- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... mild cognitive impairment due to Alzheimer's disease (AD) or mild AD. TheNeurology Account Specialist (NAS) will be part of a diverse team of sales professionals who… more
- Novo Nordisk Inc. (Albuquerque, NM)
- …live with the disease of obesity, yet only 2% of them receive dedicated medical treatment. By joining the Obesity Commercial team, you will have the opportunity to ... sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides comprehensive assessment, ... planning, coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the completion of… 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN...requests by Providers. Acts as a department resource for medical service requests /referral management and processes.… 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...requests by Providers. Acts as a department resource for medical service requests /referral management and processes.… more
- Universal Health Services (Auburn Hills, MI)
- Responsibilities Utilization Management - Precertification Specialist HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital sa Joint Commission-accredited ... more information, please visit us at www.havenwyckhospital.com POSITION SUMMARY: The Utilization Management Precertification Specialist has responsibility… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and… more
- The Mount Sinai Health System (New York, NY)
- ** Utilization Management Specialist MSH Case...Sinai Health System is one of the largest academic medical systems in the New York metro area, with more ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
- Sanford Health (Sioux Falls, SD)
- …Summary** Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... one year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by… more
- Amity Foundation (Tucson, AZ)
- …individual is responsible for performing a variety of concurrent and retrospective utilization management -related reviews and functions and for ensuring that ... to teach, learn and join our community as a Utilization Review Specialist at our campus in...determined by the DSM V. + Accurately document the medical necessity and level of care based on evidence-based… more
- Corewell Health (Southfield, MI)
- …status. + Utilizes electronic medical record work queues that support Utilization Management functions. + Answers incoming calls or places outbound calls ... to obtain authorization numbers for payment. + Provides clerical support for Utilization Management ; sorting faxes and mail, obtaining authorization numbers,… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …an interdisciplinary approach to support continuity of care. + Provides utilization management , transfer coordination, discharge planning, and issuance of ... The UR Specialist reviews and monitors patients' utilization ...high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... Facilitates the delivery of services to patients and families through effective utilization of available resources. Performs medical record reviews, as required… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- Summary As the Acquisition Utilization Specialist (Operations & Leasing Specialist ) you will be responsible for contract related services focusing on VA ... Virtual: This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist (Operations and Leasing Specialist )/PD14627O… more
- Spectrum Billing Solutions (Skokie, IL)
- …cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist ... Responsibilities include: + Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. +… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- Summary The Supervisory Acquisition Utilization Specialist serves as a liaison and advisor on contract related services focusing on critical clinical and ... not a virtual position. Position Description/PD#: Supervisory Acquisition and Utilization Specialist /PD99867S Relocation/Recruitment Incentives: Not authorized Critical… more
- University of Virginia (Charlottesville, VA)
- As a Medication Utilization , Formulary, and Policy Specialist , you will play a crucial role in optimizing medication management practices UVA. The primary ... position is to manage the completion of formulary activities, support medication utilization projects, and ensure timely policy management within the department… more
- Hawaii Pacific Health (Honolulu, HI)
- …Services, which provides Hawai'i Pacific Health and its affiliates essential population utilization and financial management support, analyses and modeling. The ... referral management , patient steerage, and claims auditing. As the Specialist , you will be responsible for providing comprehensive managed care information… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- Summary The Acquisition Utilization Specialist serves as the Medical Center liaison and advisor on contract related services focusing on critical clinical ... is not a virtual position. Position Description/PD#: Acquisition & Utilization Specialist /PD50587A Relocation/Recruitment Incentives: Not Authorized Critical… more
