- Novo Nordisk Inc. (Albuquerque, NM)
- …titles depending on experience. The ranges for the job titles are the following : Obesity Care Specialist I - $65,850 to $115,240 Obesity Care Specialist ... care models, protocols, etc. to engage HCPs in clinical conversations to appreciate how they manage patients with...- $80,670 to $141,170 Sr. Obesity Care Specialist - $98,820 to $172,940 Base compensation is determined… more
- Novo Nordisk Inc. (Philadelphia, PA)
- …guidelines, chronic care models, protocols, etc. to engage HCPs in clinical conversations to appreciate how they manage patients with diabetes and where they ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...Representative also assists their target physicians with their local clinical and educational initiatives by coordinating company resources (eg,… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... to Alzheimer's disease (AD) or mild AD. TheNeurology Account Specialist (NAS) will be part of a diverse team...the primary role of demand generation by conveying complex clinical information to customers and key stakeholders consistent with… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will...At least 4 years of experience in a patient care setting and/or combination in utilization management,… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will...of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge… more
- Kelsey-Seybold Clinic (Pearland, 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...continue to grow, our focus is providing quality patient care by adding to our team of clinical… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- BayCare Health System (Cotton Plant, AR)
- …more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Senior **Location** Clearwater:Morton Plant | Clinical | Part ... and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and compassionate… more
- HonorHealth (Scottsdale, AZ)
- …Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the goal of maintaining high quality ... group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care . The ... care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround...assure compliance with reporting and turnaround times. + Addresses care issues with the Director of Clinical … more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR ... will utilize his or her knowledge and skills to review clinical information and obtain initial and continuing authorizations for behavioral healthcare services.… more
- Universal Health Services (Groton, CT)
- …DC, Puerto Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the pre-certification, concurrent, and ... (UHS), has an immediate opening for a full-time UR Specialist . Stonington Institute is committed to providing quality substance...to identify and advocate for a particular level of care based on the presenting clinical information.… more
- Universal Health Services (Auburn Hills, MI)
- Responsibilities Utilization Management - Precertification Specialist HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital sa Joint Commission-accredited and ... information, please visit us at www.havenwyckhospital.com POSITION SUMMARY: The Utilization Management Precertification Specialist has responsibility for… more
- WestCare Foundation (Henderson, NV)
- Utilization Review Specialist Job Details Job Location Henderson - 1711 Whitney Mesa - Henderson, NV Position Type Full Time Education Level 2 Year Degree Salary ... Summary: Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely...in order to advocate for the highest level of care that is supported by the clients acuity, and… more
- Sanford Health (Sioux Falls, SD)
- …monitoring the utilization of resources, risk management and quality of care for patients in accordance with guidelines and criteria. Assist in report ... 40.00 **Salary Range:** $27.50 - $38.50 **Job Summary** Conduct level of care medical necessity reviews within patient's medical records. Performs utilization … more
- The Mount Sinai Health System (New York, NY)
- ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information from third ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... the engagement and enrollment of new Client in FLACRA's HHUNY and CHHUNY Care Management Programs. This is done through outreach by performing activities that assist… more
- Veterans Affairs, Veterans Health Administration (Dublin, GA)
- …is not a virtual position. Position Description/PD#: Acquisition & Utilization Specialist /PD99810S Relocation/Recruitment Incentives: Not Authorized Financial ... Center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquisition and support services required by… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist ...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed… more
- Insight Global (Boston, MA)
- …facilities under the provisions of benefits plan. The LTSS Service Authorization Specialist is responsible for applying clinical and benefit administration ... Job Description Clinical Effectiveness (Authorization) Unit is primarily responsible for...Term Services and Supports (LTSS). The LTSS Service Authorization Specialist provides accurate, prompt, and appropriate medical authorizations to… more
