- Novo Nordisk Inc. (Oklahoma City, OK)
- …elements in the market to identify and leverage business opportunities Analyze impact of managed care in the territory and its effect on prescribing decisions, ... resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company...align to audience needs Leverage understanding of impact of managed care in the territory and how… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific ... two years' experience in a health related system, pharmaceutical company, or managed care environment required Relevant clinical and/or therapeutic experience… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... develop a cross-functional, integrated study plan and create initial study budget. Review study feasibility assessments provided by the CRO(s), lead the CRO… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and ... based on benchmarked criteria or established practices. The Utilization Review RN in utilizing these skills...and The Joint Commission regulations is preferred.10. Knowledgeable in managed care processes is preferred. Computer experience… more
- Integrated Resources, Inc (Temecula, CA)
- …Pay rate: $50/hr.- w2 - $60/hr.- w2. Job Description: . Case management RN / Utilization Review experience required in Inpatient Hospital. . Unit: 87510 - ... Utilization Review . Desired Shift: DAYS -...Utilization Review . Desired Shift: DAYS - 8 HR: 8:30a-5p...settings such as hospitals, clinics, home healthcare agencies, and managed care organizations. The primary responsibility of… more
- RestoraCare Staffing (Houston, TX)
- …management, case management, performance improvement, disease or population management and managed care reimbursement. Understanding of pre-acute and post-acute ... nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality… more
- Trinity Health (Columbus, OH)
- …+ Minimum of 3-5 years nursing experience and knowledge of the utilization review process. Prior managed care and/or Medicare experience is preferred. + ... Utilization Review Nurse ensures medical appropriateness and effective utilization of health care resources. **Responsibilities** + Performs clinical … more
- Universal Health Services (Chicago, IL)
- …in mental health/psychiatry preferred. Knowledge: Possesses knowledge of utilization review , insurance and managed care procedures. Current knowledge ... proof of authorization and denials communicated accurately in Midas. Interface with various managed care organizations and other payers to resolve issues related… more
- CVS Health (Columbus, OH)
- …IT platforms/systemPreferred Qualifications - Knowledge of Medicare/Medicaid - Utilization Review experience preferred - Managed care experience - ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...in state of residence - Must have previous inpatient utilization review experience - Must be able… more
- Catholic Health (Lockport, NY)
- …+ Two years medical surgical nursing and/or job related experience + Preferred prior insurance / managed care / utilization review experience in the role of ... and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager, Utilization Review / Transitions of Care… more
- CVS Health (Raleigh, NC)
- …(PowerPoint, Word, Excel, Outlook) Preferred Qualifications - 1+ years' experience Utilization Review experience - 1+ years' experience Managed Care - ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. This Utilization... care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote… more
- CVS Health (Columbus, OH)
- …years' experience Utilization Review experience -1+ years' experience Managed Care - Strong telephonic communication skills -1+ years' experience with ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- CVS Health (Columbus, OH)
- …1 holiday per year). Preferred Qualifications: - 1+ years' experience Utilization Review experience - 1+ years' experience Managed Care - Strong ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- CVS Health (Austin, TX)
- …Psychologist, or RN with behavioral health background. Preferred Qualifications + 3 years Managed care / utilization review experience preferred. + Crisis ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Lancaster General Health (Lancaster, PA)
- …Board of Nursing. + Bachelor's degree in Nursing (BSN). + Knowledge of utilization review or managed care . + Care management experience in a ... care across the continuum (inpatient/outpatient/community) to assure appropriate utilization of clinical and community resources. + Oversees and guides the… more
- CVS Health (Baton Rouge, LA)
- …, including occasional rotating weekend and holiday schedules. Preferred Qualifications: + Managed care / utilization review experience preferred + ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- CVS Health (Richmond, VA)
- …skills which includes navigating multiple systems and keyboarding Preferred Qualifications: - Managed care / utilization review experience preferred - ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Trinity Health (Farmington Hills, MI)
- …years of nursing experience, to include two (2) years of utilization review /case management, managed care or comparable patient payment processing ... rejection, denial and appeal activities with Ministry Organization (MO) based Utilization Review /Case Management departments; + Reviews and understands … more
- Kelsey-Seybold Clinic (Houston, TX)
- …2 years in area of specialization, 2 years of Case Management/ Utilization Review experience **Other** Required: Managed Care knowledge Preferred: N/A ... and various internal departments **Job Title: Case Manager Concurrent Review ** **Location: Pearland Administrative Office** **Department: Utilization … more
- St. Luke's University Health Network (Lehighton, PA)
- …health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care… more
