• 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 ... exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A bachelors degree...this job family are as follows: Rare Endocrine Therapy Manager $ 96,670 to $ 178,840 Sr Rare Endocrine… more
    HireLifeScience (06/12/25)
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  • Novo Nordisk Inc. (Orlando, FL)
    …improved patient health. Internally, the EDCS reports to the Endocrinology District Business Manager of the specific sales territory. The EDCS interacts on a regular ... appropriate patients that would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services by sharing approved… more
    HireLifeScience (07/31/25)
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  • Novo Nordisk Inc. (Walnut Creek, CA)
    …the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
    HireLifeScience (07/31/25)
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  • Novo Nordisk Inc. (Dayton, OH)
    …improved patient health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also interacts and collaborates ... 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
    HireLifeScience (07/30/25)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    …a strong collaborator across MAPA and NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no surprises and is seen as a ... their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable… more
    HireLifeScience (06/27/25)
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  • Case Manager Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...staffs. -Case Manager experience as well as Utilization Review experience ( review medical… more
    Beth Israel Lahey Health (05/11/25)
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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 ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance… more
    Beth Israel Lahey Health (07/29/25)
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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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  • Manager - Utilization Review

    Ochsner Health (Lafayette, LA)
    …+ Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains employee ... schedules to assure appropriate coverage. + Develops departmental specific systems to assure an environment that emphasizes patient courtesy and responsive service delivery. + Performs other related duties as required. The above statements describe the general… more
    Ochsner Health (05/31/25)
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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 ... health care team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices. +… more
    Covenant Health (07/30/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    …Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard ... 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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  • Case Manager RN Utilization

    Providence (Anchorage, AK)
    …Medical Surgical or Inpatient setting. + IRR or annual competency testing in Utilization Review . **Preferred Qualifications:** + Bachelor's Degree in Nursing or ... in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or Case Management… more
    Providence (06/27/25)
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  • Case Manager , RN - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/case- manager %2c-rn utilization - ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
    Prime Healthcare (06/24/25)
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  • Interim RN Utilization Review

    Ascension Health (Baltimore, MD)
    …Manage activities, workflow and resources of assigned nursing travelers. + Ensure compliance with regulatory and accreditation requirements for their assigned team. + ... **Details** + up to $5,062 gross full weekly travel rate + **Department:** Ascension Travel Program & Interim Leadership + **Schedule:** Full-time + **Hospital:** St. Agnes + **Location:** Baltimore, MD * Rates may vary by location and specialty. Stipends… more
    Ascension Health (07/23/25)
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  • Registered Nurse - Case Manager

    Mayo Clinic (Rochester, MN)
    …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
    Mayo Clinic (06/14/25)
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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 ... be 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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  • Care Transitions Jobs

    Beth Israel Lahey Health (Plymouth, MA)
    …Hospital-Plymouth** is expanding its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management** and ... + CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management** This role is ideal for a… more
    Beth Israel Lahey Health (07/03/25)
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  • Hospitalist Nurse Navigator

    Billings Clinic (Billings, MT)
    …and coordinates care with the RN Care Manager , Social Services Care Manager , Utilization Review RN, Physician Advisor and Care Management Assistant. ... at high risk for readmission. * Interfaces effectively with the Utilization Review department to stay current on patient's eligibility for admission, continuing… more
    Billings Clinic (06/03/25)
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  • PACE Operations Manager

    Cambridge Health Alliance (Cambridge, MA)
    …on quality improvement and compliance initiatives with the Quality and Compliance Manager * Participate in utilization review , operational planning, ... PACE Operations Manager **Requisition Number:** 9948 **Location:** CHA East Cambridge...We are seeking a dynamic and experienced **PACE Operations Manager ** to serve as a key leader in the… more
    Cambridge Health Alliance (07/12/25)
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  • RN Pre Certification Case Manager

    Penn Medicine (Philadelphia, PA)
    …+ Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... Experience: * And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We believe that the best… more
    Penn Medicine (06/05/25)
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