- 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 ... sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and… more
- Novo Nordisk Inc. (Sacramento, CA)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services by sharing approved ... and customer groups Recognize opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and adds… more
- Novo Nordisk Inc. (Irvine, CA)
- …productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights ... 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
- FLACRA (Clifton Springs, NY)
- Utilization Management Specialist Finger Lakes Addiction Counseling and Referral Agency Inc Clifton Springs, NY (Onsite) Full-Time $16.50 - $17.50/Hour Apply ... Now (https://flacra.jobs.net/apply/j3v25k5zd9n260hk0cx?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title: Utilization Management Specialist Location:Finger Lakes… more
- ManpowerGroup (Meridian, ID)
- Our client, a leader in the healthcare industry, is seeking an Utilization Management Specialist to join their team. The ideal candidate will have strong ... Office Suite, which will align successfully within the organization. **Job Title:** Utilization Management Specialist **Location:** Meridian, ID **Pay… 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 ... for accuracy to prevent impact on claims payment * Support the care management department through outreaches to members or providers to meet CMS requirements for… more
- MetroHealth (Cleveland, OH)
- …**Responsible for communicating information to internal and external customers of the Utilization Review and Care Management Department. Follows up on inquiries ... from payors and provides the appropriate information to Utilization Review, providers, payors, and admitting. Upholds the mission, vision, values, and customer… more
- LA Care Health Plan (Los Angeles, CA)
- …to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- LA Care Health Plan (Los Angeles, CA)
- …achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative ... Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Kelsey-Seybold Clinic (Houston, TX)
- … Utilization Review Specialist (LVN)** **Location: Remote** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: $60,306 - ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... **Overview** The Senior Utilization Review Specialist collaborates with the...vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based… more
- Community Health Systems (Franklin, TN)
- …clinics, imaging centers, cancer centers and ambulatory surgery centers. **Summary:** Utilization management is the analysis of the necessity, appropriateness, ... of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both...presenting after the call and documented in the case management system by the UR Review Specialist .… more
- Lawrence General Hospital (Lawrence, MA)
- …advisor and healthcare team supports all administrative tasks/responsibilities for utilization management and revenue integrity cycle processes. Interacts ... The Utilization Review Specialist , under supervision and...maintaining high-quality cost-effective care. The URS works collaboratively with utilization management staff to obtain information from… more
- Munson Healthcare (Traverse City, MI)
- …of resources. + Assists in developing and revising policies to support utilization management activities, including criteria and guidelines for appropriate use ... colleagues and hospital associates at information meetings. + May represent Utilization Management on various committees, professional organizations, physician… more
- Trinity Health (Maywood, IL)
- …in collaboration with attending physicians. + Actively participates in the Utilization Management committee. + Additional responsibilities as needed. **We ... Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary… more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... to justify acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent review… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... of extended stay, outpatient observation, and inpatient stays and the utilization of ancillary services. Responsible for coordinating and conducting medical… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …an interdisciplinary approach to support continuity of care. + Provides utilization management , transfer coordination, discharge planning, and issuance of ... The UR Specialist reviews and monitors patients' utilization ...and quality of care. + Responsible for the proactive management of patients with the objective of improving quality… more
- Spectrum Billing Solutions (Skokie, IL)
- …cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist ... and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for treatment… more
- Community Health and Counseling Services (Bangor, ME)
- …Agency staff, patients, family members, facilities and physician. Responsible for utilization management of services, verifying authorization of services ... Insurance Verification and Utilization Review Specialist - Health Services...Coordination of payor changes as well as claims denial management . Medical Terminology and computer coursework or equivalent required.… more
