- Baton Rouge General (Baton Rouge, LA)
- …employers in the state. Check out our employee perks here! What You Will Do: As Manager of Utilization Review , you'll be responsible for overseeing the daily ... team that shapes the future of patient care through resourceful and compassionate utilization review ? What We're Looking For: Strong leadership and advocacy… more
- Sheppard Pratt (Amesbury, MA)
- General Summary Under general supervision, provides day-to-day leadership of the utilization review process of patients admitted to the Hospital for Inpatient ... of care. Trains or ensures the proper training of newly hired Utilization Review Coordinators, coordinates work assignments, and provides effective liaison… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …rounds. Manage department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered ... review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. Track and… more
- Novo Nordisk Inc. (Boston, MA)
- …collateral development Achieve or exceed assigned sales objectives through effective utilization of all available resources, strategies and tactics Collaborates with ... exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A bachelors degree...this job family are as follows: Rare Endocrine Therapy Manager $ 96,670 to $ 178,840 Sr Rare Endocrine… more
- Singing River Health System (Ocean Springs, MS)
- …BCLS certification upon hire and/or transfer. Prefer ACM or CCM (Certified Case Manager ), Certification in Utilization Review , Certified Professional in ... Utilization Review Surgery Nurse - RN...Springs, Mississippi, 39564 United States Position Overview: The Case Manager focuses on clinical quality and resource management resulting… more
- Ascension (Baltimore, MD)
- …Manage activities, workflow and resources of assigned nursing travelers. Ensure compliance with regulatory and accreditation requirements for their assigned team. ... Identify and resolve issues affecting the delivery of patient care services for the assigned team. Develop and implement policies and procedures to guarantee efficient and effective delivery of health services. Monitor and adhere to budget. Approve and monitor… more
- Novo Nordisk Inc. (Hackensack, NJ)
- …improved patient health. Internally, the EDCS reports to the Endocrinology District Business Manager of the specific sales territory. The EDCS interacts on a regular ... appropriate patients that would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services by sharing approved… more
- Novo Nordisk Inc. (Seattle, WA)
- …the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
- Novo Nordisk Inc. (Pasco, WA)
- …improved patient health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also interacts and collaborates ... sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and… more
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …a strong collaborator across MAPA and NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no surprises and is seen as a ... their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable… more
- Pennsylvania Medicine (Philadelphia, PA)
- …BSN (Required) Registered Nurse - PA (Required) 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors ... Experience: *And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We believe that the… more
- MedPro Healthcare Staffing (Downey, CA)
- …RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager , Case Management, Utilization Review , Case Manager ... Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with...months of recent experience in an Acute Care Case Manager setting Active RN License BLS Certifications Degree from… more
- VIBRANTCARE REHABILITATION, Inc. (Citrus Heights, CA)
- …all times. Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster ... and processes all capital equipment request to Clinical Operations Director or Manager of Clinical Operations. Ensures positive moral, resolving people issues while… more
- Kobre & Kim (New York, NY)
- …Analyst is a member of the Global Legal Services department and reports to the Manager of Legal Staffing & Utilization . The LSU department is responsible for (a) ... those with the necessary experience to handle the work. Supervisor: Senior Manager , Legal Staffing & Utilization Location: New York Primary Responsibilities:… more
- Kaiser Permanente (Panorama City, CA)
- …the general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management. Working ... during case review or other activities. Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources… more
- Jobs for Humanity (Wichita, KS)
- …Petroleum experience desired Performance Expectations: - Works with the project manager and owner's representatives to ensure work complies with drawings, ... - Communicates site conflicts, schedule, and quality issues effectively to the project manager . - Supports project manager in the negotiation of claims and… more
- American Traveler (Boston, MA)
- American Traveler is seeking an experienced RN Case Manager with acute case management experience and an active MA RN license. Job Details *Position is based in a ... hospital setting within the case management department, *Day shift schedule from 08:00 to 16:30, five 8-hour shifts weekly, *A 20-week contract is available, with potential consideration for four 10-hour shifts for qualified candidates, *Uses Epic charting for… more
- Kaiser Permanente (Aurora, CO)
- …requests, including discharge planning activities when needed (collective referred to as Utilization Review ) for the Colorado region. Manages utilization ... concurrent requests. Responsible for the planning and decision-making related to utilization review . Develops and implements departmental policies and… more
- Riverside County, CA (Moreno Valley, CA)
- …Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case Management Department located in ... The department is looking for only option 1 (Case Manager ) experience at this time. OPTION I Education: Graduation...acute care hospital. Professional experience in case management and utilization review in a hospital is preferred.… more
