- Novo Nordisk Inc. (Atlanta, GA)
- …with his/er Field Director. Relationships Position reports to Field Director/ Senior Field Director. Serves as organization spokesperson on advanced medical ... relationships include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, advocacy group leaders, pharmacists, blood bank staff,… more
- VNS Health (Manhattan, NY)
- …efficient manner.Engages in and contributes to the interdisciplinary team's utilization management activities and recommended interventions for ... development and implementation of the behavioral health sections of the Quality Management (QM)/ Utilization Management (UM) Plan. Oversees the administration… more
- Elevance Health (Tampa, FL)
- Senior RN Utilization Review/ Management (Acute InPatient) JR116937 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This ... Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr** serves as **team...Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or… more
- AdventHealth (Altamonte Springs, FL)
- … will oversee ED, Inpatient, and Specialist utilization , and manage care management outcomes. The Senior Manager of Utilization will provide support, ... the RN on care management duties/assignments. The Senior Manager of Utilization will be responsible...in nursing with 4 years of experience. . Registered Nurse with an active and unrestricted license to practice… more
- Conviva (Austin, TX)
- …+ Prior clinical experience, managed care experience, Home Health, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- Ascension Health (Manhattan, KS)
- **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40 hours weekly, Monday - Friday 7:30am - 4pm + **Hospital:** Ascension Via ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Ascension Health (Tulsa, OK)
- **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday-Friday, 8:30am-5:00pm + **Hospital:** Ascension St. John Medical Center + ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior ** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...Nursing RN. **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) +… more
- Ventura County (Ventura, CA)
- Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4591361) Apply Senior Medical Management ... nursing classifications in that they will provide Care/Case management , Disease Management , Wellness and Prevention, Utilization Management and tasks… more
- Centene Corporation (Madison, WI)
- …industry best practices related to utilization management + Works with utilization management team and senior management to identify ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...applicable guidelines, policies, and procedures + Works with the senior management to develop and implement UM… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director, Utilization Management is responsible for directing, leading, and ... modifying the business processes and operations for all levels of utilization management review (ie, Precertification and Intake Services, Inpatient &… more
- Dignity Health (Bakersfield, CA)
- …Arizona, with a clear and current CA RN license.** **Position Summary:** The Director of Utilization Management is the senior lead over the utilization ... UM Director is also responsible for the oversight of utilization management auditing, both internal and external,...is responsible for reviewing and providing program metrics to senior leadership, as well as analysis of program and… more
- Ascension Health (Austin, TX)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... / Registration: + Registered Nurse obtained prior to hire date or job transfer...years of transplant experience, preferred + 2-3 years of utilization management and managed care experience, preferred… more
- MyFlorida (Gainesville, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64058647 Date: Sep 13, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 817845 Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64058647 Pay Plan: Career… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Ambulatory Care Operations (Bilingual Preferred) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4520146) Apply ... Senior Registered Nurse - Ambulatory Care Operations...staff; + Oversees functional operations, clinic workflows, layout and management system, productivity measurement, and monitoring; + Maintains current… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000034...Care Plans and MDS as required. Will ensure economical utilization of supplies and proper charging of items to ... . Requisition No: 832463 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000034 Pay Plan: Career Service Position Number: 50000034… more
- MyFlorida (Port Charlotte, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50009051...the scope of practice as defined by the Florida Nurse Practice Act. Ensure economical utilization of ... . Requisition No: 834178 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50009051 Pay Plan: Career Service Position Number: 50009051… more
- Ascension Health (Jacksonville, FL)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... specifics._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. +.../ Registration: + Licensed Registered Nurse obtained prior to hire date or job transfer… more
- MyFlorida (St. Augustine, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50950067 Date:...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 835143 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50950067 Pay Plan: Career Service Position Number: 50950067… more
- MyFlorida (Port Saint Lucie, FL)
- SENIOR LICENSED PRACTICAL NURSE Date: Aug 23,...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 834102 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE Position Number: 50326645 Salary:… more
