- Novo Nordisk Inc. (Torrance, 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
- Novo Nordisk Inc. (San Jose, CA)
- …providers (HCPs), stakeholders, and influencers, including but not limited to practices, health systems community health centers, HCPs and other stakeholders in ... and adapting to business priorities Educate HCPs to increase product utilization , optimize treatment, and align with evidence-based medicine and guidelines, while… more
- Novo Nordisk Inc. (Minneapolis, MN)
- …responsible for developing and maintaining relationships with physicians, nurses, and other health care personnel as relevant for the commercialization of rare renal ... prescribing decisions: Achieve or exceed assigned sales objectives through effective utilization of all available approved resources, strategies and tactics Assess… more
- LA Care Health Plan (Los Angeles, CA)
- …in a case/care management environment. Preferred: Experience in utilization review , skilled nursing, home health , discharge planning, behavioral ... and coordination of psychosocial wraparound services to promote effective utilization of available Health Plan, Home...home care, or case management. OR experience in Utilization Review or Care Management will be… more
- ChenMed (St. Louis, MO)
- …clinical work experience required + A minimum of 1 year of utilization review and/or case management, home health , discharge planning experience required ... other case managers and nurses, acute and post-acute facilities, home health companies, and health ...discharge planning. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of Utilization Review (UR) and discharge planning +… more
- BayCare Health System (Clearwater, FL)
- …team member be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Nurse - Health Plan **Location** ... of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands...2 years - Case Management + 2 years - Utilization Review + Directly working for Medicare… 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...care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye… more
- BayCare Health System (Clearwater, FL)
- …and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and compassionate ... of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands...team. **The Utilization Review Specialist Senior responsibilities include:** +… 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
- Ascension Health (Manhattan, KS)
- … health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests within ... healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee...across a number of hospitals, clinics, therapy centers and home health services. Ascension is a leading… more
- Ascension Health (Milwaukee, WI)
- … health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests within ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Ascension Health (Austin, TX)
- … health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests within ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… 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 risk… more
- HCA Healthcare (Ogden, UT)
- …charitable organizations. Apply Today! **Job Summary and Qualifications** The Mental Health Professional/ Utilization Review role primarily involves reviewing ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- US Tech Solutions (Columbia, SC)
- … health /chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review /case management/clinical/or combination; 2 of 4 years must ... WEEK AND THEN WILL BE DEPLOYED TO WORK FROM HOME . WILL PROVIDE THE EQUIPMENT. + NICE TO HAVE...in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks… 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 ... Manages and evaluates staff in delivery and coordination of utilization management review services in compliance with...of care begins with you. Together, we will revolutionize health care in the home and community.… more
- Providence (Anchorage, AK)
- …planning, coordinating, and directly supervising the activities of the case management, utilization review , social services and navigation teams for assigned ... Managers upon hire + 2 years of Case Management experience including utilization review , care management, care coordination, discharge planning, or population… 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 ... but not limited to: Skilled nursing facility, outpatient needs ( home health , physical therapy, infusion), and case...Utilization Management or CM. Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and… more
- ChenMed (Louisville, KY)
- …work experience required. + A minimum of 1 year of utilization review and/or case management, home health , hospital discharge planning experience ... other case managers and nurses, acute and post-acute facilities, home health care companies, and health...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- ERP International (Nellis AFB, NV)
- …the plan and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the appropriate ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); Comprehensive Accreditation… more
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