- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... mild cognitive impairment due to Alzheimer's disease (AD) or mild AD. TheNeurology Account Specialist (NAS) will be part of a diverse team of sales professionals who… more
- Novo Nordisk Inc. (Tucson, AZ)
- …live with the disease of obesity, yet only 2% of them receive dedicated medical treatment. By joining the Obesity Commercial team, you will have the opportunity to ... obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and sales strategies… more
- 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 ... other field-based employees (eg, DBMs, DCSs, Market Access Team, Diabetes Educators, Medical Liaisons) covering the same geographic areas. The Specialty Field Sales… more
- Blanchard Valley Hospital (Findlay, OH)
- …OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, including ... opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits. Support Condition 44 notifications (inpatient… more
- LGES Honda (Jeffersonville, OH)
- …International Position Number: 459872 Job Title: HR Business Planning & Manpower Specialist 2 Job Location: Jeffersonville, OH, USA, 43128 Work Model: Onsite ... services for this role. The Business Planning & Manpower Specialist 2 will play a crucial role in workforce... 2 will play a crucial role in workforce management and resource allocation. The successful candidate will strategically… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... strategy leadership in safety signal detection and evaluation, risk management , and post-marketing epidemiological safety studies required by Health Authorities… more
- University Medical Center of El Paso (El Paso, TX)
- Job Description: The Denials and Appeals Specialist follows up on denied claims from commercial and contracted payers. Performs timely and appropriate validation and ... clinical documentation inquiry any related missing, unclear or conflicting medical record documentation to clarify information, obtain needed documentation, present… more
- Truman Medical Centers (Kansas City, MO)
- …log 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
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN...requests by Providers. Acts as a department resource for medical service requests /referral management and processes.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …through preeminent programs in patient care, education, and research. **Organization:** Utilization Management 30 **Job Summary:** JOB SUMMARY Facilitates ... the appropriate admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary review… more
- Penn State Health (Hershey, PA)
- …PDF for more detailed steps for assistance._ **Union:** SEIU Healthcare Pennsylvania **Position** Utilization Management Specialist - WEEKEND SHIFT - ... for maintaining compliance with the CMS Conditions of Participation for Utilization Management . **MINIMUM QUALIFICATIONS:** Bachelors Degree in Nursing or… more
- University of Colorado (Aurora, CO)
- …Skills, and Abilities:** + Well-developed knowledge and skills in areas of utilization management , medical necessity, and patient status determination. ... University of Colorado Anschutz Medical Campus is seeking a Medicaid Utilization Review Specialist (full time, University Staff/Non classified) in the… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and… more
- Munson Healthcare (Traverse City, MI)
- …of resources. + Assists in developing and revising policies to support utilization management activities, including criteria and guidelines for appropriate use ... colleagues and hospital associates at information meetings. + May represent Utilization Management on various committees, professional organizations, physician… more
- Robert Half Office Team (Durham, NC)
- Description Robert Half is seeking a Utilization Management Specialist for one of its healthcare clients. The Utilization Management Specialist ... completing non-clinical reviews and facilitating communication with customers to support utilization management activities. This position also involves providing… more
- Sanford Health (SD)
- …Summary** Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... one year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- Summary The Acquisition & Utilization Specialist renders expert contract pre-award and post award expertise to the Logistics Service lines within the Atlanta VA ... is not a virtual position. Position Description/PD#: Acquisition & Utilization Specialist /PD50587A Relocation/Recruitment Incentives: Not Authorized Critical… more
- Amity Foundation (Tucson, AZ)
- …individual is responsible for performing a variety of concurrent and retrospective utilization management -related reviews and functions and for ensuring that ... to teach, learn and join our community as a Utilization Review Specialist at our campus in...determined by the DSM V. + Accurately document the medical necessity and level of care based on evidence-based… more
- BrightSpring Health Services (Searcy, AR)
- Our Company Hospice Home Care Overview The primary role of the Clinical Care Utilization Specialist is to ensure timely and accurate creation and completion of ... of Care/485 document for claim submission and reimbursement. The Clinical Care Utilization Specialist (CCUS) is responsible for incorporating all components of… more