- Novo Nordisk Inc. (Los Angeles, CA)
- About the Department The Clinical , Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... stages of development. Incumbents have a deep scientific and clinical education and experience. Within Field Medical ...c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives… more
- Novo Nordisk Inc. (Lubbock, TX)
- …Sales Representative also assists their target physicians with their local clinical and educational initiatives by coordinating company resources (eg, counterparts, ... other field-based employees (eg, DBMs, DCSs, Market Access Team, Diabetes Educators, Medical Liaisons) covering the same geographic areas. The Specialty Field Sales… 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, ... other field-based employees (eg, DBMs, DCSs, Market Access Team, Diabetes Educators, Medical Liaisons) covering the same geographic areas. The Specialty Field Sales… more
- Eisai, Inc (New York, NY)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... or channel-specific. Essential Functions Present the economic value proposition and clinical benefits of Eisai product portfolio to assigned regional payer account… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …including specimen identifiers and metadata, and ICF-associated permissions prior to utilization .Collaborate with Procurement to review contracts and ensure ... to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class...to manage the communication with Precision Medicine and the clinical study teams to address informed consent and IRB/EC… more
- University Health (Pleasanton, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... appropriate for the services needed to be rendered. This position requires assertive clinical acumen and communication skills for serving in the liaison roles with … more
- Integra Partners (Troy, MI)
- …needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures consistent application of criteria, ... & Oversight + Provide day-to-day clinical leadership and oversight to the Utilization Review Medical Director(s) and clinical UM team. + Ensure… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services ... with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors... of hospital services. + Collaborates with physicians and clinical teams to obtain necessary documentation for medical… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to ... committed to consistency, compliance, and evidence-based decision making. The Utilization Review Medical Director 's...or past OIG or state sanctions + Experience performing utilization management or clinical review … more
- Houston Methodist (Houston, TX)
- …of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...regarding any claim issues or concern that may require clinical review during the pre-bill, audit, or… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …and may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating ... evidence-based practice *Quality of Practice*: * Promotes quality through evidence-based utilization review processes and actively contributes to performance… more
- Community Health Systems (Naples, FL)
- …of care, and accurate clinical documentation. Under the direction of the Utilization Review leadership, this role supports concurrent review processes, ... clinical documentation and make timely, independent decisions regarding medical necessity and care status. + Proficient in ...medical necessity and care status. + Proficient in utilization review processes, admission criteria, and payer… more
- Waystar (Atlanta, GA)
- …end user adoption of best practice workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in ... **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …professional development specialist to develop standard work and expectations for the utilization review process, including timely medical necessity ... utilization management activities. The goal is to achieve clinical , financial, and utilization goals through effective...with payers, as appropriate * May participate in the Utilization Review Committee to present medical… more
- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient...+ Staff Acquisition and Support: Leads and manages the utilization review staff and function for the… more
- The County of Los Angeles (Los Angeles, CA)
- …administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print... specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical… more
- Albany Medical Center (Albany, NY)
- …continued stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation ... improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department...Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal… more
- CVS Health (Columbus, OH)
- …phone, computer, etc. and clinical documentation systems. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Commitment ... Utilization Management (UM) Nurse Consultant specializing in Medical Review , you'll play a vital role...to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical … more
- Humana (Boston, MA)
- …put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication ... work **1 company holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for… more
- New York State Civil Service (Bronx, NY)
- …from outside or within State Service can apply.As a Utilization Review Coordinator, your duties will include:* Reviewing clinical records for completeness ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Bronx Psychiatric Center, P27525 Occupational Category Health Care,… more
