- Novo Nordisk Inc. (Plainsboro, NJ)
- …MA and Plainsboro, NJ. We support programs from early research through late-stage clinical development. We are building for the future, creating a distinct R&D ... We are looking to hire an Associate Director of Clinical Operations. This is a unique opportunity to work...Ensure country and site selection meet study requirements. May review critical study documents, such as consent forms, study… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …areas centered around rare diseases and immune disorders. Job Summary: Senior clinical operational leader accountable for operational planning and execution of FIH, ... clin pharm patient studies, and Phases 1-3 clinical trials at the study and program level. Responsible...cross-functional, integrated study plan and create initial study budget. Review study feasibility assessments provided by the CRO(s), lead… more
- Novo Nordisk Inc. (Mckinney, TX)
- …centers, HCPs and other stakeholders in a given geography. Utilizing approved clinical resources to support provider efforts to deliver appropriate care for ... a focus on further growth of the therapeutic market. This is not a clinical patient-facing role. Relationships The CM Educator is an integral part of the… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …methods to detect fraud or site non-compliance such as: different approaches to data review in conjunction with Data Management and Clinical Science, audit trail ... a Quality by Design (QbD) and Risk-Based Quality Management (RBQM) approach to clinical trial conduct. Major focus is on operations concerning risk control and… more
- Novo Nordisk Inc. (Sacramento, CA)
- …The EDCS must achieve sales goals by utilizing a patient-centric and clinical approach to engaging their customers and promoting Novo Nordisk's portfolio of ... maintain advocacy of customers aligned to company, brand and clinical goals; the EDCS develops local strategies and executes...would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services… more
- Novo Nordisk Inc. (Philadelphia, PA)
- …assess, create and maintain advocacy of customers aligned to company, brand and clinical goals. The OCS develops local strategies and executes local tactical plans ... partners. The OCS also assists their customers with their local clinical and educational initiatives by coordinating company resources (eg, counterparts, materials,… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …of medical coding services for assigned programs, collaborating with program teams, clinical safety and pharmacovigilance, CROs, and partners to ensure high quality ... including dictionary support documentation. Collaborates cross-functionally with the Medical, Clinical Development, Clinical Scientists, Clinical Safety… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …and external stakeholders to oversee the development and delivery of clinical data programming, reporting, data visualizations, external data acquisition and ... the quality and timely delivery of programming deliverables, including integrated data review plan (IDRP), study data listings and exception reports, sample data… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …execution of master agreements on a timely basis. Management and oversight of Clinical Development contracting process, review and approval in accordance with ... Proactively seeks to become an expert in complex outsourcing models supporting Clinical RD and PH.1 to PH. IV outsourced services (eg, CRO, Biomarker,… more
- Novo Nordisk Inc. (Irvine, CA)
- …Sales Representative also assists their target physicians with their local clinical and educational initiatives by coordinating company resources (eg, counterparts, ... timely and accurate transmission of call data Understand the scientific and clinical underpinnings of brand strategies and the implications and importance of… more
- Actalent (Remote, OR)
- …workforce to meet client/customer needs. Skills nurse, RN, Utilization management, Utilization review , Case management, Clinical review , Care ... , medical records, medical terminology, disease process Top Skills Details nurse,RN, Utilization management, Utilization review ,Case management, Clinical … more
- Prime Therapeutics (Columbia, SC)
- …and pharmacies. + Escalates medical exception requests to nurse, pharmacist or physician on the utilization review clinical team when further review is ... using clinical criteria. Makes approval recommendations on all services that meet clinical review criteria. Refers all cases not meeting clinical … more
- Centene Corporation (Tucson, AZ)
- …Arizona with experience in mental health settings and utilization management / review . **Position Purpose:** Performs a clinical review and assesses care ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary The Utilization Review Nurse combines clinical expertise with knowledge of medical appropriateness criteria, and applies principles of utilization ... and consultant to the multidisciplinary patient care team. The Utilization Review Nurse is responsible for ...Utilization Review Nurse is responsible for review of clinical information documented from providers… more
- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for ... as a Licensed Practical Nurse. + Minimum of two (2) years Utilization Management experience is preferred. + Knowledge of coding/claims processing is preferred.… 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 ... appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable… more
- Hackensack Meridian Health (Hackensack, NJ)
- …patient population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, ... **Overview** The Senior Utilization Review Specialist collaborates with the...direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, ... **Overview** The Utilization Review Physician collaborates with the...direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight… more
- Commonwealth Care Alliance (Boston, MA)
- …Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director ... our rapidly growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming, and excellent… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a...plan, ACO, IPA, or provider group or 3 years clinical nursing experience Preferred: N/A **License(s)** Required: TX LVN… more
