• 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
    HireLifeScience (07/22/25)
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  • 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
    HireLifeScience (07/24/25)
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  • 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
    HireLifeScience (07/23/25)
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  • 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
    HireLifeScience (06/27/25)
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  • 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
    HireLifeScience (06/12/25)
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  • Connecticut Children's (Hartford, CT)
    …and apply medical care criteria. Knowledge of community resources, treatment options, home health availability, funding options and special programs. UR Team ... Job Description The Team Lead for Utilization Review (UR) is responsible for the day-to-day...communication skills. About Us Connecticut Children's is the only health system in Connecticut that is 100% dedicated to… more
    Upward (07/17/25)
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  • CHPW (Seattle, WA)
    …About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization ... in either a physical health or behavioral health setting. Have previous experience in Utilization ...support to members transitioning between care settings or returning home from a hospitalization. Identifies member needs and provides… more
    Upward (07/23/25)
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  • HCR Home Care (Batavia, NY)
    Role and Responsibilities The Health Home Care Manager will provide collaborative, client-centered support to Health Home Program clients using the ... culturally competent care management, and professional healthcare and social service coordination. Health Home Care Managers will evaluate, manage, and integrate… more
    Upward (07/11/25)
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  • University of Mississippi Medical Center (Jackson, MS)
    …on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services ... and care. To perform job duties in accordance with the medical center's purpose. This job profile may require call subject to the department's discretion. Education & Experience Certifications, Licenses or Registration Required: Valid RN license. Knowledge,… more
    Upward (07/25/25)
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  • UofL Health (Louisville, KY)
    …or developmental disabilities accompanied by acute behavioral and psychiatric symptoms. UofL Health is home to over 14,000 team members, 1000+ providers, ... of UofL Health , assumes responsibility and accountability for the appropriate utilization of facilities and services and serves as a resource to physicians. The… more
    Upward (07/17/25)
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  • Optum (Hot Springs National Park, AR)
    …therapists to identify needs for the client, assist with psych social determinants of health , and participate in home /school visits with the client to address ... barriers to care. Primary Responsibilities: Care management, case management and utilization review of behavioral health services This includes authorization,… more
    Upward (07/25/25)
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  • Optum (Portland, ME)
    …changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization review Assumes roles in assessment ... Opportunities at Northern Light Health , in strategic partnership with Optum. Whether...a large medical center, a rural community practice or home care, you will find it here. Join our… more
    Upward (07/25/25)
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  • Team Select Home Care (Phoenix, AZ)
    …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 assurance and… more
    Upward (07/21/25)
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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 ... plan program experience such as Tricare, Medicare Medicaid and commercial health insurance experience Active, Utilization Management Certification (CPHM) Active,… more
    Upward (07/17/25)
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  • Healthier Mississippi People (Jackson, MS)
    …on treatment and conditions of patients. To act as liaison between case managers, home health nurses, utilization review, etc. To coordinate patient services ... and care. To perform job duties in accordance with the medical center's purpose. This job profile may require call subject to the department's discretion. Responsibilities: Provides patient care by assessing, planning, implementing and evaluating treatments… more
    Upward (07/17/25)
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  • Healthcare Staffing Plus (Houston, TX)
    …Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management. Working ... requirements. Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management. more
    Upward (07/01/25)
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  • 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...procedures before performing new skills Participates in peer review, utilization review and QAPI activities as assigned Provide effective… more
    Upward (07/06/25)
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  • Advocate Aurora Health (Milwaukee, WI)
    …and adhering to all State of Wisconsin regulations regarding PTA supervision. Performs Home Health Aide joint visits as appropriate to maximize patient's ... Department: 39122 Milwaukee North 4 - Home Care Physical Therapy Status: Full time Benefits...optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based… more
    Upward (07/01/25)
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  • Atlantic Health System (Basking Ridge, NJ)
    …licensed by the New Jersey Department of Health . Atlantic Visiting Nurse - Home Health services are available to residents of Morris, Union, Essex, Sussex, ... We celebrate these close connections every day, by delivering the best comprehensive home care and hospice services possible. Atlantic Health System offers a… more
    Upward (07/23/25)
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  • UnitedHealthcare (Albuquerque, NM)
    At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts ... millions of people for the better. Come build the health care system of tomorrow, making it more responsive,...members medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This… more
    Upward (07/25/25)
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