- Novo Nordisk Inc. (Oklahoma City, OK)
- …obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and sales strategies ... 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
- Eisai, Inc (Nutley, NJ)
- …mild cognitive impairment due to Alzheimer's disease (AD) or mild AD. TheNeurology Account Specialist (NAS) will be part of a diverse team of sales professionals who ... of their assigned IDNsAccount / market dynamics, stakeholder mapping / management , the HCP referral process, access, account department drivers, patient pathway,… more
- EY (New York, NY)
- …environment. The team leverages eGRC platforms, Microservices, Cloud, API Management , and open-source technologies to enable end-to-end automation with safe ... and complementary technologies in a client-consulting environment, including Integrated Risk Management (Policy & Compliance, Risk Management , Audit … more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... one year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by… more
- Cleveland Clinic (Cleveland, OH)
- …with one of the most respected healthcare organizations in the world. As an RN Utilization Management (UM) Specialist , you will perform UM activities which ... discharge plan. + Achieves a minimum of 85% on IRR quarterly. + Completes Utilization Management for assigned patients with a minimum of 25-30 reviews per day. +… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve… more
- Sanford Health (Bemidji, MN)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality...in monitoring the utilization of resources, risk management and quality of care for patients in accordance… more
- Corewell Health (MI)
- …to obtain authorization numbers for payment. + Provides clerical support for Utilization Management ; sorting faxes and mail, obtaining authorization numbers, ... or inpatient status. + Utilizes electronic medical record work queues that support Utilization Management functions. + Answers incoming calls or places outbound… more
- University of Washington (Seattle, WA)
- …. RN2, Utilization Management ... This position will have partial/variable involvement with Harborview's Emergency Department. The Utilization Management Specialist RN2 is responsible for the… more
- Universal Health Services (Bloomington, IN)
- Responsibilities The Utilization Management Specialist is responsible for executing the UM function, which includes the implementation of case management ... scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. Oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payers. Assures that… more
- HonorHealth (Scottsdale, AZ)
- …of services and coordinates the timely completion of the authorization process for Utilization Management Department. The PA Specialist will review referral ... Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests for authorization… more
- Baystate Health (Greenfield, MA)
- …directed to: **Cole Courtemanche, Healthcare Recruiter** **###@baystatehealth.org** **Summary:** The Utilization Management Specialist (UMS)/Hospital Case ... in accordance with departmental policies and third-party regulations. **2)** Performs Utilization Management Activities Investigates issue in question and… more
- LA Care Health Plan (Los Angeles, CA)
- …achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative ... Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleWood Utilization and Marketing Program Specialist Position LocationFort Collins, CO Work LocationPosition is fully remote ... the benefit of present and future generations". The Wood Utilization and Marketing Program Specialist is a...and regional committees. This position requires that the Program Specialist is proficient in general program management … more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Review Specialist (LVN)** **Location: Pearland Administrative Office** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...+ Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) **Education:** + Required… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- Summary The Supervisory Acquisition Utilization Specialist serves as a liaison and advisor on contract related services focusing on critical clinical and ... of items to include specialized services. Responsibilities The Supervisory Acquisition Utilization Specialist renders expert contract pre-award and post award… more
- Emanate Health (Covina, CA)
- …and facilitation of educational in-services for medical staff, case managers, utilization management , discharge planning and other professional personnel. **Job ... experience or related programs required. Experience with medical necessity, utilization management and/or Medi-Cal experience preferred. Excellent verbal,… more
