- Novo Nordisk Inc. (Lubbock, TX)
- …the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
- Novo Nordisk Inc. (Irvine, CA)
- …the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient population for medical ... Proactively refers cases to physician adviser for P2P, medical necessity review , and denail avoidance. Demonstrates and maintains current knowledge of regulatory… more
- Fresenius Medical Care (Goshen, IN)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area Team Lead or… more
- Interim HealthCare (Greenwood, IN)
- …Nurse (RN) in home health or similar setting; previous case management/ utilization review experience preferred. OASIS experience preferred. Practical trach ... change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct In Person patient interviews...of care. To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current… more
- Yale New Haven Health (West Haven, CT)
- …professionals, every day. Works Under The Supervision Of The Nurse Manager /Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And ... A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance … more
- Yale New Haven Health (Danbury, CT)
- …professionals, every day. Works Under The Supervision Of The Nurse Manager /Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And ... A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... Manager ) required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:** *MN-Minneapolis-Downtown Campus*… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance… more
- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn-case- manager utilization - ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended… more
- State of Indiana (Indianapolis, IN)
- …role of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose of ... Utilization Management Manager Date Posted: Nov 30, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career… more
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
- Dignity Health (Gilbert, AZ)
- …Accredited Case Manager (ACM-RN), or UM Certification + Utilization Review experience **Where You'll Work** Hello humankindness ... of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective… more
- Vighter Medical Group (Glendale, CO)
- …our team at the Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse, you'll play a key role in coordinating ... - no nights, weekends, or on-call required. What You'll Do As a Case Manager / Utilization Review RN, you will: + Conduct clinical reviews of medical records… more
- Wellpath (Franklin, TN)
- …make a difference** The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple sites ... Nursing or Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience +… more
- McLaren Health Care (Bay City, MI)
- . **Position Summary:** U nder the direction of the Manager , provides utilization review and evaluation of Emergency admissions and direct admits to assist ... wpm. **_Preferred:_** * Bachelor's Degree in Nursing. * Two years experience in hospital utilization review . * Minimum of one-year experience as charge nurse or… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and interdisciplinary team to support the underlying ... in the acute-care setting. + Minimum of 1 year Utilization Review experience preferred via industry clinical...and status on all patients through collaboration with Case Manager . + Demonstrates thorough knowledge in the application of… more
