- Merck & Co. (Durham, NC)
- …a direct GMP, biotechnology, manufacturing setting.Required Experience and Skills:Demonstrated ability to lead a team (ie experience leading directly as a ... and area cleaning. This position will support our night shift operations team (7pm - 7am) on a rotating 2-2-3 schedule.AccountabilityFirst line operations supervisor… more
- Merck & Co. (Ames, IA)
- …and procurement policies and procedures.Participate in weekly Site Leadership Team meetings and lead specific site hoshins/initiatives.Work cross-functionally ... material master system planning parameters.Supply ChainManage, level load and report capacity utilization for months 1-12 as well as to interact with Global Supply… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …includes individual studies as well as programs or franchises.When sitting on a study team , lead the study team to develop a cross-functional, integrated ... Review study feasibility assessments provided by the CRO(s), lead the CRO selection process and provide input into...Log) and other risk related plans and ensure study team adherence and utilization . Be aware of… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and refine our strategies based on real-world results. We are building an intentional team culture that is made up of diverse skillsets, united by the shared belief ... across multiple therapeutic areas/brands to ensure scalability, cost savings and alignment Lead and/or participate in key TA/Brand governance teams as well as… more
- Trinity Health (Maywood, IL)
- …Westmont office Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Physician Partners LPP) Health Plan, a ... UR and/or outpatient referral authorizations. **Great opportunity for a Lead Care Coordinator to work in an organization that...the daily caseloads of the UR/UM teams. This includes utilization review of inpatient medical and behavioral… 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 ... Ensures and provides education to physicians and the healthcare team relevant to the effective progression of care and...level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as… more
- Humana (Columbus, OH)
- …concrete roadmaps that will generate tangible value for all stakeholders. Within the Utilization Management (UM) Strategy team , our goal is to enable members ... and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely...drive value, and transforming ideas into action As the Utilization Management Strategy team , our mission sits… more
- Trinity Health (Albany, NY)
- …equivalent combination of healthcare and supervisory experience. + Strong knowledge of utilization review practices + PC literate, including Microsoft Office ... Full time **Shift:** Day Shift **Description:** **Title:** Nurse Senior_ Utilization Management Lead **Shift** : M-F 8hr...Excellent interpersonal skills + Ability to work in a team environment. + Ability to meet or exceed Performance… 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
- Trinity Health (Fresno, CA)
- …Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager, Utilization Review of Acute Care seeking your next adventure?** **Duration:** ... Manager of Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case management and the psychosocial… more
- Dignity Health (Bakersfield, CA)
- …is remote with a clear and current CA LVN license.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization ... leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management… more
- Prime Healthcare (Chino, CA)
- …for providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review coordinators and utilization review ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160166/ lead -case-manager-%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityChino Valley Medical… more
- Trinity Health (Fresno, CA)
- …The Manager Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case management and the psychosocial ... responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …is one of the nation's largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. ... the most diverse communities across the nation, letting humankindness lead the way. Overview: You have a purpose, unique...and your time will be spent in a supportive, team environment with resources to help you flourish and… more
- Virtua Health (Pennsauken, NJ)
- …processes and maintains required documentation and reports such as productivity/ utilization , medical records, customer surveys, audits, financial reports, staff ... performance improvement initiatives; coordinates and maintains support personnel schedules.* May lead work of other clerical or administrative support personnel on a… more
- Trinity Health (Boise, ID)
- …level reviews for patients not meeting inpatient criteria. C. Participates in local Utilization Review Committee and be a member of appropriate committees and ... Chief Clinical Officer. The Medical Director of Documentation and Utilization Excellence (MDDUE) is the lead provider...accurate reporting of bed status. F. Assist case managers, utilization review nurses and social workers to… more
- ERP International (Tinker AFB, OK)
- …of the plan and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the right care, ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); Comprehensive Accreditation… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... it's why we need caring, committed people on our team - like you. Join us on our mission...provide requested clinical and psychosocial information to assure reimbursement. UTILIZATION REVIEW + Reviews prospectively, concurrently and… more
- Providence (Seattle, WA)
- …function. Direct responsibility and oversight for divisional pre-service and post-service utilization review , clinical claims audit, clinical appeals and ... **Description** **THE ROLE** The Senior Director Utilization Management & Denials - Administration is 100%...necessity criteria. The role requires the ability to consistently lead , support, and coach UM/UR staff and leaders. The… more
- Kepro (Indianapolis, IN)
- …for a Utilization Management Appeals Nurse - LPN/RN to join our growing team . Job Summary: Our Utilization Management Appeals Nurse - LPN/RN will help ... innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra...- making this a great time to join our team of passionate individuals dedicated to being a vital… more
