- Novo Nordisk Inc. (Boston, MA)
- …adverse cardiovascular events. Our ambition is to advance broad cardiometabolic disease management by bringing exciting new therapies to market to improve patient ... productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights… more
- Merck & Co. (Durham, NC)
- …finances, labor, employee, environment and safetyTactical and strategic Shift(s) management , including collaboration with indirect staff;Promote the behaviors and ... culture by reducing waste and constantly driving continuous improvement. -Responsible to review and approve compliance documents, as per procedures or need.Supply -… more
- Eisai, Inc (NJ)
- …robustness of competitive analyses, and provide support for Eisai internal review processes. Essential Functions (job duties) Support implementation of USMA ... develop a compelling value proposition that drives optimal access and utilization of Eisai marketed products.Influence and shape sustainable advanced analytical… more
- Merck & Co. (North Wales, PA)
- …company's portfolio.- The goal of the organization is to ensure compliant utilization of clinical participant biospecimens to answer scientific questions across the ... responsibilities, your role may also involve contributions in information management towards improvements in automation, workflows, and visualizations related to… more
- Cedars-Sinai (Los Angeles, CA)
- …Eye/Hand/Foot Coordination **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager...(BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… more
- McLaren Health Care (Detroit, MI)
- …in coding/medical records/billing or healthcare related field + Two years of case management or utilization review , billing, or coding experience + Three ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
- HCA Healthcare (Largo, FL)
- …care and cost effectiveness through the integration of case management and utilization review management . We are an amazing team that works hard to ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital you can be a… more
- University of Utah Health (Salt Lake City, UT)
- …a team member. **Qualifications** **Qualifications** **Required** + Five years Utilization Review or Case Management experience. **Licenses Required** + ... as determined by the hiring department._ **Qualifications (Preferred)** **Preferred** + Case Management / Utilization Review Certification designation.… more
- University of Utah Health (Salt Lake City, UT)
- …+ This position is responsible for assisting with the coordination of case management clients, utilization review , concurrent review and medical ... the results of the review to the requestor. + Answers the utilization management phone and fields calls for the case managers. + Assists providers… more
- Spaulding Rehabilitation (Charlestown, MA)
- …Established department goals are achieved through active participation in Utilization Review Committee. * Case Management Department Standards of ... experience and certification in case management preferred. Case management , utilization review , or discharge planning experience in… more
- Sharp HealthCare (San Diego, CA)
- …care nursing experience or case management experience. + 3 Years case management , utilization review , care coordination experience. + California ... performance planning, competency and individual development planning process.Maintain current knowledge of case management , utilization management , and… more
- HCA Healthcare (Denver, CO)
- …level. + Lead centralized case management function, including Clinical Case Management , Utilization Review Services, and Clinical Documentation ... Lead centralized case management function, including Clinical Case Management , Utilization Review Services, and Clinical Documentation… more
- Sharp HealthCare (San Diego, CA)
- …nursing experience or case management experience + 3 Years recent case management , utilization review , care coordination experience + California ... performance planning, competency and individual development planning process.Maintain current knowledge of case management , utilization management , and… more
- Trinity Health (Athens, GA)
- …and health care settings. Case Management : Has overall responsibility of case management , utilization review , and transition planning across St. ... Full time **Shift:** **Description:** General: Responsible and accountable for system-wide case management within St. Mary's Health Care System: formulates… more
- Penn Medicine (Philadelphia, PA)
- …(Required) + Master of Arts or Science (Required) + Minimum 5 years' experience in case management / utilization review . + Minimum 6 years' experience in ... leadership team as a Senior Director to lead the Case Management and Social Work departments. In...functions of these areas to include processes pertaining to Utilization Review , Patient Progression as it relates… more
- LifePoint Health (Bullhead City, AZ)
- …on their professional licensure *Minimum Work Experience* Minimum of 3-5 years in Case Management / Utilization Review X Preferred *Required Licenses* ... care, including admission, length of stay, transfer and discharge. Case Management is a collaborative process of...comorbid diagnosis. Case Managers will complete the Utilization Review through InterQual or a similar… more
- Alameda Health System (San Leandro, CA)
- …as a Registered Nurse in the State of California. **Additional Information** Note: Must have Case Management , Utilization Review experience in a Hospital ... The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and… more
- Banner Health (Phoenix, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... including home healthcare, extended care-services, medical equipment, and transportation. Previous Case Management experience is preferred, however we are… more
- HCA Healthcare (Miami, FL)
- …a plus + Critical Care experience a plus + Certification in Case Management or Utilization Review preferred + InterQual experience preferred HCA Florida ... part of our team. **Job Summary and Qualifications** RN Case Manager Case Management Department...needs and follow-up care and in accordance with the utilization management plan. + Proactively communicates with… more
- Actalent (Springfield, MA)
- …university affiliated nursing program + Active Massachusetts RN license + 3-5 years in Case Management , Utilization review , or similar experience ... Description: Seeking an experienced Registered Nurse Case Manager to join the team at a...admission through transfer or discharge to achieve optimal resource utilization and discharge planning outcomes. The ICC performs comprehensive… more