- CVS Health (Trenton, NJ)
- … clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, ... holidays, and evening hours. * Utilizes clinical experience and skills in a collaborative process to...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
- Vitalief (New Brunswick, NJ)
- …and achieve sustainable growth. The Role We are seeking a highly experienced Clinical Research Operational Management Consultant to lead a short-term ... and accelerate breakthroughs that improve patient care. We bring deep clinical research expertise together with practical, results-driven consulting to help… more
- Guidehouse (New York, NY)
- …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of… more
- Guidehouse (New York, NY)
- …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of… more
- CVS Health (Trenton, NJ)
- …+ Human Resource and/or Supervisory experience. + Case management , Utilization Review, or Utilization Management background preferred. **Education** ... Friday, 11:00 am to 8:00 pm Eastern Time.** The Consultant provides management consultation to corporate clients...clinical assessments and triage into care. Performs case management across scope of all types of management… more
- Highmark Health (Trenton, NJ)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
- Bristol Myers Squibb (Princeton, NJ)
- …to study and IRT requirements. + Actively participates in internal Trial Supply Management and Clinical Supply Chain meetings, Study Team meetings, Clinical ... careers.bms.com/working-with-us . The role of the **Manager, Trial Supply Management ** is to create and maintain supply strategies for...be capable of mentoring others whilst acting as a consultant to o thers outside of the role. **Key… more
- Atlantic Health System (Summit, NJ)
- …regulatory, and reimbursement parameters. As a peer to physicians and a consultant to Case Management and administration, intervenes when practice patterns ... + Board Certified MD/DO - any specialty encouraged to apply + Prior clinical experience in care and management of hospitalized patients. + Experience… more
- RWJBarnabas Health (Somerset, NJ)
- …of experience in the care of the population served, as well as experience in clinical care operations, case management and/or patient throughput + Must have a ... higher level of care. This position requires securing physician specialist acceptance, clinical assessment, triage for appropriate level of care and arrangement of… more
- Atlantic Health System (Morristown, NJ)
- …and revises treatment goals in collaboration with medical providers and psychiatric consultant , using clinical data and validated screening measures during ... and families on diagnoses, treatment options, relapse prevention, and self- management strategies. 04. Provides brief, evidence-based behavioral interventions such as… more
- City of New York (New York, NY)
- …linkage referrals. - Build and maintain relationships with Bronx hospital, clinical , mental health and social service providers which oversee services/programs ... priority for Bronx FWS clients. - Lead in the management and facilitation of the Birth Equity Advisory Board,...or soon to be CLC, provide support in increasing utilization of the FWS lactation room and other lactation… more