- Boston Childrens Hospital (Boston, MA)
- …nursing experience required, pediatric experience preferred. Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. ... 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
- 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 ... review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. Track and… 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 ... exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications A bachelors degree...this job family are as follows: Rare Endocrine Therapy Manager $ 96,670 to $ 178,840 Sr Rare Endocrine… 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 ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
- TERRACON (Wichita, KS)
- …daily operations of drilling staff, including training, development, and performance review , utilization of equipment, personnel workload, safety oversight, ... preparation of proposals and cost estimates. With support from the Department/Office Manager and Regional Exploration Manager perform business and client… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …a strong collaborator across MAPA and NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no surprises and is seen as a ... their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable… more
- MedPro Healthcare Staffing (Greensboro, NC)
- …RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager , Case Management, Utilization Review , Case Manager ... Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with...months of recent experience in an Acute Care Case Manager setting Active RN License BLS Certifications Degree from… 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 with CMS regulations and Commercial payors guidelines. Monitors and intervenes on LOS,… more
- Kaiser Permanente (Los Angeles, CA)
- …the general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management. Working ... during case review or other activities. Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources… 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 better… more
- Rogers Behavioral Health (Oconomowoc, WI)
- …Supervisor will have involvement with managed care companies as needed and coordinate with the utilization review manager or lead. Monitor the safety of the ... aftercare providers to ensure continuity of care, if warranted. Communicate with the Utilization Review department to provide information necessary to assist in… more
- American Traveler (Salem, MA)
- American Traveler is hiring an experienced RN Case Manager with strong case management and discharge planning skills for a dayshift inpatient role. Job Details *Work ... through AHA required, *ACLS certification through AHA required, *Case Management, Utilization Management, and Discharge Planning skill set required, *Certified Case … more
- EvergreenHealth (Kirkland, WA)
- …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical information to our payers and… more
- VIBRANTCARE REHABILITATION, Inc. (Sacramento, CA)
- …all times. Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster ... practice under the direction and supervision of a licensed Physical Therapist. Review the VibrantCare Clinical Operations Policies & Procedures Manual on a yearly… more
- Highmark Health (Erie, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management of readmissions,… more
- Amazon (Doylestown, PA)
- …experience in occupational health, worker compensation, disability, health case management, or utilization review . 3+ years clinical work experience Good to ... Clinical Case Manager At Amazon we believe that every day...(STD/LTD claims) Knowledge of FMLA, ADAAA, EEOC, OFCCP regulations Utilization review experience CCM or CDMS certification… more
- Burns & McDonnell (Newton, MA)
- Description The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day ... through project completion and warranty periods. The Construction Project Manager is responsible for managing the construction project safety, quality,… 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
