• Novo Nordisk Inc. (Boston, MA)
    About the Department The Cardiometabolic Care Sales Team is at the forefront of US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which ... relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community health systems. The… more
    HireLifeScience (03/28/24)
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  • Novo Nordisk Inc. (Tucson, AZ)
    …Commercial team, you will have the opportunity to help people with obesity receive the care they deserve. The Novo Nordisk aspiration is to be a driving force in the ... providers, positioning Novo Nordisk as a leader in obesity care , understanding the local market and customer needs and...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… more
    HireLifeScience (03/27/24)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    …part of the business assurance function for Commercial, Part D, & Managed Care contracts. This role is responsible for ensuring the validation of formulary ... all business assurance initiatives including but not limited to utilization management controls, 340B compliance, and contract compliance. Relationships This… more
    HireLifeScience (03/01/24)
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  • Taiho Oncology (Detroit, MI)
    …Sales with access issues and education. Monitor, assess and engage formulary, coverage, utilization review and benefit design policies impacting access to Taiho ... for Taiho Oncology products with public and private payers, Managed Care Organizations, Pharmacy Benefits Managers (PBMs), and Integrated Delivery Networks (IDNs).… more
    HireLifeScience (03/13/24)
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  • RN Care Manager Utilization

    Catholic Health (Lockport, NY)
    …Weekend and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager , Utilization Review / Transitions of ... member of the Care Management and interdisciplinary care team, provides comprehensive Utilization Review... review experience in the role of a Care Manager or Disease Manager ,… more
    Catholic Health (02/29/24)
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  • RN Care Manager - Surgery & Cardiac…

    UNC Health Care (Chapel Hill, NC)
    …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
    UNC Health Care (03/05/24)
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  • RN Care Manager - Health Alliance…

    UNC Health Care (Morrisville, NC)
    …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
    UNC Health Care (03/15/24)
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  • Care Manager Registered Nurse (RN)

    UNC Health Care (Hendersonville, NC)
    care management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... well-being of the unique communities we serve. Summary: The Care Manager - RN provides ongoing support...based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of notifications… more
    UNC Health Care (03/13/24)
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  • Senior Coordinator - Case Management

    Trinity Health (Grove City, OH)
    …The Case Management Coordinatorwould work under the direction of the RN Care Managers, Utilization Review Care Manager and the Social Workers. He/She ... hospitals, and 133,000 colleagues nationwide. We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and… more
    Trinity Health (03/01/24)
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  • Manager of Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …improve the lives of children beyond the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated inpatient ... MCG screening guidelines, and oversight of clinical denials/appeals. The Manager of Utilization Review participates...Admission and Denials Care Managers, Observation/Extended Stay Care Managers, and Utilization Review more
    Children's Mercy Kansas City (03/07/24)
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  • Utilization Manager (Per Diem)…

    UNC Health Care (Smithfield, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
    UNC Health Care (02/11/24)
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  • Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors ... Evening (United States of America) Joint role of Case Manager and Utilization Review Nurse...care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ability to communicate… more
    Beth Israel Lahey Health (01/05/24)
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  • Utilization Review Case…

    UTMB Health (Friendswood, TX)
    Utilization Review Case Manager CMC **Friendswood, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2400882 The mission of ... or observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively… more
    UTMB Health (03/01/24)
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  • Csmc 8750000 Utilization Management…

    Cedars-Sinai (Los Angeles, CA)
    **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... appropriate level of care based on nationally accepted admission criteria. The UR...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
    Cedars-Sinai (03/10/24)
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  • Utilization Review Case…

    University of Miami (Miami, FL)
    …. The University of Miami is currently seeking Utilization Review Case Manager to ... reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates...services requiring prior authorization as well as timely concurrent review for continuation of care services +… more
    University of Miami (02/08/24)
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  • Interim Nurse Manager , Utilization

    Trinity Health (Fresno, CA)
    …Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager , Utilization Review of Acute Care seeking your next adventure?** ... **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager is responsible...Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case… more
    Trinity Health (03/20/24)
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  • Manager , Utilization Management…

    Martin's Point Health Care (Portland, ME)
    …has been certified as a "Great Place to Work" since 2015. Position Summary The Manager Utilization Review is responsible for oversight of utilization ... Health Plan's successful achievement of the Triple Aim. The Manager will have a day-to-day awareness of each team's...field preferred + 5 years of utilization review experience in a managed care setting… more
    Martin's Point Health Care (03/07/24)
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  • Utilization Review Case…

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... access the full range of their benefits through the utilization review process. + Conducts admission reviews....with medical terminology and in criteria for acute psychiatric care or combination of education and experience preferred. +… more
    Dallas Behavioral Healthcare Hospital (02/08/24)
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  • Utilization Review Manager

    Trinity Health (Fresno, CA)
    …responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered ... the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely...Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case… more
    Trinity Health (12/29/23)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE ... care to obtain inpatient order *Communicate with Case Manager to understand discharge plan and barriers to discharge...Rule, or payer authorization for status and level of care *Priority 2: Performs Utilization Review more
    Billings Clinic (03/13/24)
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