- Novo Nordisk Inc. (Hollywood, FL)
- …obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and sales strategies ... brand strategies and the implications and importance of generating advocacy and support for them Partner with the Novo Nordisk Sales/Marketing Departments to… more
- Novo Nordisk Inc. (Sacramento, CA)
- …of brand strategies and the implications and importance of generating advocacy and support for them Work with the Novo Nordisk Sales/Marketing Departments to most ... quality of presentation) to provide quality balanced and relevant presentation that support the educational objectives and align to audience needs Develop meaningful… more
- Novo Nordisk Inc. (Irvine, CA)
- …strategies and the implications and importance of generating advocacy and support for them Demonstrates professionalism and a customer-focused approach with internal ... 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
- Kelsey-Seybold Clinic (Houston, TX)
- …add on procedures performed at the KS Ambulatory surgery center (ASC). The Utilization Review Specialist (LVN) will support the Utilization Review ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- WellLife Network (Lake Success, NY)
- QA Utilization Review Specialist - QAS043 - Mon-Fri 9AM-5PM Job Details Job Location Corporate Office (Main Office) - Lake Success, NY Remote Type Hybrid ... Education Level Graduate Degree Salary Range $26.44 - $28.85 Hourly QA Utilization Review Specialist About WellLife Network: WellLife Network is a leading… more
- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for ... documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if...documented in the case management system by the UR Review Specialist . + In the event a… more
- Munson Healthcare (Traverse City, MI)
- …families, interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic ... for coverage and compliance issues. + Works closely with decision support personnel to review resource utilization data and trends to identify outliers… more
- Trinity Health (Maywood, IL)
- …is Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal… more
- Medical Center Hospital (Odessa, TX)
- Position Summary: The Utilization Review Specialist /Outcomes Specialist conducts concurrent and retrospective review functions in support of the ... hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors. Education: Holds a current Texas license as a Registered Nurse. Training and Experience: Three years clinical nursing experience in general… more
- Mount Sinai Health System (New York, NY)
- …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... **Job Description** ** Utilization Review Admission Specialist ...up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination. + Inspiring and… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... Officer/Medical Director as appropriate. + Coordinates an interdisciplinary approach to support continuity of care. + Provides utilization management, transfer… more
- Robert Half Office Team (Durham, NC)
- Description We are offering a long-term employment opportunity for a Utilization Management Specialist in Durham, North Carolina, United States. This role ... and guidelines, along with effective communication and documentation of review outcomes. Responsibilities: * Conduct non-clinical reviews based on applicable… more
- Intermountain Health (Murray, UT)
- …regulatory requirements. + Occasional travel to provider locations within Select Health region. ** Utilization Review and Care Management:** + ** Review and ... expertise of a Licensed and Masters Prepared Behavior Health Specialist with Utilization and Care management. This...in behavioral health. + Knowledge of healthcare insurance and utilization review processes. + Excellent communication and… more
- Ascension Health (Baltimore, MD)
- …process. + Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. + ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- BayCare Health System (Clearwater, FL)
- …a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + ... services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote...Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
- Fairview Health Services (St. Paul, MN)
- …meets regulatory requirements + Participates in interdisciplinary communication related to utilization review issues. + Educates on status. + Eliminates ... including coaching and counseling and various other responsibilities to support the nursing and liaison UM staff. He/she will...clinical knowledge to work with facilities and providers for utilization review . Works with medical directors in… more
- Katmai (Usaf Academy, CO)
- …for inpatient/outpatient precertification. **ESSENTIAL DUTIES &** **RESPONSIBILITIES** + Review precertification requests for medical necessity, referring to the ... Medical Director those that require additional expertise. + Review clinical information for concurrent reviews. + As part of the UMRN program, conduct ongoing… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Position is eligible for our FLEX persona. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit ("FIP"). ... review processes with other departments to prevent inappropriate utilization of resources 11. Form recommendations regarding process improvements to eliminate… more
- St. Luke's Health System (Boise, ID)
- …St. Luke's Health System in Boise, ID is seeking an Application Training and Support Specialist to join our Community Connect team. The ideal candidate will: ... Word, Excel, PowerPoint, Teams Under limited supervision, the Applications Training & Support Specialist (ATSS) is responsible for oversight of Health… more
