- Novo Nordisk Inc. (Plainsboro, NJ)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Development Of People Supervisory. ... Position Position provides field coaching, mentorship and management to the field- based Medical Liaisons, and develops and implements strategies: optimally manage… more
- Novo Nordisk Inc. (Olive Branch, MS)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent ... this aspiration. The team is comprised of both our home office strategy and marketing execution teams and our...office strategy and marketing execution teams and our field based teams focusing on customer engagements and execution of… more
- Novo Nordisk Inc. (San Diego, CA)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent ... Specialty Field Sales Representative interacts on a regular basis with other field- based employees (eg, DBMs, DCSs, Market Access Team, Diabetes Educators, Medical… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …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 ... their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable… more
- Novo Nordisk Inc. (Boston, MA)
- …be in good standing by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A bachelors degree ... strong collaborators, as we embark on shaping our future. The Position This field- based position is responsible for sales of Sogroya and Norditropin to practicing… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …judgment, and meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse, a sharp case manager, or a behavioral ... services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape better… more
- EvergreenHealth (Kirkland, WA)
- …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on… more
- Veterans Health Administration (Houston, TX)
- …include residents, interns, fellows and students. HCP also includes VHA personnel providing home - based care to Veterans and drivers and other personnel whose ... Registered Nurse Quality & Patient Safety Nurse Manager - Utilization Management functions as a clinical expert and is...fellows and students. HCP also includes VHA personnel providing home - based care to Veterans and drivers and… more
- Blue Shield of California (Oakland, CA)
- …(FEP) membership. These functions include performance of pre-service and retrospective utilization review , Appeals and Grievances, and provider claims dispute ... The Senior Medical Director FEP Prior Authorization and Post Review will report to the Vice President, Medical Management...Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of… more
- Team Select Home Care (Atlanta, GA)
- …skills according to established procedures before performing new skills Participates in peer review , utilization review and QAPI activities as assigned ... difference in the lives of families? Join Team Select Home Care , where you'll provide one-on-one care to...based on individualized plans *Educate and support families in- home care techniques *Observe and report changes in patient… more
- UnitedHealth Group (Louisville, KY)
- …Qualifications: 1+ years of ICUE experience 1+ years of Linx experience Utilization Management experience Document review experience Managed Care experience Dual ... Kentucky IS NOT required This IS NOT a Queue based position You'll enjoy the flexibility to work remotely...take on some tough challenges. Primary Responsibilities: Post service review of medical records to determine coverage for mental… more
- CenterWell Primary Care (Birmingham, AL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Gandara (Holyoke, MA)
- …Duties and Responsibilities: Provide clinical and administrative supervision of the home and community- based programs, assuring implementation and documentation ... career pathways in Behavioral Health, Substance Use and Recovery, Community Based Clinical services, Adolescent and Family services, Adult Residential, Maintenance… more
- Corewell Health (Royal Oak, MI)
- …years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
- Hope At Home Health Care (Canton, MI)
- …in peer review and performance improvement as assigned. Participates in utilization review of medical records as assigned. Gives total patient care ... clients in their homes. WHY BE A FULL-TIME RN WITH HOPE AT HOME Earn upwards of $100k per year ( based on full-time hours & must be able to drive to referrals… more
- Children's Mercy KC (Kansas City, MO)
- …Oversees and directs the work of Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff Analyzes, evaluates, and ... support tools and related software applications and implementations. Engages in utilization review committee. Qualifications Master's Degree MSN or Masters… more
- VITAS Healthcare (Dallas, TX)
- …care is being delivered. Participates in the Outcomes Management and annual program review . Performs utilization review of continuous care and inpatient ... performance levels through making field visits, evaluating documentation and providing team based in services on Vitas values, hospice principles and practices and… more
- Veterans Health Administration (Washington, DC)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the...fellows and students. HCP also includes VHA personnel providing home - based care to Veterans and drivers and… more
- Veterans Health Administration (Bedford, MA)
- …include residents, interns, fellows and students. HCP also includes VHA personnel providing home - based care to Veterans and drivers and other personnel whose ... include residents, interns, fellows and students. HCP also includes VHA personnel providing home - based care to Veterans and drivers and other personnel whose… more
- New York Life Insurance Co (New York, NY)
- …the Company's Balance Sheet Substantiation process. The NCAA Accounting System is a home grown DB2 platform that primarily processes the accounting of both Life and ... in the execution of this accounting control. The process also includes the utilization of two transaction matching systems, which the candidate will play a… more
