- Boston Childrens Hospital (Boston, MA)
- …Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: Current Massachusetts license as a ... Job Posting Description Department Summary: The UM Case Managers at Boston Children's review documentation within 1 business day of patient admission to assess for… more
- Novo Nordisk Inc. (Boston, MA)
- …collateral development Achieve or exceed assigned sales objectives through effective utilization of all available resources, strategies and tactics Collaborates with ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A bachelors degree required Minimum five… more
- Novo Nordisk Inc. (Hackensack, NJ)
- …improved patient health. Internally, the EDCS reports to the Endocrinology District Business Manager of the specific sales territory. The EDCS interacts on a regular ... appropriate patients that would benefit in order to ensure early trial and utilization Generate advocacy for Novo Nordisk products and services by sharing approved… more
- Novo Nordisk Inc. (Dayton, OH)
- …improved patient health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also interacts and collaborates ... sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and… more
- Novo Nordisk Inc. (Seattle, WA)
- …the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative ... productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …need them most, by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? ... NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no...placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …rounds. Manage department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered ... (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review , case management . Strong working knowledge of hospital billing,… more
- MedPro Healthcare Staffing (Greensboro, NC)
- …Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager , Case Management , Utilization Review , Case Manager RN *Weekly payment ... Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with...to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate continuity of care… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse, a sharp case manager , or a behavioral health clinician ... services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape… more
- Valley Health System (Paramus, NJ)
- POSITION SUMMARY: Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on ... appropriate utilization review guidelines and documentation in accordance...Commercial payors guidelines. Monitors and intervenes on LOS, resource utilization and denial management / prevention within the… more
- Kaiser Permanente (Los Angeles, CA)
- …utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review / management , discharge planning or case ... the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining… more
- American Traveler (Salem, MA)
- …*BLS certification through AHA required, *ACLS certification through AHA required, *Case Management , Utilization Management , and Discharge Planning skill set ... American Traveler is hiring an experienced RN Case Manager with strong case management and...*Collaboration with multidisciplinary teams to coordinate care and resource utilization , *Parking may not be validated and public parking… more
- EvergreenHealth (Kirkland, WA)
- …arrange for equipment, and arrange for additional services in the community. Utilization Management /Case Management Nurses provide clinical information to ... provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team… more
- Seattle Children's Hospital (Seattle, WA)
- …experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case ... Using Seattle Children's leadership qualities and values-based behaviors the manager is accountable for achieving goals and key performance... management or utilization review leadership experience Compensation Range $115,277.00… more
- Highmark Health (Erie, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization...or CERTIFICATIONS Required None Preferred ACM Certification (Accredited Case Manager ) - American Case Management Association -… more
- Burns & McDonnell (Newton, MA)
- …, Program Manager as well as internal and external executive management as required. Collaborate with engineering team to establish the development and ... Description The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… more
- Amazon (Doylestown, PA)
- …medical advisory experience in occupational health, worker compensation, disability, health case management , or utilization review . 3+ years clinical work ... day 1. We are seeking an experienced Clinical Case Manager to join our disability management Clinical...(STD/LTD claims) Knowledge of FMLA, ADAAA, EEOC, OFCCP regulations Utilization review experience CCM or CDMS certification… more
- Burns & McDonnell (Washington, DC)
- …guidelines to meet department, global practice, and company objectives to the staff. Regularly review utilization of staff to make sure employees have a clear ... Region and the global practice's leadership team including: T&D Global Practice Manager - responsible for overall T&D business within the region. T&D Operations… more
- Encompass Health (Vero Beach, FL)
- …Participate in utilization review process: data collection, trend review , and resolution actions. Participate in case management on-call schedule as ... Employment Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career… more
- Alameda Health System (Oakland, CA)
- SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while ... in orientation of fresh staff as requested by the Manager of Utilization Management . 17....and changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of… more
