- Daiichi Sankyo, Inc. (Bernards, NJ)
- …validation, and reconciliation, study data protection, operational metrics, and clinical trial quality and risk management reporting requirements that adhere to ... reconciliation reports, study data protection, operational metrics, and clinical trial quality and risk management reporting requirements. Oversees the execution… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …This position is responsible for implementation and oversight of the Risk Based Quality Management (RBQM) principles that support the Company's vision including ... a Quality by Design (QbD) and Risk-Based Quality Management (RBQM) approach to clinical trial...or site non-compliance such as: different approaches to data review in conjunction with Data Management and… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …design, operational planning, start-up, conduct, reporting, and close out) including timeline, quality , and budget management . Drives and leads the successful ... Management :Responsible for resource management within their therapeutic area. Management requires review of resources against development pipeline to… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …project management tools, eg, Communication Plan and Risk Based Quality Monitoring documents, such as Risk Assessment Categorization Tool (RACT) Ensure country ... Development Hub merges biotech speed and agility with large pharmaceutical company quality , resources, and stability, uniting the best of both worlds to develop… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …teams, clinical safety and pharmacovigilance, CROs, and partners to ensure high quality coding deliverables are on time to support drug development processes and ... in working in a fast-paced environment, continuous improvement, project management , change management , and risk management .Responsibilities:Leadership,… more
- Novo Nordisk Inc. (Sacramento, CA)
- …audience needs, share learning objectives and local challenges, provide feedback on quality of presentation) to provide quality balanced and relevant ... appropriate patients that would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services by sharing approved… more
- Novo Nordisk Inc. (Philadelphia, PA)
- …sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and ... with those individuals Recognize opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and adds… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- … utilization and application of advanced negotiation skills, partnership management and strong interpersonal skills to support and advance objectives.- Contract ... basis. Management and oversight of Clinical Development contracting process, review and approval in accordance with company policies.- Procurement - Manages all… more
- PIH Health (Bell, CA)
- …from PHWH to the patient's contracted facilities. The RN Access Case Manager performs utilization review with a high level of expertise by using criteria that ... The RN Access Case Manager works to ensure appropriate utilization of hospital resources in all settings and levels...and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one… more
- PIH Health (Whittier, CA)
- …to the next level of care and services. The LVN Discharge Planner performs utilization review by using criteria that demonstrates medical necessity to achieve ... reimbursement for services and ensuring appropriate utilization of hospital resources. PIH Health is a nonprofit,...and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one… more
- Fidelity Investments (Boston, MA)
- …leadership and proficient relationship builder with proven influencing and people management skillsStrong learning agility and ability to thrive in a changing ... to present and lead conversations with senior managementStrong project management skills, ability to manage competing priorities and workloadFinancial services… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse, you will be responsible for: + Ensuring appropriate, cost-effective, and high- ... quality care for New Century Health Plan members + Conducting utilization management (UM) activities in accordance with health plan policies and regulatory… more
- Providence (Olympia, WA)
- …Degree Nursing Or + Associate's Degree Nursing + 3 years of Utilization Review , Care Management , Quality Management , and/or Discharge planning **Why ... Per-Diem **Job Shift:** Day **Career Track:** Nursing **Department:** 3030 UTILIZATION REVIEW WA PSPH OLYMPIA MAIN 2ND FLOOR QUALITY OFFICES **Address:** WA… more
- Providence (Olympia, WA)
- …- Nursing or, + Associate's Degree - Nursing. + 3 years - Utilization Review , Care Management , Quality Management , and/or Discharge planning **Why ... **Description** The Utilization Review (UR) Nurse has a...clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient… more
- WMCHealth (Valhalla, NY)
- …class assists in the implementation or investigation of the procedures specified in the Quality Management , Utilization Review and Discharge Planning ... one of which must have been in the area of utilization review , quality assurance, risk management or discharge planning. About Us: Westchester Medical… more
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of ... budgeted targets. + Provides medical/psychiatric leadership/consultation to Provider Relations, Medical Utilization Management , and Quality Management … more
- UPMC (Pittsburgh, PA)
- …the Health Plan. + Actively participates in the daily utilization management and quality improvement review processes, including concurrent, prospective ... Keep current with accepted standards and professional developments in the areas of quality improvement and utilization management . + Communicate and educate… more
- CVS Health (Austin, TX)
- …will include weekends, holidays, and evening hours._ This is a full-time remote Utilization Review opportunity. Working hours are four 10hr days including every ... Consultant participating in non-traditional, weekend shift rotation. As a Utilization Management Nurse Consultant, you will utilize...Critical care experience ie ICU, CCU, NICU, ER + Utilization review experience + Managed Care experience… more
- LifePoint Health (Brentwood, TN)
- …across each entity. *Responsibilities:* * Oversee the development, implementation, and performance management of Utilization Review services across Lifepoint ... * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member... Review operations to develop and implement centralized utilization review and authorization management … more
- Commonwealth Care Alliance (Boston, MA)
- …local regulatory guidelines. + Serve as the lead for CCA's Utilization Review functions working closely with other medical management team members. + Support ... review findings, actions, and outcomes in accordance with Utilization + Management policies; meets health plan...providers + Support plan accreditation efforts as determined by Quality Management and Accreditation Team + Support… more
