- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …clinical experience in ICU, ED, Med-Surg, pediatrics, behavioral health, or similar. Prior Utilization Management or managed care experience preferred. Strong ... services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape better… more
- Curative HR LLC (Austin, TX)
- …team. This pivotal role will be responsible for overseeing and performing utilization reviews, prior authorizations, and making crucial medical necessity ... years of clinical practice experience. Minimum of 2-3 years of experience in utilization management, medical review, or prior authorizations within an insurance… more
- Novo Nordisk Inc. (Hackensack, NJ)
- …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 marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Maintain mastery… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …inventory accuracy. This individual will also support the optimization and efficient utilization of the warehouse space. This individual will assist in regulatory ... activities to ensure inventory accuracy. Support the optimization and efficient utilization of the warehouse space.Assist in regulatory inspections, perform safety… more
- Novo Nordisk Inc. (Dayton, OH)
- …sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and ... experience required Intermediate computer skills required (Windows, Word, Excel); prior computer experience using sales data/call reporting software ideal Must… more
- Novo Nordisk Inc. (Seattle, WA)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved ... engaging customers Intermediate computer skills required (Windows, Word, Excel); prior computer experience using sales data/call reporting software ideal Knowledge… more
- 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 ... make decisions, and operate your business activities with minimal supervision Prior computer experience using sales data/call reporting software preferred This… more
- Novo Nordisk Inc. (Olathe, KS)
- …and adapting to business priorities Educate HCPs to increase product utilization , optimize treatment, and align with evidence-based medicine and guidelines, while ... Ability to work independently in a field-based role is required Prior computer experience using sales data/call reporting software preferred Bilingual preferred… more
- Molina Healthcare (Long Beach, CA)
- …standing. Preferred Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge ... benefits and eligibility for requested treatments and/or procedures. Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Tustin Temporary Emergency Shelter / Orange County Rescue… (Santa Ana, CA)
- …health plan benefit manuals and CPT and ICD information. Knowledge of Utilization operations and prior medical office experience required. Demonstrated "detail ... approach" to all administrative and organizational duties. Ability to take initiative to identify and propose new tasks and procedures. Compassionate behavior, ie, treating people with dignity, respect, compassion and integrity at all times. A pleasant… more
- AdventHealth (Altamonte Springs, FL)
- …Bachelor's degree in Nursing Health-related master's degree or MSN Prior Care Management/ Utilization Management experience Professional Certification ... of the implementation of the transitions of care plans prior to the discharge of the patient. The RN...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- USAA (Phoenix, AZ)
- …comparative negligence (claimant or adverse carrier). Identify coverage concerns, reviews prior loss history, determine and create Special Investigation Unit (SIU) ... facilitate claims resolution through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through… more
- USAA (Phoenix, AZ)
- …negligence (claimant or adverse carrier). Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit (SIU) ... partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through… more
- NY CREATES (Albany, NY)
- …solutions implemented to achieve project and customer deliverables. Advance and maximize utilization of NY CREATES capabilities within the Albany facility to grow ... Foundation for SUNY's sole discretion. Proof of status may be required prior to employment in connection with necessary authorizations. Employment is with the… more
- Pennsylvania Medicine (Woodbury Heights, NJ)
- …registers new patients into EPIC using established protocols Validates financial responsibility prior to service utilization and completes an accurate financial ... interview at time of registration Records receipts according to practice protocol so as to ensure appropriate end of day reconciliation. Participates in cash reconciliation delineations. Generates/runs reports, as requested, related to front-end processes… more
- Actalent (Salt Lake City, UT)
- …Your main role will be utilizing your clinical skills to complete utilization management reviews, including prior authorizations, coverage exceptions, and ... evaluations occur every six months for potential extensions. Responsibilities Conduct utilization management reviews independently. Participate in a team of pharmacy… more
- NY CREATES (Albany, NY)
- …managing storage infrastructure (SAN, NAS, DAS). Monitoring storage capacity utilization and proactively managing storage expansion. Implementing data protection ... Foundation for SUNY's sole discretion. Proof of status may be required prior to employment in connection with necessary authorizations. Employment is with the… more
- Central Virginia VA Health Care System (Richmond, VA)
- …Action Required Report) and delinquent recall report; supports clinics regarding utilization and clinic profile management ie set-up of clinic grids, cancel ... Prepares correspondence and memos as needed. Promotes Veteran registration for and utilization of MyHealthyVet (MHV). Stocks basic office supplies for the executive… more
- Washington VA Medical Center (Washington, DC)
- …designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment ... certify the accuracy of all information in your application, prior to entry on duty. False statements on any...the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules are closely monitored… more
- CHEP (Baltimore, MD)
- …across the Plant while maintaining critical quality and raw material utilization standards that are necessary to maintain customer satisfaction and Plant ... motivate, delegate and monitor their activities Drive efficiencies in asset utilization through proper transportation scheduling, dispatch, & driver management while… more
