- Amgen (Nashville, TN)
- …formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead ... Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …(Encounter Action Required Report) and delinquent recall report; supports clinics regarding utilization and clinic profile management ie set-up of clinic grids, ... Prepares correspondence and memos as needed. Promotes Veteran registration for and utilization of HealtheVet (MHV). Stocks basic office supplies for the executive… more
- Guthrie (Sayre, PA)
- …Coordinator/Wellness Nurse -Per Diem will assist in coordinating the medical management of patients, using an outcomes-based approach. In collaboration with other ... and autonomy in nursing practice. Preferred experience with PCMH process, care management / utilization review, and payer knowledge. Fast paced ambulatory care… more
- Centene Corporation (Austin, TX)
- …State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization Group (RUG) certification ... 8:00 am- 5:00 pm (CST** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Children's Hospital Boston (Boston, MA)
- …ensuring notification of product recalls/withdrawals, monitoring and reporting on blood utilization and wastage trends, evaluating blood management and ... Experience: + 5 years working experience in healthcare, nursing, blood management , transfusion medicine, medical laboratory science, or PA experience required +… more
- Genesis Healthcare (NM)
- …and development of area medical directors, the assurance of effective quality and utilization management , and the successful transition within area centers to a ... are actively engaged, effective, and successful in center-based quality and utilization management , regulatory compliance, IT/EHR implementation, and business… more
- GE Aerospace (Nashville, TN)
- …a change agent for business processes related to Government Property (GP) management at subcontractor and affiliate sites, driving improvements and compliance. + ... Provide assistance with the management of the GP subcontractor and affiliate risk assessment and surveillance audit process to ensure compliance and mitigate risks.… more
- AmeriHealth Caritas (Southfield, MI)
- …complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. + Monitor appropriate utilization and ... unrestricted Registered Nurse licensure. + Eligible to sit for Case Management certification after 12 months of employment. Must obtain this certification within… more
- Alight (NJ)
- …medical advisory experience in occupational health, worker compensation, disability, health case management , or utilization review. + 2+ years as a Clinical ... by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation. With a comprehensive total rewards package, continuing… more
- Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
- …service activities including visits, referrals, patient demographics, equipment utilization and patient satisfaction. Develops, implements, and evaluates clinical ... guidelines and protocols to establish appropriate utilization of services. The incumbent supervises a group of employees organized as an inter-professional team… more
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