- UnitedHealth Group (Hartford, CT)
- …and cost avoidance development Serves cross-functionally with Medical Directors, and sometimes Utilization Management , as well as other internal teams to assist ... overtime Preferred Qualifications: Registered Nurse 2+ years of experience in Utilization Management Experience working with federal contracts CES (Claims… more
- Cardinal Health (Tewksbury, MA)
- …as an objective tool to work with specific Medical Staff Departments or Utilization Management Teams to improve medication utilization Ensures clinically ... of Pharmacy (HSD), Director of Pharmacy Operations and Account Management , and Cardinal Health Clinical Director, the...and client as required Provides direction in hospital formulary management and serves as a consultant regarding… more
- Legend Biotech USA, Inc. (Atlanta, GA)
- …Affairs team. Direct education for healthcare professionals treating oncology patients on clinical data, adverse event management , and mechanism of action for ... between investigators and members of the Legend Biotech Medical Affairs and Clinical Development teams; Addressing AE management and education as… more
- Sutter Health (Oakland, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ) ,and… more
- Catholic Health Initiatives (Houston, TX)
- …services. Manage the delivery of patient care. Major responsibilities include: -- Clinical Management : Ensures the safe and effective delivery of quality ... community standards of care and regulatory bodies. -- Human Resources/Financial Management : Works to maintain a fiscally responsible department including efficient… more
- Rush University Medical Center (Chicago, IL)
- …BIM data for analytics and reporting to provide insights into space utilization , facility optimization, and asset management , informing strategic decision-making ... Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Med Ctr Engin- Management Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work… more
- University of Washington (Seattle, WA)
- …these work products and will serve as a subject matter expert and consultant to non-technical colleagues with custom data reporting requirements. ABOUT HUSKY HEALTH: ... Development and Automation (50%) Design, build, iterate, and automate operational and clinical reports and dashboards using Epic, My FD, Power BI, Tableau, and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide ... clinical insight into product development and testing as well...acute care setting + 2+ years of experience in utilization management + Knowledge and understanding of… more
- CVS Health (Raleigh, NC)
- …reside in CST or EST zone.** As a Utilization Management Nurse Consultant you will utilizes clinical experience and skills in a collaborative process to ... to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical ...Requirement to reside in EST or CST zone. + Utilization Management is a 24/7 operation and… more
- CVS Health (Raleigh, NC)
- …all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... with occasional holiday rotation.** **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience +… more
