- Novo Nordisk Inc. (Las Vegas, NV)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community health systems. The… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for ... Utilization Management and Review for...Utilization Management and Review for the Enterprise. The...team in delivering and collaborating on all aspects of utilization management and care coordination… more
- Intermountain Health (Las Vegas, NV)
- …position interacts with MG clinicians, Affiliate Network PCPs and Specialists in the community, utilization management , care management , claims, network ... management , and finance. As the Medical Director for Utilization Management , you are responsible, in partnership...order to be considered for the position.** Performs medical review activities pertaining to utilization review… more
- Sedgwick (Las Vegas, NV)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Physical Therapy Utilization Review Advisor **For client coverage; prefer someone in Mountain ... updated with relevant industry regulations, guidelines, and best practices related to utilization review and maintains compliance with applicable laws and… more
- HCA Healthcare (Las Vegas, NV)
- … issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management . + Consults with ... of quality and cost improvement, and develops systems to review utilization of resources and objectively measure...delegated utilization management and disease management operations under managed care contracts. Meets… more
- Dignity Health (Las Vegas, NV)
- …+ Oversees the department in an efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work ... other managers, physicians, administration, and community based healthcare workers regarding care management issues identified through corporate or facility… more
- Novo Nordisk (Las Vegas, NV)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community health systems. The… more
- HCA Healthcare (Las Vegas, NV)
- …support the Supply Chain team to lead margin improvement activities, which includes inventory management and patient billing review . The VPDCO will review ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Vice...expense, clinical integration, quality, and service + Execute clinical utilization and expense management plans and ensure… more
- HCA Healthcare (Las Vegas, NV)
- …financial reporting, performance improvement, use of technology, regulatory compliance, drug utilization , clinical education and staff development, management of ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Division...on medication/patient safety and quality standards related to medication management (ie State Board of Pharmacy, TJC, CMS, NQSF,… more
- HCA Healthcare (Henderson, NV)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.** + **Free counseling ... Progyny and adoption assistance.** + **Referral services for child, elder and pet care , home and auto repair, event planning and more** + **Consumer discounts… more
- HCA Healthcare (Henderson, NV)
- …to Patient in Bed by facility by floor to identify opportunities + Assesses utilization of Bed Management technology for optimal use + Analyzes all aspects ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Elevance Health (Las Vegas, NV)
- …preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For ... necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer… more
- HCA Healthcare (Las Vegas, NV)
- …we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Division Support Clinical Resource Director ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Elevance Health (Las Vegas, NV)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... plan to ensure the most appropriate and cost-effective medical care is received. Drives direction of the plan related...you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to… more
- Clark County, NV (Las Vegas, NV)
- …improvement initiatives, and directing staff utilizing established project management methodologies. Also, this position will participate in configuration, ... New Initiatives team will specialize in supporting one module primarily: Human Capital Management (HCM) or Financials (FI). Human Capital Management (HCM) Team:… more
- Centene Corporation (Las Vegas, NV)
- …home health, or acute care transition knowledge preferred. Familiar with utilization management protocols, trauma informed care and social determinants ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- HCA Healthcare (Las Vegas, NV)
- …nurses to work more efficiently. **Are you passionate about delivering patient-centered care ?** Submit your application for Operating Room Nurse position and spend ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Adecco US, Inc. (Las Vegas, NV)
- …prescription claims data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program ... clinical recommendations pertaining to, but not limited to, gaps in care , high risk medications, compliance and adherence, drug interactions, therapeutic… more
- WTW (Las Vegas, NV)
- …Client Advocate (CA) will need to have: + Strong negotiation skills + Strong management skills (mentoring and leading ACAs) + Strong project management skills + ... with existing clients + Drives the RFP response process, including review , identification, and coordination of resources and expertise required, and ultimate… more
- HCA Healthcare (Las Vegas, NV)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... with Progyny and adoption assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more + Consumer discounts through… more
