- CHRISTUS Health (Alamogordo, NM)
- …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other...documents the review . Refers cases for second level reviews when medical… more
- Aequor (New York, NY)
- …occupational nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic care, ... wellness care and counseling of adults Proficiency in use of electronic medical record keeping systems desirable BLS certification required Optional: Case Management and COHN-S certifications Major Responsibilities: Assist in coordination of clinical… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and people resources, supporting appropriate use of NNI products and greater utilization of its services Takes a leadership role in coordinating activities at ... c) support appropriate use of NNI products and greater utilization of its services, and d) support representatives in...exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Development of People Ensure… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …operations in a controlled GMP environment. Key Responsibilities Perform peer review /approval of laboratory data including but not limited to eLIMS Electronic ... Notebooks, laboratory formbooks, training formbooks, instrument logbooks, and records. Utilization of electronic systems (LIMS) for execution and documentation.… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …including handling internal audit. Work closely with IT regarding implementation and utilization of new software tools developed by the DS organization and/ or ... and resolving matters of confidentiality. Coordinating a budget planning and review meeting with Finance Business Partner, Function Head and stakeholders. Partner… more
- Merck & Co. (Rahway, NJ)
- …guidance, execution-preparation- Maintenance of Global Oncology Marketing dept. PRT utilization , prioritization, new asset, portfolio considerations to support the ... in Oncology or Hospital/SpecialtyExperience in company end-to-end medical/legal (Promotional Review Team) review and delivery processes.Experience with… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in ... sites; ensuring effective coordination and facilitation of studies to ensure timely review , initiation, and completion, as well as publication of study results.… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …cross-functionally to execute the outsourcing process. Responsible for appropriate utilization and application of advanced negotiation skills, partnership management ... timely basis. Management and oversight of Clinical Development contracting process, review and approval in accordance with company policies.Procurement - Manages all… more
- Novo Nordisk Inc. (Philadelphia, PA)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Novo Nordisk Inc. (Albuquerque, NM)
- …sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor or equivalent degree, and/or Pharm… more
- Merck & Co. (Durham, NC)
- …culture by reducing waste and constantly driving continuous improvement. -Responsible to review and approve compliance documents, as per procedures or need.Supply - ... - Responsible for creating and sustaining a highly engaged workforce through utilization of our Company Leadership Behaviors and Inclusion.- Provide coaching on… more
- Merck & Co. (Rahway, NJ)
- …business. Accountable for establishing a Safe by Choice.- Accountable to review and approve compliance documents, as per procedures or need.Continuous Improvement ... - accountable for creating and sustaining a highly engaged workforce through utilization of our Company Leadership Behaviors and Inclusion. Provide coaching on… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …cross-functionally to execute the outsourcing process. Responsible for appropriate utilization and application of negotiation skills, partnership management and ... overall quality control of the contract. Accountable for the contracting process, review and approval in accordance with company policies for all the studies… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …to inform and educate employees on compliance issues through the utilization of existing and novel technological solutions (including LMS, Articulate E-Learning ... its annual and periodic Compliance policy and procedure plan, including the review and renewal of existing policies and procedures.Maintain current and accurate… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing requests for… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-Site Recruitment # 240516-5613FP-001 Location Middletown, CT Date Opened 5/17/2024 12:00:00 AM Salary ... we serve. THE POSITION: We are currently seeking a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=undefined&R3=undefined) to join… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Beth Israel Lahey Health (Burlington, MA)
- …necessity recommendations, as requested Policy Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested ... Decision-Making Authority: Responsible for collaborating with the utilization review department as these issues relate to commercial payers, to meet established… more
- Beth Israel Lahey Health (Burlington, MA)
- …Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing Bonuses are paid out in three ... Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate… more
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