- Pfizer (Sacramento, CA)
- …insights in local planning + Act decisively by prioritizing resource utilization to meet customer needs Professional Development + Pursue individual learning ... actionable, and solutions focused feedback + Ensure effective and compliant utilization of promotional materials. + Ensure successful, compliant selling activities… more
- Regeneron Pharmaceuticals (Charleston, SC)
- …challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, Appeals, ... in concert with District Managers/Medical Specialists (field sales), to educate physician offices regarding coverage of alliance products, in efforts to streamline… more
- Tufts Medicine (Boston, MA)
- …accordance with Operating Room policy. 8. Manages surgical specimens according to Physician 's orders and Hospital policy. 9. Follows Operating Room procedures for ... Remains knowledgeable about service specific equipment ensuring safe and efficient utilization . 15. Maintains a collaborative work relationship with peers and… more
- Providence (Everett, WA)
- …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of ... Certification in area of specialty. + 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or Case… more
- Cedars-Sinai (CA)
- …" list, which highlights hospitals that have excelled in the utilization of electronic functionalities, telemedicine, digital imaging, artificial intelligence and ... performance measurement system to track customer base, request complexity, resource utilization , and efficiency for both individual and team. + Participates in… more
- Essentia Health (Deer River, MN)
- …the process of assessment, planning, intervention, and evaluation. Supports the physician and interdisciplinary team to assure patient progress through the continuum ... and accurate information to payers. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This role is… more
- Novant Health (Charlotte, NC)
- …all dimensions of care, ever Novant Health is an integrated system of physician practices, hospitals, outpatient centers, and more - each element committed to ... room, med/surg, and critical care) + Facilitates pharmaceutical care services, medication utilization systems within assigned services and care areas to ensure drug … more
- Tufts Medicine (Boston, MA)
- …accordance with Operating Room policy. 8. Manages surgical specimens according to Physician 's orders and Hospital policy. 9. Follows Operating Room procedures for ... Remains knowledgeable about service specific equipment ensuring safe and efficient utilization . 15. Maintains a collaborative work relationship with peers and… more
- CVS Health (LA)
- …review, and appeal request. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as ... UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred… more
- UCLA Health (Los Angeles, CA)
- …external, to assist patients with discharge/post hospital care. Interacts closely with Utilization Review and Patient Business Services to ensure correct and timely ... Working knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-up + Working knowledge of… more