- CVS Health (Sacramento, CA)
- …it all with heart, each and every day. Position Summary The Utilization Management Clinical Nurse Consultant utilizes clinical skills to coordinate, ... from 8:30am-5:00pm, Arizona Time Zone. Preferred Qualifications : Previous experience with utilization management . Previous clinical experience in Emergency… more
- CVS Health (Des Moines, IA)
- …obtain addition Nursing Licenses as business needs require Preferred Qualifications Utilization Management experience preferred Education Diploma RN acceptable; ... heart, each and every day. Position Summary Utilize your clinical experience and skills in a collaborative process to...in acute or post-acute setting, and 1+ years of Utilization Management / Care Management … more
- UnitedHealth Group (Philadelphia, PA)
- … program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, ... NCQA measures Facilitates ongoing maintenance of client custom formulary and utilization management updates Identifies opportunities to increase efficiency… more
- Highmark Health (Salt Lake City, UT)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
- Penn Medicine (Philadelphia, PA)
- …Research with a focus on supply chain, patient throughput, resource allocation and utilization , queuing theory and capacity management to help optimize business ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- GE HealthCare (Chicago, IL)
- Job Description Summary The Workflow Integration (WFI) Senior Consultant is responsible for delivery of productivity solutions for GE HealthCare clients. The WFI ... and implement advisory and technology solutions to improve financial, operational, clinical or patient safety outcomes within healthcare provider institutions. Owns… more
- Cardinal Health (Atlanta, GA)
- …a highly regulated industry Previous sales experience selling to physicians, clinical end-users, materials management , and C-suite desired Strong preference ... Job Description Senior Consultant , Product Sales Specialist - NPHS The territory...responsible for developing opportunities, selling, growing and maintaining product utilization among targeted healthcare providers and administrators. The incumbent… more
- UnitedHealth Group (Hartford, CT)
- …and cost avoidance development Serves cross-functionally with Medical Directors, and sometimes Utilization Management , as well as other internal teams to assist ... overtime Preferred Qualifications: Registered Nurse 2+ years of experience in Utilization Management Experience working with federal contracts CES (Claims… more
- Battelle Memorial Institute (Sneads Ferry, NC)
- …with the referring provider, behavioral health consultant and/or psychiatry consultant + Perform case management functions **Key Qualifications** + Master ... and Analytics (HRA) business line is seeking a highly motivated, full-time **Licensed Clinical Social Worker (LCSW)** to join our team in support of our government… more
- Sutter Health (Oakland, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ) ,and… more
- Legend Biotech USA, Inc. (Atlanta, GA)
- …Affairs team. Direct education for healthcare professionals treating oncology patients on clinical data, adverse event management , and mechanism of action for ... between investigators and members of the Legend Biotech Medical Affairs and Clinical Development teams; Addressing AE management and education as… more
- Catholic Health Initiatives (Houston, TX)
- …services. Manage the delivery of patient care. Major responsibilities include: -- Clinical Management : Ensures the safe and effective delivery of quality ... community standards of care and regulatory bodies. -- Human Resources/Financial Management : Works to maintain a fiscally responsible department including efficient… more
- Stanford Health Care (Palo Alto, CA)
- … management and prioritization.o Pursue lifelong learning to enhance clinical and professional knowledge.o Participate in department program planning, goal ... report to the Hospital Operations Manager. Preferred experience: - EMTALA Risk Management - Knowledge of insurance coverage - Transfer Center experience **This is… more
- Moses/Weitzman Health System (Meriden, CT)
- …component meeting client's health care needs. Participates with Community Health Center management in developing and achieving optimal clinical performance and ... licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or… more
- Rush University Medical Center (Chicago, IL)
- …BIM data for analytics and reporting to provide insights into space utilization , facility optimization, and asset management , informing strategic decision-making ... Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Med Ctr Engin- Management Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide ... clinical insight into product development and testing as well...acute care setting + 2+ years of experience in utilization management + Knowledge and understanding of… more
- CVS Health (Raleigh, NC)
- …reside in CST or EST zone.** As a Utilization Management Nurse Consultant you will utilizes clinical experience and skills in a collaborative process to ... to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical ...Requirement to reside in EST or CST zone. + Utilization Management is a 24/7 operation and… more
- CVS Health (Raleigh, NC)
- …all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... with occasional holiday rotation.** **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience +… more
- CVS Health (Lansing, MI)
- …Summary** Join our Utilization Management team as a Nurse Consultant , where you'll apply clinical judgment and evidence-based criteria to review ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Columbus, OH)
- …of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active current ... on the telephone, and type on the computer. **Preferred Qualifications** Utilization Management experience preferred **Education** Diploma RN acceptable;… more
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