- Ascension (Wichita, KS)
- …nursing OR Required professional licensure at time of hire. Additional Preferences Prior experience in case management or utilization review strongly preferred. ... Details Department: Utilization Management Schedule: Full-time, Day Shift, 40 hours/week,...Nurse credentialed from the Kansas Board of Nursing obtained prior to hire date or job transfer date. Education:… 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. (San Diego, CA)
- …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. (East Cleveland, 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. (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
- Blue Shield of California (El Dorado Hills, CA)
- …readiness in collaboration with internal BSC partners Perform advanced or complicated prior authorization and concurrent utilization reviews and first level ... Job Description Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and… more
- American Traveler (Roseville, CA)
- …information, including any BG hits or DUIs, must be disclosed prior to consideration, Additional Information *Responsible for comprehensive case management, ... utilization review, and coordination of care within an integrated...*Must have a broad knowledge base of healthcare delivery, utilization review, observation status, and post-acute levels of care,… more
- Blue Shield of California (Oakland, CA)
- Job Description Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations ... clinal criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral… more
- UnitedHealth Group (Phoenix, AZ)
- …to the CMO and leadership team. They will support the CMO with utilization management (UM), prior authorization determinations, oversight and direction of ... inpatient and skilled nursing facility utilization , oversight and direction of Outpatient Care Management Services, Medicare Risk Adjustment Factor (RAF) education… more
- Network Health WI (Menasha, WI)
- The RN Coordinator Utilization Management reviews submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. The RN ... Coordinator Utilization Management reviews applicable guidelines regarding payment and coverage, and makes determinations for authorization/payment. Location:… more
- Morgan Stephens (Phoenix, AZ)
- Job Title: Physical Therapist (PT) - Utilization Management Organization: Managed Care Organization Must be licensed in Arizona Pay: Up to: $72.00 per hour Position ... Organization is seeking a qualified Physical Therapist (PT) to join our Utilization Management Team. This position will primarily involve conducting chart reviews to… more
- Actalent (Kansas City, MO)
- …Your main role will be utilizing your clinical skills to complete utilization management reviews, including prior authorizations, coverage exceptions, and ... team of your peers and other pharmacy professionals. Responsibilities Conduct utilization management reviews independently. Participate in a team of pharmacy… 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
- 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
- Actalent (Oklahoma City, OK)
- …In this role, you will utilize your clinical skills to conduct utilization management reviews, including prior authorizations, coverage exceptions, and quantity ... contracts evaluated every six months for extension. Responsibilities Conduct utilization management reviews, including prior authorizations, coverage exceptions,… more
- Adventist Health (St. Helena, CA)
- …and patients for subsequent ultrasound procedures. Verifies operational status of equipment prior to daily utilization . Performs other job-related duties as ... assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter,… 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
- Life Care Center of McMinnville (Mcminnville, OR)
- …One (1) year of clinical experience in post acute care setting preferred Prior case management, utilization review, and discharge planning experience preferred ... Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job Requirements Generate written communication that is clear, concise, and well organized Excellent organizational skills and be efficient in… more
- Optum (Minnetonka, MN)
- …with all stakeholders. Discharge planning will begin at the time of (or prior to) admission, and reassessed ongoing throughout the course of hospitalization in ... Takes lead role in directing disposition of patients and utilization considerations Assumes leadership role to facilitate interdisciplinary collaboration Effectively… more
