• 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
    HireLifeScience (07/22/25)
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  • 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
    HireLifeScience (07/24/25)
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  • 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
    HireLifeScience (07/23/25)
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  • 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
    HireLifeScience (06/27/25)
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  • 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
    HireLifeScience (06/12/25)
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  • Connecticut Children's (Hartford, CT)
    Job Description The Team Lead for Utilization Review (UR) is responsible for the day-to-day activities and oversight of the UR Nurses, under the guidance and ... record documentation. -9% Gathers clinical information to conduct continued stay utilization review activities with payers pursuant to department policies… more
    Upward (07/17/25)
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  • CHPW (Seattle, WA)
    …organization. Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or ... behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements high quality, cost-effective… more
    Upward (07/23/25)
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  • UofL Health (Louisville, KY)
    …to each and every patient each and every day. Job Description: We are Hiring Utilization Review RNs at Peace Hospital Location: 2020 Newburg Rd Louisville KY ... of the communities we serve through compassionate, innovative, patient-centered care. The Utilization Review RN performs activities which support the … more
    Upward (07/17/25)
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  • Optum (Portland, ME)
    …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... a large medical center, a rural community practice or home care, you will find it here. Join our...an educational resource to all Health System staff regarding utilization review Assumes roles in assessment physical,… more
    Upward (07/25/25)
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  • EXL Service (Albuquerque, NM)
    …of experience as a nurse in a clinical setting 2+ years' experience performing the utilization review for a health plan or inpatient facility 1+ year of ... or school of nursing Previous experience in Hospital Acute Care, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual… more
    Upward (07/17/25)
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  • Team Select Home Care (Phoenix, AZ)
    …Control Plan, EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality assurance and performance ... heart, more flexibility, and more purpose? Join Team Select Home Care as a Registered Nurse (RN), where you'll...graduates available! Pay Range: $35.00 - $38.00 / hour ( Based on Skillset) We accept applications on an ongoing… more
    Upward (07/21/25)
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  • 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
    Upward (07/06/25)
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  • Optum (Hot Springs National Park, AR)
    …barriers to care. Primary Responsibilities: Care management, case management and utilization review of behavioral health services This includes authorization, ... concurrent review , and coordination and assurance of appropriate levels of...for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based more
    Upward (07/25/25)
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  • Atlantic Health System (Basking Ridge, NJ)
    …needs. Entry level offers start at $43.00 / hour and increase based upon experience. Mileage reimbursement ($.70) included. Internal referral bonus: $5,000 Reports ... good standing. Preferred Minimum of one-year experience in acute, subacute or home /hospice care setting Experience using an EMR, excellent critical thinking and… more
    Upward (07/23/25)
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  • Hope At Home Health Care (Romulus, 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
    Upward (07/23/25)
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  • VITAS Healthcare (Fairfax, VA)
    …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
    Upward (07/21/25)
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  • HR Anew (Schaumburg, IL)
    …rehabilitation department staff meeting and case conferences. 9. Participates in the utilization review and quality improvement activities of the organization. ... Health Insurance and FSA Continuing Education Benefits Why Assure Home Healthcare Providing the right service at the right...appropriate to the assessment findings and plan for discharge based upon the client's needs. 3. Participate in the… more
    Upward (07/10/25)
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  • Advocate Aurora Health (Burlington, WI)
    …according to agency, accreditation, state and federal requirements. Responsible for continuous review of all aspects of every patient of her/his caseload to include ... appropriate utilization of services and the appropriate hospice level of...APN into the Electronic Health Record. Supervises and performs Home Health Aide and licensed practical nurse supervisory visits… more
    Upward (07/16/25)
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  • Children's Home Society of Florida (Orlando, FL)
    …justice and severely emotionally disturbed children. Experience working with strength based wraparound services or in home services, preferred. Knowledge, ... Children's Home Society of Florida HOURLY RATE OF $20.19...family and other participants in developing an appropriate plan based on the needs of the families and to… more
    Upward (07/07/25)
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  • Qlarant (Atlanta, GA)
    …human services programs. We have multiple lines of business including population health, utilization review , managed care organization quality review , and ... team on a full-time, regular basis. This position is home - based in Georgia, with a requirement to...and provider staff in a respectful manner. Documents accurate review findings and generates reports based on… more
    Upward (07/25/25)
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