- 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 ... in endocrinology required Managed Care selling experience is highly desirable Expert knowledge of the growth disorders market preferred Ability to facilitate trust… more
- Novo Nordisk Inc. (Orlando, FL)
- …AACE) and customer groups Recognize opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and ... Word, Excel); prior computer experience using sales data/call reporting software ideal Mastery knowledge of the clinical management of diabetes and the range of… more
- Novo Nordisk Inc. (Walnut Creek, CA)
- …with target physicians Recognizes opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience ... the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative… more
- Novo Nordisk Inc. (Dayton, OH)
- …with those individuals Recognize opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience ... in purchasing and prescribing decisions. The OCS uses local knowledge , tools and resources to assess, create and maintain...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …discuss their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all ... by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to...NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no… more
- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of… more
- Highmark Health (Sacramento, CA)
- …and walkthroughs. + ** Utilization Management & Clinical Expertise:** + Utilization Management Knowledge : A strong understanding of utilization ... walkthroughs. + ** Utilization Management & Clinical Expertise:** + Utilization Management Knowledge : A strong understanding of utilization … more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for ... compliance reviews as needed. + Continuously monitors regulatory requirements for Utilization Management . + Attends Mandatory Education programs required by… more
- 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...in utilization management and appeal/denial management . + Holds a strong working knowledge … more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management , you...the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize… more
- CareFirst (Baltimore, MD)
- …practices and insurance benefit structures. + Proficient in utilization management processes, standards, and managed care. + Knowledge of medical-necessity ... week. **ESSENTIAL FUNCTIONS:** + Trains staff on standards of practice of Utilization Management and reimbursement methodologies and treatment coding. + Manages… more
- 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 ... & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders,… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:**...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... health needs of the patient and family. + Possessing knowledge of community health services, payer systems and post-acute...a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current… more
- Covenant Health (Nashua, NH)
- …care team. + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge of UR practices. + Acts ... Summary Conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed on a nursing unit, to include… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/215040/case- manager -%28rn%29 utilization - ... year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman… more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214914/case- manager -%28rn%29 utilization - ... year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management… more
- Catholic Health Services (Melville, NY)
- …with industry standards and business objectives related to Utilization and Care Management as appropriate. Sound knowledge and skill in the use of personal ... was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts...for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the… more
- Alameda Health System (Oakland, CA)
- …Participate in orientation of fresh staff as requested by the Manager of Utilization Management . 17. Maintains knowledge of current trends and changes in ... System Utilization Management SUM Utilization ...in the State of California Preferred Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case Manager (ACM)… more
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