- Novo Nordisk Inc. (Plainsboro, NJ)
- …provider/academic institutions/ integrated delivery networks, and other key health care provider/organization relationships, specifically with the provision of ... in designated areas of the US Works closely with home office (Medical, Marketing, Sales, Legal, Human Resources) and...resources, supporting appropriate use of NNI products and greater utilization of its services Takes a leadership role in… more
- Novo Nordisk Inc. (Olive Branch, MS)
- …to deliver on this aspiration. The team is comprised of both our home office strategy and marketing execution teams and our field based teams focusing ... in helping people living with chronic disease achieve greater health outcomes. If you are passionate about being a...resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company… more
- Novo Nordisk Inc. (San Diego, CA)
- …maintains relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community health ... initiatives, etc.) to ensure an aligned approach to benefit improved patient health . Internally, the Specialty Field Sales Representative reports to the District… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? This role is a ... execution Coordinates with aligned regional accounts team on ACO approach with health plan, PBM and health system customers Evolve Customer Engagement… more
- Novo Nordisk Inc. (Boston, MA)
- …Norditropin to practicing physicians, nurses, hospitals, managed care and other health -related personnel within an assigned territory. Requires the development of ... collateral development Achieve or exceed assigned sales objectives through effective utilization of all available resources, strategies and tactics Collaborates with… 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 ... on need. Pediatric Shift Care (RN): Mon-Fri, 8:30 AM-5 PM EST. Remote. Pediatric/ home health experience preferred. Evening/Weekend UM (RN): Mon-Fri, 5 PM-12 AM… more
- EvergreenHealth (Kirkland, WA)
- …as coordinate post-discharge care. We help coordinate with skilled nursing facilities, home health , hospice, arrange for equipment, and arrange for additional ... provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team… more
- Veterans Health Administration (Houston, TX)
- …in leading teams and Aspire to Quality standards Experienced manager in Utilization Management. Certified Professional in Health Care Quality (CPHQ). Physical ... Summary The Registered Nurse Quality & Patient Safety Nurse Manager - Utilization Management functions as a clinical expert and is responsible and accountable for… 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 ... payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical Director...The Senior Medical Director FEP Prior Authorization and Post Review will report to the Vice President, Medical Management… more
- Team Select Home Care (West Palm Beach, FL)
- …step of the way. What You'll Do: As a private duty nurse on our home health team, you'll care for medically complex patients, primarily children, where they ... Select is a Great Place to Work? We're redefining home health nursing by putting people first...EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality… 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 ... work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...take on some tough challenges. Primary Responsibilities: Post service review of medical records to determine coverage for mental… more
- Team Select Home Care (Atlanta, GA)
- …to build lasting relationships and grow your career in private duty nursing and long-term home health care, with a supportive team that truly has your back. What ... You'll Do: As a private duty nurse on our home health team, you'll care for medically...established procedures before performing new skills Participates in peer review , utilization review and QAPI… more
- Commonspirit Health (Los Angeles, CA)
- …in diagnosis and assessment, case management, treatment planning, psychotherapy, and utilization review . Qualifications One year's experience in an academic ... will be provided. The Clinician provides high quality outpatient mental health services and in- home counseling for children and their families in the form of… more
- St. Luke's University Health Network (Lehighton, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. To provide comprehensive care of psychiatric patients...to the age of the patient treated. Performs admission review on all inpatients. Attends daily patient rounds and… more
- CenterWell Primary Care (Birmingham, AL)
- …available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...reliable transportation. Two years as a Registered Nurse in home health or hospice, with at least… 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
- 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 ... well as resolving patient concerns. iv. Advanced knowledge of the technical health care process (including, but not limited to, scheduling across interdisciplinary… more
- Veterans Health Administration (Bedford, MA)
- Summary These positions fall under various health care service lines within VA Bedford Health Care System. Most shifts are scheduled during the day but some ... the data into VISTA if applicable. Promotes Veterans registration for and utilization of MyHealthyVet (MHV) and kiosks usage. Follows procedures regarding Community… more
- Hope At Home Health Care (Canton, MI)
- …TODAY (serious applicants only)! We currently have a position available for an experienced Home Health Care Registered Nurse! An RN with ICU, PICC Line, Wound ... review and performance improvement as assigned. Participates in utilization review of medical records as assigned....patient homes and travels to/from patient homes. HOPE At Home Health Care is a full service… more
- Actalent (St. Paul, MN)
- Clinical Review Pharmacist (100% Remote) Job Description In this role, you will utilize your clinical skills to conduct utilization management reviews, including ... contracts evaluated every six months for extension. Responsibilities Conduct utilization management reviews, including prior authorizations, coverage exceptions, and… more
