- Novo Nordisk Inc. (Plainsboro, NJ)
- …most diverse and collaborative groups within the organization. From health -care-provider interactions and developing and implementing regulatory strategies with the ... a difference? The Position Position provides field coaching, mentorship and management to the field-based Medical Liaisons, and develops and implements strategies:… more
- Novo Nordisk Inc. (San Antonio, TX)
- …to deliver on this aspiration. The team is comprised of both our home office strategy and marketing execution teams and our field based teams focusing ... in helping people living with chronic disease achieve greater health outcomes. If you are passionate about being a...resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company… more
- University of New Mexico - Hospitals (Algodones, NM)
- …Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool (as needed) Shift: ... This is a Utilization Review position. We review all admissions and...REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion… more
- Sentara Health (Virginia Beach, VA)
- …what is best for the patients. That would include helping with things like home health , long-term care placement, home medical equipment, homeless and ... in one of the following practice settings: Acute Care, Service Lines, Ambulatory/Community-based, Home Health , and Long Term Care. BLS required within 90 days… more
- Sentara Health (Hampton, VA)
- …leadership, education, evidence- based practice /nursing research, quality, evaluation, resource utilization , and environmental health ) encompass the actions and ... the newly-opened Family Maternity Center . It is also home to the Orthopedic Hospital at Sentara CarePlex Hospital...Join a team that has a mission to improve health every day and a vision to be the… more
- ChristianaCare (Wilmington, DE)
- …plan. Social Worker resolve psycho-social barriers and support discharge needs. Utilization Management reviews patient status for appropriateness and anticipated ... Christiana Care includes an extensive network of outpatient services, home health care, urgent care centers, three...18 months of eligibility. Complete 8 continuing education credits (CEU) per year in Utilization and/or Case Management… more
- Comhar Inc. (Philadelphia, PA)
- …8:30AM-5:00PMBilingual Blended Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program provides blended case management services ... to adults 18 and over with a serious mental health diagnosis that require additional community supports to help...needs and work to achieve their goals. Our case management unit also has 2 specialty teams that provide… more
- Comhar Inc. (Philadelphia, PA)
- …8:30AM-5:00PMBilingual Blended Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program provides blended case management services ... to adults 18 and over with a serious mental health diagnosis that require additional community supports to help...needs and work to achieve their goals. Our case management unit also has 2 specialty teams that provide… more
- University of New Mexico - Hospitals (Algodones, NM)
- …to base pay. Sign-on Bonus and Relocation Reimbursement available!Department: Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary: Responsible ... functions as a contact person for the patient, family, health care team members, community resources and employees. Ensure...promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable *… more
- Yakima Valley Farm Workers Clinic (Cowiche, WA)
- …care services as assigned, which include but are not limited to: Drug Utilization Review Patient Counseling Drug Regimen Review Medication Therapy Management ... Collaborative Drug Therapy Management or other post-diagnostic disease state management , pursuant to a valid agreement Prescribe a drug or device, as authorized… more
- Army National Guard (Aurora, CO)
- …savings plan Student Loan Repayment Program (up to $50,000, for existing loans) Health care benefits available VA home loans Bonuses, if applicable Most ... technical issues to other Soldiers. They also brief shift personnel on runway utilization , airfield conditions, weather, and ground activity. The skills you learn as… more
- Humana (Richmond, VA)
- …of the appropriate courses of action. The Utilization Management Nurse 2/ Home Health Utilization Management : + Review cases using clinical ... part of our caring community and help us put health first** The Utilization Management ...with no disciplinary action + Clinical experience in Medicare Home Health (in the last 12 months)… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Manager Utilization Management Nursing utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
- Sharp HealthCare (San Diego, CA)
- …including ICU or intermediate care units, Medical-Surgical Nursing, and/or Home Health . + 1 Year Utilization Management /Concurrent review experience. + ... practices. **What You Will Do** Provide leadership and direct supervision for Utilization Management (UM) department staff. Accountable for results of the… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Humana (Columbus, OH)
- …and assists corporate leadership in strategic planning to improve effectiveness of behavioral health utilization management programs. + Collects and analyzes ... Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health ) who...this may be rare, it will happen._ **Work at Home Internet Statement** To ensure Home or… more
- CVS Health (Raleigh, NC)
- …solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee ... team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize...clinical experience as an RN (all clinical areas considered: Home Health , Med/Surg, Telemetry, ICU, NICU, Long… more
- CVS Health (Raleigh, NC)
- …solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee ... is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize...clinical experience as an RN (all clinical areas considered: Home Health , Med/Surg, Telemetry, ICU, NICU, Long… more
- Dignity Health (Rancho Cordova, CA)
- …Guidelines, InterQual, Health Plan Benefit Interpretation Guidelines and Medical Management Policies, and DHMF Utilization Management guidelines and ... UM experience with Charge/Lead/Supervisory/ Management experience in Utilization Management department preferred. - Experience working with health plan… more
- Intermountain Health (Las Vegas, NV)
- …+ Five years in a professional setting such as hospital, clinic, or home health environment. + Effective communication and interpersonal skills. + Demonstrated ... knowledge of CMS guidelines, health plan criteria, MCG criteria, and state, local, or...criteria, and state, local, or federal guidelines relating to utilization management . + Demonstrated knowledge of case… more
