- Novo Nordisk Inc. (Sacramento, CA)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services by sharing approved ... and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Maintain mastery… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …of the holistic map for P&O Help build and maintain the holistic map for review monthly by POLT and POLT teams Establish cadence for key milestones within the ... processes for P&O Support the development of sustainable and scalable tools Review and map current processes design to evaluate opportunities for scaling,… more
- Novo Nordisk Inc. (Philadelphia, PA)
- …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 ... 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
- Novo Nordisk Inc. (Sacramento, CA)
- …and adapting to business priorities Educate HCPs to increase product utilization , optimize treatment, and align with evidence-based medicine and guidelines, while ... standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A bachelor's or equivalent degree is… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …comprehensive templates for various purposes such as strategic planning, talent review , promotions, and market adjustments, ensuring consistency and clarity in ... approach to communication materials within the P&O function Create process for utilization of templates, SharePoint, Viva Engage & mailboxes for key communications… more
- Novo Nordisk Inc. (Mobile, AL)
- …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 ... and adapting to business prioritiesEducate HCPs to increase product utilization , optimize treatment, and align with evidence-based medicine and guidelines,… 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 ... in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital...Lahey Hospital and Medical Center in Burlington Hospital at Home Program Full Time Days 8:00am-4:30pm Weekend and holiday… more
- Corewell Health (Royal Oak, MI)
- …3 years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
- BrightSpring Health Services (Louisville, KY)
- …therapy from an accredited or approved school.* Two years of experience in health care utilization review or home care.* Two years prior home ... Audits patients records for quality and compliance per applicable home health regulations for submission for pre-claim review... home health regulations for submission for pre-claim review process of Review Choice Demonstration.* Audits… more
- BayCare Health System (Largo, FL)
- …within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + Oversees and ... **There's home care and then there's BayCare HomeCare!** Every...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- Health Advocates Network (Harrisburg, PA)
- …the field of medical assistance (MA), health care services, human services, long term care, utilization review , or knowledge of home care Knowledge of and ... setting, behavioral health setting, drug and alcohol setting, managed care, quality management/ utilization review or other related clinical experience; or An… more
- BayCare Health System (Bradenton, FL)
- …the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and ... **There's home care and then there's BayCare HomeCare!** It...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- Spectrum Billing Solutions (Skokie, IL)
- …in the most efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will ... clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and...+ Flexible work environment - You can work from home , hybrid or fully in office. + Competitive Salary… more
- Munson Healthcare (Traverse City, MI)
- …interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work ... State of Michigan. + Minimum of three years clinical experience required. Previous utilization review and/or case management in a hospital or insurance industry… more
- BayCare Health System (Clearwater, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians....Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… 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 UCLA ... coordination of care. In this role you will perform utilization review while assuring the delivery of...than 270 community clinics throughout Southern California. We're also home to the world-class medical research and clinical education… more
- Centene Corporation (Jefferson City, MO)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... perspective on workplace flexibility. **THIS POSITION IS REMOTE/WORK FROM HOME . THE WORK SCHEDULE IS THURSDAY THROUGH MONDAY AS...9AM - 6PM EST** **Position Purpose:** Performs a clinical review and assesses care related to mental health and… more
- Providence (Mission Hills, CA)
- **Description** Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records ... strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The … more
- Providence (Everett, WA)
- …years, OR recent Utilization Management experience **Preferred Qualifications:** + Utilization review or case management experience + Experience with ... **Description** Oversee utilization management and review of patients...groups and clinics, numerous outreach programs, and hospice and home care. Providence is proud to be an Equal… more
- Providence (Olympia, WA)
- **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management ... Or + Associate's Degree Nursing + 3 years of Utilization Review , Care Management, Quality Management, and/or...groups and clinics, numerous outreach programs, and hospice and home care. Providence is proud to be an Equal… more
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