- Novo Nordisk Inc. (Cincinnati, OH)
- …the NNI portfolio. Relationships The position reports to the Associate Director of Commercial Execution. Internal stakeholders include: RBDs, Trade, Market Access ... teams Field Intelligence Filters information from the field to respective Associate Director to ensure field intelligence is applied to plans, resources, tools, and… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …maintains medical (territory and account) plans in coordination with his/er Field Director . Relationships Position reports to Field Director /Sr Field Director ... policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains… more
- Merck & Co. (Rahway, NJ)
- …standards internally and externally.Under the oversight of the CRD(Clinical Research Director ) / Director , Clinical Research, the individual is responsible ... direct reports are compliant to the timelines and key business metrics. Review and approve timesheets, GTT compliance, expense reports, time-off requests-and provide… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …be part of the Compliance organization and will report directly to the Director , Compliance Training, Policy & Communications. This position will be responsible for ... to inform and educate employees on compliance issues through the utilization of existing and novel technological solutions (including LMS, Articulate E-Learning… more
- Merck & Co. (Rahway, NJ)
- Job DescriptionPosition Description: HVAC Operations Manager Reporting to the Associate Director in HVAC, the HVAC Operations Manager will be part of the 24-hour ... business. Accountable for establishing a Safe by Choice.- Accountable to review and approve compliance documents, as per procedures or need.Continuous Improvement… more
- RestoraCare Staffing (Houston, TX)
- …Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other ... and PC skills Current working knowledge of discharge planning, utilization management , case management , performance...in both areas. Refers cases and issues to Care Management Medical Director in compliance with department… more
- Saint Francis Health System (Tulsa, OK)
- …an on-site office location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office location via secure virtual ... and support decision-making. Working knowledge of general disease state management processes, bio-psychosocial model, and clinical pathways. Ability to receive… more
- Universal Health Services (Harahan, LA)
- …outpatient, and intensive outpatient). River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the ... with a psychiatric mental health population desired. 2-3 years experience in Utilization Review . Management experience preferred. + Education: Bachelors… more
- Universal Health Services (Memphis, TN)
- …and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services ... drug addiction and substance abuse. Job Description The UR Director possesses knowledge of psychiatric clinical diagnosis and the...treatment team member or 5-7 years of experience in utilization management for both mental health and… more
- Elevance Health (Columbus, OH)
- **Clinical Operations Medical Director ** ** Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On ... + Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in… more
- AdventHealth (Maitland, FL)
- …as assigned by the Division CFO/SrVP, Vice President of Revenue Cycle Operations and/or Director , Utilization Review Management ..Reviews data and trends ... review of long stay patients, in conjunction with the Director of Utilization Review Management to facilitate the use of the most appropriate level of… more
- St. Luke's University Health Network (Allentown, PA)
- …registrations and/or physician queries + Serves as liaison between Physician Advisor/Medical Director , Finance, Utilization Review Department and CDCI. ... Conducts reviews of cases lost with feedback to respective departments + Conduct concurrent review with utilization review department for post op surgical… more
- BrightSpring Health Services (Arlington, TX)
- …days of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at least monthly to ensure ... are coordinated with behavioral and programmatic staff in partnership with the Executive Director . The Director of Nursing is accountable for overseeing the… more
- Sharp HealthCare (San Diego, CA)
- …time for routine, urgent and expedited referrals as outlined in SCMG's Utilization Management Plan.Decisions will be communicated to the appropriate persons ... + Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as… more
- Sharp HealthCare (San Diego, CA)
- …+ Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as ... necessity reviews and authorizes medical services that meet medical criteria. The review of care is region specific and consists of outpatient healthcare services… more
- CUNY (New York, NY)
- IT Academic Project Mgmt Director (IT Acd Tech Dir (HEO) - Instructional Computing & Information Technology (ICIT) **POSITION DETAILS** The ITAcademic Project ... Mgmt Director is primarily responsible for managing...systems and development initiatives through the application of project management tools and methodologies. The incumbent will work with… more
- Universal Health Services (Shreveport, LA)
- … review preferred; Mental Health experience preferred + Hours: Determined by the Director of Utilization Review EEO Statement All UHS subsidiaries are ... Responsibilities Brentwood Hospital is looking for a dynamic Utilization Review Coordinator, PRN to join...of improving their mental health as a local pain management clinic. Help, by providing a safe, nurturing environment… more
- Genesis Healthcare (Hanover, NH)
- …of recent clinical experience is required. Must have a valid driver's license. Utilization review , case management , and discharge planning experience is ... preferred Experience in business development preferred. Certifications: CCM, CRRN or CIRS preferred. To protect the health and safety of our patients, residents, employees, family members, and the communities we serve, Genesis has implemented a universal… more
- Universal Health Services (Colorado Springs, CO)
- …efforts (in coordination with the treatment team) on all patients assigned by Director of Utilization Review ; coordinating patient care; advocating for ... facility; and promoting quality of care. The Discharge Planner works with Utilization Review department on certification and recertification of insurance… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Medical Director oversees all activities of utilization review , care management and quality to determine the ... of members. We are looking for an experienced Medical Director in the greater Baltimore / Washington DC metropolitan...post-acute care, and appeals. + Oversees all activities of utilization review , care management and… more
