• Novo Nordisk Inc. (Boston, MA)
    …collateral development Achieve or exceed assigned sales objectives through effective utilization of all available resources, strategies and tactics Collaborates with ... in endocrinology required Managed Care selling experience is highly desirable Expert knowledge of the growth disorders market preferred Ability to facilitate trust… more
    HireLifeScience (06/12/25)
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  • Novo Nordisk Inc. (Los Angeles, CA)
    …AACE) and customer groups Recognize opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and ... Word, Excel); prior computer experience using sales data/call reporting software ideal Mastery knowledge of the clinical management of diabetes and the range of… more
    HireLifeScience (07/26/25)
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  • Novo Nordisk Inc. (Pasco, WA)
    …with those individuals Recognize opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience ... in purchasing and prescribing decisions. The OCS uses local knowledge , tools and resources to assess, create and maintain...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… more
    HireLifeScience (07/26/25)
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  • Novo Nordisk Inc. (San Diego, CA)
    …with target physicians Recognizes opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience ... the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative… more
    HireLifeScience (07/23/25)
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  • Merck & Co. (Durham, NC)
    …several years; currently Durham employs 1,000+ people. This role as a Manager , Operations will be an energetic, leader with strong interpersonal, leadership, and ... finances, labor, employee, environment and safetyTactical and strategic Shift(s) management , including collaboration with indirect staff;Promote the behaviors and… more
    HireLifeScience (07/16/25)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    …discuss their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all ... by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to...NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no… more
    HireLifeScience (06/27/25)
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  • Sheppard Pratt (Amesbury, MA)
    …ensure the equitable distribution of utilization review assignments. Assists Utilization Review Coordinators and Financial Case Management Representatives in ... medical diagnoses, treatment modalities, therapeutic services and intervention techniques, and knowledge of utilization review practices and procedures -… more
    Upward (07/26/25)
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  • Fort Duncan Regional Medical Center (Eagle Pass, TX)
    …Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of hospital billing, managed care systems, ... rounds. Manage department budget, staffing, and training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse (RN)… more
    Upward (07/13/25)
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  • Boston Childrens Hospital (Boston, MA)
    …Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: Current Massachusetts license as a ... of payer denials. They identify and implement initiatives to manage utilization trends, collaborating with the hospital's discharge planning case managers,… more
    Upward (07/19/25)
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  • Montclair Hospital Medical Center (Montclair, CA)
    …preferred, and community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the ... admission and across the continuum of the health care management . Works on behalf of the advocate, promoting cost...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience… more
    Upward (07/23/25)
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  • Blue Shield of California (San Diego, CA)
    …and performance Qualifications Your Knowledge and Experience Requires practical knowledge of Utilization Management functions including prior ... Job Description Your Role The Behavioral Health (BH) Utilization Management (UM) team manages prior...The Operations Specialist, Experienced will report to the Sr. Manager , BH UM. In this role you will be… more
    Upward (07/25/25)
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  • Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
    …or independent review company in utilization , quality review or case management Knowledge of health insurance including Medicare, Medicaid and managed care ... Job Details The Utilization Management Nurse is responsible assure...completed in an accurate and timely manner. Maintains detailed knowledge of the status of all assignments and routinely… more
    Upward (07/17/25)
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  • American Traveler (Puyallup, WA)
    …experience required, *Epic experience required, *Healthcare financial and reimbursement knowledge required, *ER and utilization review experience preferred, ... American Traveler is seeking an experienced RN for a Case Management position in an acute inpatient hospital setting requiring WA RN license, BSN, and recent case … more
    Upward (07/21/25)
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  • Blue Shield of California (El Dorado Hills, CA)
    …for our Shared Services department including concurrent review, transplant and NICU/HROB. The Manager , Utilization Management Nurse Management will ... Job Description Your Role The Utilization Management team reviews inpatient stays...process execution, work organization, inventory management , risk management and delegation Requires knowledge of regulatory… more
    Upward (07/01/25)
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  • FROEDTERT HEALTH (Milwaukee, WI)
    …DESCRIPTION: Minimum of 3 years of acute care nursing experience is required; Prior utilization management or case management experience is required. A ... 5 years of acute care nursing experience is preferred. Utilization of Interqual, MCG care web QI or Indicia...evidence based guidelines is strongly preferred. EDUCATION DESCRIPTION: Professional knowledge of nursing theory and practice at a level… more
    Upward (07/26/25)
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  • McLaren Health Care Corporation (Indianapolis, IN)
    …(2) years' experience in Managed Care Utilization Management , Medical Management , Case Management . BSN. Certified Case Manager (CCM) Certification. ... We are looking for a Utilization Management RN, to join us... Management , Medical Management , Case Management . Preferred: Two (2) years' experience and knowledge more
    Upward (07/13/25)
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  • Hackensack Meridian Health (Hackensack, NJ)
    …a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based...Board Certification. 2. At least two years experience in Utilization Review processes including knowledge of regulatory… more
    Upward (07/08/25)
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  • Healthier Mississippi People (Jackson, MS)
    …and diagnoses, procedure codes, including ICD-10, CPT, and DSM-IV codes. Current working knowledge of discharge planning, utilization management , case ... Job Type Full-time Description Job Summary: Accountable to perform utilization management services for designated patient case...medical center's purpose. Knowledge , Skills & Abilities Knowledge of the aspects of utilization review.… more
    Upward (07/03/25)
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  • Kings View Corporation (Fresno, CA)
    …services to the underserved community, is currently seeking a driven Clinical Supervisor- Utilization Review to join our mission to provide compassionate services to ... with integrity while listening and responding to the community in need. Clinical Supervisor- Utilization Review (280) Fresno, CA The Clinical Supervisor is part of a… more
    Upward (07/03/25)
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  • Chico's (Bozeman, MT)
    …individuality. POSITION OBJECTIVE: The Sales Associate is responsible for supporting Management in in promoting a customer and product-focused sales culture, where ... Meets company sales goals by utilizing sales techniques and communicating product knowledge to the customer; recommends merchandise selections or helps to locate or… more
    Upward (07/10/25)
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