- Novo Nordisk Inc. (Tacoma, WA)
- …of patients with obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and ... care models, protocols, etc. to engage HCPs in clinical conversations to appreciate how they manage patients with...for the job titles are the following : Obesity Care Specialist I - $65,850 to $115,240… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... to Alzheimer's disease (AD) or mild AD. TheNeurology Account Specialist (NAS) will be part of a diverse team...the primary role of demand generation by conveying complex clinical information to customers and key stakeholders consistent with… more
- University of Colorado (Aurora, CO)
- Clinical Utilization Review Specialist ...authorization for residential treatment based on ASAM level of care . - this role is expected to work onsite ... Medical Campus** **School of Medicine | Department of Psychiatry** **Job Title: Clinical Utilization Review Specialist ** **Position: #00217340 - Requisition:… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will...of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management/Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated and resolved to the… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- Munson Healthcare (Traverse City, MI)
- … conferences, and hospitalist/nurses hand-off reports to maintain knowledge about the patient's clinical status and progression of care . + Consults with case ... order sets to influence high quality and cost effective care . Transition + Collaborate with clinical team...payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? +… more
- BayCare Health System (Cotton Plant, AR)
- …more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Senior **Location** Clearwater:Morton Plant | Clinical | Part ... and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and compassionate… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- Summary The Supervisory Acquisition and Utilization Specialist renders expert contract pre-award and post award expertise to all Administrative and Clinical ... not a virtual position. Position Description/PD#: Supervisory Acquisition and Utilization Specialist /PD99867S Relocation/Recruitment Incentives: Not Authorized Critical… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... This is not a virtual position. Position Description/PD#: Acquisition & Utilization Specialist /PD99492-S Requirements Conditions of Employment You must be… more
- FLACRA (Clifton Springs, NY)
- UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Addiction Counseling and Referral Agency Inc Clifton Springs, NY (Onsite) Full-Time $16.00 - $17.30/Hour Apply Now ... Job Summary: In accordance with the organization's mission, vision and values, the Utilization Management Specialist is responsible for evaluation of the medical… more
- Sutter Health (Berkeley, CA)
- …with case managers, clinical nursing staff and others to ensure appropriate utilization and quality care through utilization review, tracking and ... acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for...staff, and clerical unit staff to assure that quality care is delivered at the appropriate level of service… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care . The ... care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround...assure compliance with reporting and turnaround times. + Addresses care issues with the Director of Clinical … more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... clinical and healthcare services, product acquisition and support services...This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist /PD99810-S Relocation/Recruitment Incentives: Not Authorized Financial… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical records and prepare ... Specialist is responsible for contacting external case managers/managed care organizations for certification and recertification of insurance benefits throughout… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR ... will utilize his or her knowledge and skills to review clinical information and obtain initial and continuing authorizations for behavioral healthcare services.… more
- Universal Health Services (Groton, CT)
- …DC, Puerto Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the pre-certification, concurrent, and ... (UHS), has an immediate opening for a full-time UR Specialist . Stonington Institute is committed to providing quality substance...to identify and advocate for a particular level of care based on the presenting clinical information.… more
- Sanford Health (SD)
- …monitoring the utilization of resources, risk management and quality of care for patients in accordance with guidelines and criteria. Assist in report ... Details** Ability to work from home. **Job Summary** Conduct level of care medical necessity reviews within patient's medical records. Performs utilization … more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II (RN or LCSW) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist ...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed… more
- Providence (Portland, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Utilization Review Specialist who will:** + Be responsible for all core ... team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...functions in one or more of the following clinical teams: + Prior-authorization (PA) + Concurrent Review (CCR)… more
