- Novo Nordisk Inc. (Minneapolis, MN)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A Bachelor's degree from ... achieve this goal by driving and managing the execution of pharmacy-related field- based initiatives to maximize NNI presence in retail pharmacies, pharmacy societies… more
- Novo Nordisk Inc. (Tacoma, WA)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor or equivalent ... aspiration. The team is comprised of both our home office strategy and marketing execution teams and our field... strategy and marketing execution teams and our field based teams focusing on customer engagements and execution of… more
- RestoraCare Staffing (Houston, TX)
- …/ Skills:Three (3) years of nursing or social work experience acute hospital- based preferred, or three (3) years of experience comparable clinical setting (ie, ... Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality management… more
- Advanced Technology Services (Peoria County, IL)
- …Generate a robust pipeline of MQLs (marketing qualified leads) through the utilization of strategic marketing and lead generation initiatives and tools. . ... MQLs to sales pipeline growth through the creation of compelling marketing strategies based on consumer buying behaviors and market trends. . Research and monitor… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print...system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 - $169,609.20 Annually… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... patient and the organization through the provision of quality based patient care focusing on the medical necessity and...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW : + Initiate, perform and complete...The Contractor performing as the License Practical Nurse (LPN) Utilization Reviewer (UR) shall make coverage decisions based… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review FT Days - 2305004256 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and ... with Patient Access, Case Management, Managed Care and Business Office to improve concurrent review process to...level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as… more
- Munson Healthcare (Traverse City, MI)
- …interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work ... appropriateness for inpatient level of care or observation services based on documented condition plan of treatment and care....+ Minimum of three years clinical experience required. Previous utilization review and/or case management in a… more
- Elevance Health (Columbus, OH)
- …as part of consideration for employment. **Medical Oncology Medical Director - Utilization Review ** + Job Family: MED > Licensed Physician/Doctor/Dentist + ... + Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well… more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Utilization Review Analyst - DMS Posting Begin Date: 2024/03/27 Posting End Date: 2024/04/25 Category: Accounting and Finance Sub Category: Medical ... with presentations to internal units, provider groups, and Medicaid staff on Utilization Review policy and procedures. MINIMUM QUALIFICATIONS: You must possess… more
- Centene Corporation (Tallahassee, FL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by… more
- Amity Foundation (Tucson, AZ)
- …individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this groundbreaking ... community building Remembrance, Resolution, Reconciliation, Restoration, Renewal About the Position Utilization Review Specialist you will contribute to the… more
- University of Colorado (Aurora, CO)
- Clinical Utilization Review Specialist - 32339 University Staff **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | ... Department of Psychiatry** **Job Title: Clinical Utilization Review Specialist** **Position: #00217340 - Requisition: #32339** **Sign-on bonus available for… more
- Centene Corporation (Austin, TX)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... LMHC, PLC, LMFT, LMHP** **Position Purpose:** Performs a clinical review and assesses care related to mental health and...office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other… more
- Centene Corporation (Columbia, SC)
- …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other… more
- Universal Health Services (Temecula, CA)
- …Regional office in Temecula, CA is seeking Two (2) LVN Full-Time Central Utilization Review Nurses who will be responsible for carrying out utilization ... correct payer source for hospitalization and communication. + Ensures compliance of utilization review practices as required by payers, external regulatory… more
- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and ... Established in 1984, CDPHP is a physician-founded, member-focused, and community- based not-for-profit health plan that offers high-quality affordable health… 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 ... regulatory) + Uses appropriate resources and sound judgement to review and approve specific service requests based ...OR Portland 4400 NE Halsey St **Work Location:** Providence Office Park Portland Bldg 1-Portland **Pay Range:** $27.86 -… more
