- Novo Nordisk Inc. (Pittsburgh, PA)
- …with his/er Field Director. Relationships Position reports to Field Director/ Senior Field Director. Serves as organization spokesperson on advanced medical ... relationships include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Title:** Nurse Senior_ Utilization Management Lead **Shift** : M-F 8hr days/Hybrid (2 ... days in Office) **Position Summary** : The Registered Professional Utilization Management Lead is responsible for upholding...of nursing. 2. Current registration as a Registered Professional Nurse in New York State. 3. Bachelor of Science… more
- Ascension Health (Pensacola, FL)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... specifics._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. + Review… more
- Ascension Health (Wichita, KS)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... specifics._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. + Review… 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:** +...Nursing RN. **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) +… more
- Humana (Columbus, OH)
- …+ Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Experience compiling NCQA File Review Universes and timeliness ... help us put health first** We are seeking a Senior Accreditation Professional who will work in a team...+ Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health. + Detailed… more
- Ventura County (Ventura, CA)
- Medical Management Nurse Senior -UM, CM/DM, &/or QA (Updated) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4280743) Apply Medical ... Management Nurse Senior -UM, CM/DM, &/or...Management Nurse Senior -UM, CM/DM, &/or QA (Updated) Salary...that they will provide Care/Case management , Disease Management , Wellness and Prevention, Utilization Management… more
- Centene Corporation (Sacramento, CA)
- …ensure appropriate and effective utilization of healthcare services + Works with utilization management senior management team to provide updates ... team to ensure adherence to quality and performance standards + Assists utilization management senior leadership with onboarding, hiring, and training… more
- Centene Corporation (Columbia, SC)
- …industry best practices related to utilization management + Works with utilization management team and senior management to identify ... a fresh perspective on workplace flexibility. + Collaborates with utilization management team to resolve complex care...applicable guidelines, policies, and procedures + Works with the senior management to develop and implement UM… more
- The Cigna Group (Bloomfield, CT)
- …required. + **Job Description** + This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of ... quality care is maintained. Provides clinical assessments, health education, and utilization management to members. Performs prospective, concurrent, and… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000086...Care Plans and MDS as required. Will ensure economical utilization of supplies and proper charging of items to ... . Requisition No: 819687 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000086 1 Pay Plan: Career Service Position Number:… more
- MyFlorida (Gainesville, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64058647 Date: Apr 24, 2024 Location: GAINESVILLE, FL, US, 32641 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 817845 Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64058647 Pay Plan: Career… more
- MyFlorida (Pembroke Pines, FL)
- SENIOR LICENSED PRACTICAL NURSE Date: Apr 19,...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 822917 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE Pay Plan: Career...Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE Pay Plan: Career Service Position Number: 50000221 Salary:… more
- MyFlorida (Port Charlotte, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50009051...the scope of practice as defined by the Florida Nurse Practice Act. Ensure economical utilization of ... . Requisition No: 825152 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50009051 Pay Plan: Career Service Position Number: 50009051… more
- Ascension Health (Austin, TX)
- …Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan. + Ensure ... integration of utilization management functions with network strategy and...clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Texas Board of Nursing obtained… more
- MyFlorida (Daytona Beach, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50001801 Date:...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 824487 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50001801 Pay Plan: Career Service Position Number: 50001801… more
- MyFlorida (Macclenny, FL)
- SENIOR REGISTERED NURSE SUPV - 60022045 Date: Mar 31, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 807710 Agency: Children and Families Working Title: SENIOR REGISTERED NURSE SUPV - 60022045 Position Number: 60022045… more
- MyFlorida (Port Saint Lucie, FL)
- OPS SENIOR LICENSED PRACTICAL NURSE (WEEKEND WARRIOR) Date: Mar 29, 2024 Location: PORT SAINT LUCIE, FL, US, 34987 The State Personnel System is an E-Verify ... Requisition No: 824153 Agency: Veterans Affairs Working Title: OPS SENIOR LICENSED PRACTICAL NURSE (WEEKEND WARRIOR) Position...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization … more
- State of Massachusetts (Boston, MA)
- …this role. **Job:** **Medical Services* **Organization:** **Department of Public Health* **Title:** * Senior Nurse Manager of Critical Care and Operative Services ... Public Health (DPH) is seeking an experienced individual to become our new Registered Nurse VI. The incumbent administers Nursing services in OR, ADS, PACU, GI and… more
- MyFlorida (Marianna, FL)
- SENIOR REGISTERED NURSE SUPERVISOR - 67044164 (SUNLAND) Date: Apr 25, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32448 MARIANNA, FL, US, 32447 The ... . Requisition No: 825496 Agency: Agency for Persons with Disabilities Working Title: SENIOR REGISTERED NURSE SUPERVISOR - 67044164 (SUNLAND) Pay Plan: Career… more
