission review , utilization management , and concurrent… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack UMC. These include but are not limited to utilization review ,** **hospital reimbursement, clinical compliance, case management , and transitions of ... documentation** **iv. Target DRGs Reviews** **v. Use of case manager as a resource** **4. Uses guidelines to evaluate...ie MCG,** **Xsolis)** **b. Supports & Participates in pre-admission review , utilization management , and concurrent… more
- Independent Health (Buffalo, NY)
- …perks, benefits and commitment to diversity and inclusion. **Overview** The Program Manager - Utilization Management (UM) will be accountable for the ... and cost containment activities, and services on automated UM review . The Program Manager will ensure accurate...recommendations for improvements to maintain an effective and efficient utilization management process, as well as manage… more
- Covenant Health (Bangor, ME)
- …supervision 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… 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 ... setting. + Strong clinical expertise. + Prior experience in utilization management or case management ...training and orientation of new employees, as directed by manager . + Communicates effectively with physicians, patients and families,… 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, planning, coordination, implementation and reporting of complex… more
- VNS Health (Manhattan, NY)
- …community-based settings. + Manages and evaluates staff in delivery and coordination of utilization management review services in compliance with CMS ... OverviewManages the utilization management team to ensure that...advancement opportunities What You Will Do + Reviews specific utilization issues or requests with Clinical Review … more
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