• Novo Nordisk Inc. (Orlando, FL)
    …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... positioning Novo Nordisk as a leader in the diabetes care market, understanding the local market and customer needs...Internally, the EDCS reports to the Endocrinology District Business Manager of the specific sales territory. The EDCS interacts… more
    HireLifeScience (07/31/25)
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  • Novo Nordisk Inc. (Dayton, OH)
    …Commercial team, you will have the opportunity to help people with obesity receive the care they deserve. The Novo Nordisk aspiration is to be a driving force in the ... providers, positioning Novo Nordisk as a leader in obesity care , understanding the local market and customer needs and...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… more
    HireLifeScience (07/30/25)
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  • Novo Nordisk Inc. (Walnut Creek, CA)
    …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community health systems. The… more
    HireLifeScience (07/31/25)
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  • Novo Nordisk Inc. (Boston, MA)
    …of Sogroya and Norditropin to practicing physicians, nurses, hospitals, managed care and other health-related personnel within an assigned territory. Requires the ... collateral development Achieve or exceed assigned sales objectives through effective utilization of all available resources, strategies and tactics Collaborates with… more
    HireLifeScience (06/12/25)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    …the marketplace, with targeted payer accounts that influence patient access and care . Targets include a range of influential stakeholders and decision makers, ... NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no...placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of… more
    HireLifeScience (06/27/25)
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  • RN Care Manager - Rex Case…

    UNC Health Care (Raleigh, NC)
    …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
    UNC Health Care (07/24/25)
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  • RN Care Manager - Rex Gyn/Oncology

    UNC Health Care (Raleigh, NC)
    …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
    UNC Health Care (07/02/25)
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  • Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse...care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ability to communicate… more
    Beth Israel Lahey Health (05/11/25)
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  • Care Manager RN - PAMC Case…

    Providence (Anchorage, AK)
    …of hire + National Certification in area of specialty + 1 year of experience in care management or utilization review in any setting or successful completion ... **Description** The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient...assessment and planning, coordination of care , resource utilization management and/ or review , discharge planning,… more
    Providence (08/01/25)
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  • Manager - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager...care determination and the appeal/denial process. + Oversees utilization review workflow processes to ensure timely… more
    Beth Israel Lahey Health (07/29/25)
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  • Utilization Review Case…

    Covenant Health (Nashua, NH)
    …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory ... services and Outpatients in a Bed. Identifies delays in care . Documents and communicates findings with the care...+ Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge… more
    Covenant Health (07/30/25)
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  • Utilization Review Nurse…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ... medical record review for medical necessity and level of ...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
    Houston Methodist (07/25/25)
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  • Manager , Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
    Children's Mercy Kansas City (06/17/25)
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  • RN Utilization Manager - Surgery,…

    UNC Health Care (Chapel Hill, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
    UNC Health Care (07/26/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Licensure/… more
    Children's Hospital Boston (06/16/25)
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  • Manager , Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …Knowledge, Skills & Abilities (must have): * Expertise in managing utilization review processes including prior authorization, concurrent and retrospective ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care ...facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing… more
    Commonwealth Care Alliance (05/21/25)
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  • Utilization Review Case…

    Holzer Health System (Gallipolis, OH)
    …organizational and financial outcomes. Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with Social Workers to refer ... care or observation. Monitors the plan of care to ensure the efficient utilization of...taken into consideration. . Professional experience with case management, utilization review , or discharge planning highly desirable.… more
    Holzer Health System (07/24/25)
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  • Utilization Review Specialist RN…

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of ...this position is able to cover a multitude of utilization review functions through point of entry,… more
    Houston Methodist (07/29/25)
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  • Utilization Manager (RN)

    UNC Health Care (Hendersonville, NC)
    …daily with the Care Manager to manage level of care transitions & appropriate utilization of services. Coordinates with the appropriate staff/payers ... the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge … more
    UNC Health Care (06/24/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    …trends and changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of care ) by participating in appropriate ... System Utilization Management SUM Utilization Review...in orientation of fresh staff as requested by the Manager of Utilization Management. 17. Maintains knowledge… more
    Alameda Health System (07/29/25)
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