- HumanEdge Travel Nursing and Allied Health (Hartford, CT)
- HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job Description & ... 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelImmediate need for Utilization Review RNs for a Connecticut Healthcare Network. After orientation,… more
- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- Aequor (New York, NY)
- …occupational nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic care, ... wellness care and counseling of adults Proficiency in use of electronic medical record keeping systems desirable BLS certification required Optional: Case Management and COHN-S certifications Major Responsibilities: Assist in coordination of clinical… more
- UNC Health (Chapel Hill, NC)
- …care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly ... guidelines and policies.Responsibilities:1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the meeting to… more
- CHRISTUS Health (Alamogordo, NM)
- …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other...documents the review . Refers cases for second level reviews when medical… more
- The Grove At Valhalla Rehabilitation And Nursing Center (Valhalla, NY)
- …information to MDS Coordinator for Medicare and HMO information for weekly Utilization Review as per policy.Participating in daily PDPM meetings and ... PDPM hierarchy and associated rates, consolidated billing and denial/expedited review requirements.Conducting concurrent MDS reviews to assure achievement of maximum… more
- Wilson Medical Center (Wilson, NC)
- …7. The Case Manager independently performs clinical reviews based on the Utilization Review Plan with follow-up actions identified for medical necessity ... delivery of healthcare services. The Case Manager integrates the roles of Utilization Management, Case Management, and Discharge Planning. The Case Manager is… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and people resources, supporting appropriate use of NNI products and greater utilization of its services Takes a leadership role in coordinating activities at ... c) support appropriate use of NNI products and greater utilization of its services, and d) support representatives in...exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Development of People Ensure… more
- Comhar Inc. (Philadelphia, PA)
- …this individual supervision a chart review should be completed using the updated Utilization Review sheet with particular attention paid to whether or not a ... PGP exists to cover the time period since the last CBH review .Daily monitoring of the 30 day contact board and if a contact is due make sure that the contact is… more
- Comhar Inc. (Philadelphia, PA)
- …this individual supervision a chart review should be completed using the updated Utilization Review sheet with particular attention paid to whether or not a ... PGP exists to cover the time period since the last CBH review . Daily monitoring of the 30 day contact board and if a contact is due make sure that the contact is… more
- Yakima Valley Farm Workers Clinic (Cowiche, WA)
- …patient care services as assigned, which include but are not limited to: Drug Utilization Review Patient Counseling Drug Regimen Review Medication Therapy ... Management Collaborative Drug Therapy Management or other post-diagnostic disease state management, pursuant to a valid agreement Prescribe a drug or device, as authorized by statute according to Drug Therapy Management Protocols Orders, interprets, and… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …including handling internal audit. Work closely with IT regarding implementation and utilization of new software tools developed by the DS organization and/ or ... and resolving matters of confidentiality. Coordinating a budget planning and review meeting with Finance Business Partner, Function Head and stakeholders. Partner… more
- Merck & Co. (Rahway, NJ)
- …guidance, execution-preparation- Maintenance of Global Oncology Marketing dept. PRT utilization , prioritization, new asset, portfolio considerations to support the ... in Oncology or Hospital/SpecialtyExperience in company end-to-end medical/legal (Promotional Review Team) review and delivery processes.Experience with… more
- Northway Health And Rehabilitation Llc (Birmingham, AL)
- …subordinate nurses engaged in quality assurance, infection control, and utilization review activities.Receives physicians' instructions regarding resident care ... and ensures that orders are transmitted to other units as needed.Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates.Makes regular patient rounds to observe and assess residents physical… more
- Novo Nordisk Inc. (Philadelphia, PA)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …operations in a controlled GMP environment. Key Responsibilities Perform peer review /approval of laboratory data including but not limited to eLIMS Electronic ... Notebooks, laboratory formbooks, training formbooks, instrument logbooks, and records. Utilization of electronic systems (LIMS) for execution and documentation.… more
- Novo Nordisk Inc. (Albuquerque, NM)
- …sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor or equivalent degree, and/or Pharm… more
- Merck & Co. (Durham, NC)
- …culture by reducing waste and constantly driving continuous improvement. -Responsible to review and approve compliance documents, as per procedures or need.Supply - ... - Responsible for creating and sustaining a highly engaged workforce through utilization of our Company Leadership Behaviors and Inclusion.- Provide coaching on… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in ... sites; ensuring effective coordination and facilitation of studies to ensure timely review , initiation, and completion, as well as publication of study results.… more
- Merck & Co. (Rahway, NJ)
- …business. Accountable for establishing a Safe by Choice.- Accountable to review and approve compliance documents, as per procedures or need.Continuous Improvement ... - accountable for creating and sustaining a highly engaged workforce through utilization of our Company Leadership Behaviors and Inclusion. Provide coaching on… more
