- Novo Nordisk Inc. (Sacramento, CA)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... where passion and engagement are met with opportunities for professional and personal development. Are you ready to realize...positioning Novo Nordisk as a leader in the diabetes care market, understanding the local market and customer needs… more
- Novo Nordisk Inc. (Irvine, CA)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... global workplace, where passion and engagement are met with opportunities for professional and personal development. Are you ready to realize your potential? The… more
- Novo Nordisk Inc. (Winter Park, FL)
- …Commercial team, you will have the opportunity to help people with obesity receive the care they deserve. The Novo Nordisk aspiration is to be a driving force in the ... an assigned territory. This position has a goal of cultivating strong professional relationships with healthcare providers, positioning Novo Nordisk as a leader in… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... and methodologies are understood and utilized. Serve as the lead "relationship manager " to proactively deliver strategic sourcing insights, optimal value and best… 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 ... rotating weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall … more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- Stanford Health Care (Palo Alto, CA)
- …work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further ... our robust, Utilization Management team. Are you driven by health care innovation, partnerships, and measurable results to improve the continuity of care… more
- Community Health Systems (Franklin, TN)
- …and enhancing the overall utilization review process to optimize patient care and manage resources effectively. The manager supports and coordinates the ... **Job Summary** The Manager of Utilization Review oversees a...utilization review. Collaborates with the multidisciplinary team, lending professional clinical expertise to ensure quality, timely, and cost… more
- VNS Health (Manhattan, NY)
- … utilization management processes are followed by the service operations staff, utilization staff, and the interdisciplinary care team to ensure cost ... , staff productivity and coverage. + Generates management reports via the care / utilization management systems and demonstrates competency as a super user… more
- Mount Sinai Health System (New York, NY)
- …in Nursing or health-related field preferred. + 5 years minimum of progressive acute care leadership and acute care utilization review experience. + ... **Job Description** The Utilization Review Manager for the Selikoff...area of nursing practice assigned; in this case, acute care utilization review. + Previous experience making… 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 management, ... containment activities, and services on automated UM review. The Program Manager will ensure accurate implementation, system configuration and appropriate benefit… more
- VNS Health (Manhattan, NY)
- …and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical ... subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure … more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... current with industry standards and business objectives related to Utilization and Care Management as appropriate. |...minimal oversight and direction. | Demonstrates a courteous and professional demeanor, team spirit and the ability to work… more
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Utilization Management + **Schedule:** On-site, Monday-Friday, 8:00AM-4:30PM. Must be available as needed to address urgent or ... and comparison with associates in similar roles_ **Registered Nurse, Certified Case Manager (CCM, ACM, URAC) preferred or willing to obtain within 1 year.**… more
- Hackensack Meridian Health (Neptune, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator, Utilization Management** is a member of the healthcare team and ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage… more
- Hackensack Meridian Health (Holmdel, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator, Utilization Management** is a member of the healthcare team and ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge of Department ... Utilization Management Nurse Specialist RN II Job Category:...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Healthfirst (NY)
- …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community resources to… more
- Morris Hospital (Morris, IL)
- …achieved within established time frames for assigned patients. Coordinates the plan of care with the physicians, nurses and other health care professionals from ... evidenced-based clinical guidelines. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure… more
- ERP International (Nellis AFB, NV)
- …regional offices, Manage Care Support Team, MTF staff and professional organizations concerning Utilization Management practices. * Collaborates with ... to patients, families/ care givers, medical and non-medical staff in a professional and courteous way. * Communication. Demonstrate ability to utilize verbal and… more
