- Novo Nordisk Inc. (Traverse City, MI)
- About the Department The Diabetes Sales Team leads the US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which includes world class ... Externally, the DCS maintain relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical… more
- Novo Nordisk Inc. (Boston, MA)
- About the Department The Diabetes Sales Team leads the US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which includes world class ... hospital faculty, medical students, residents, interns as well as attending physicians, nurse practitioners and pharmacy personnel about the use of Novo Nordisk's… more
- Elevance Health (Los Angeles, CA)
- ** Nurse Reviewer I** Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... if necessary. New Grads are encouraged to apply! The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to...the Appeal Review team, the Clinical Appeals Nurse Reviewer will serve as a liaison ... blue. The RoleThe Clinical Appeals Nurse Reviewer is responsible for applying sound... is responsible for applying sound clinical judgement to review provider and member appeals for denied services according… more
- Cook Medical (West Lafayette, IN)
- …and Qualified candidates must be legally authorized to be employed in the United States . Cook does not intend to provide sponsorship for employment ... Posting Date2 weeks ago(7/14/2025 2:38 PM) Job Location(s)West Lafayette IN United States Job LocationsUS-IN-West Lafayette TravelLess than 10% Position… more
- SSM Health (MO)
- …Wisconsin Department of Safety and Professional Services **Work Shift:** Day Shift ( United States of America) **Job Type:** Employee **Department:** 8746010033 ... safety indicator) or experience with Vizient specialized mortality reviews. **Eligible Remote States :** Candidates are required to reside on one of SSM's approved … more
- Kelly Services (Plainsboro, NJ)
- **Pharmacovigilance QC Reviewer II** Location: Plainsboro, NJ Schedule: Hybrid role with at least 3 days/week onsite is expected Length 1 year Pay: 28:00 **Job ... Bachelor's degree, HCP degree is required eg, pharmacist or nurse ; advanced degree preferred * Experience Level: 3+ Years...promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related… more
- AmeriHealth Caritas (LA)
- …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines ... **Responsibilities:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and… more
- AmeriHealth Caritas (Washington, DC)
- …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines ... **Role Overview:** Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team....to all rights afforded by the Constitution of the United States . The Department of Human Resources… more
- US Tech Solutions (Columbia, SC)
- …School of Nursing. + Required License/Certificate: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact ... multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech Solutions:** US Tech Solutions is a global staff… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one... citizenship or the right to work in the United States . Career PathFinder: Resources to help… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …a State, Territory or Commonwealth (ie, Puerto Rico) of the United States , or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates ... the interdisciplinary team. Responsibilities Duties include but not limited to: Utilization Review (UR) Registered Nurse (RN) is responsible for providing… more
- Essentia Health (Detroit Lakes, MN)
- …**Job Location:** St Marys Hospital - Detroit Lakes **Shift Rotation:** Day Rotation ( United States of America) **Shift Start/End:** 8:00 am/4:30 pm **Hours Per ... **Job Description:** Seeking a Registered Nurse to serve at Essentia Health in home...the Detroit Lakes, Minnesota area. This RN supports quality review for Oasis and reviews plans of care. This… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-Site Recruitment # 250715-5612FP-001 Location New Haven, CT Date Opened 7/22/2025 12:00:00 AM Salary $78,480 - ... is seeking a highly motivated and compassionate U tilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) to join our team!… more
- US Tech Solutions (Chicago, IL)
- …you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. +...3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior… more
- US Tech Solutions (May, OK)
- …clinical policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. . Reviews ... . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior...knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT… more
- BJC HealthCare (St. Louis, MO)
- …**BJC HealthCare** is one of the largest nonprofit health care organizations in the United States , delivering services to residents primarily in the greater St. ... (commercial, behavioral health, inpatient, ect) **Requirements:** + 2 years of staff nurse experience performing care for hospitalized patients. + 2 years of… more
- State of Colorado (Denver, CO)
- …time of application, transcripts from colleges or universities outside the United States must be assessed for US equivalency by a NACES educational ... CDOC Mid Level Provider / Nurse Manager - (DENVER) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5019611) Apply ...Applicants must be legally eligible to work in the United States to be appointed to this… more
- State of Colorado (CO)
- …time of application, transcripts from colleges or universities outside the United States must be assessed for US equivalency by a NACES educational ... CDOC Registered Nurse ( Nurse I) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4963973) Apply...Applicants must be legally eligible to work in the United States to be appointed to this… more
