- Catholic Health Services (Melville, NY)
- …initiated within 24 hours of admission / arrival. + Coordinate with onsite Case Management and Utilization Management to guarantee payer requirements are met ... Responsibilities: + Utilize work queues/work drivers and reports as assigned by management , to complete daily tasks. + Confirm that a patient's health insurance(s)… more
- Prime Therapeutics (Providence, RI)
- …specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products ... stakeholders through effective consultative services. **Responsibilities** + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics… more
- Masego (St. Louis, MO)
- …ArcGIS Pro software tools in the creation, attribution, schema development and utilization , management , and geo-referencing of data. + Experience in geo-enabling ... + Use an understanding of geography, research, GIS, and data conflation and management skills to produce the broad array of human geography products including… more
- Bausch + Lomb (Bridgewater, NJ)
- …supporting Field Reimbursement Manager teams is a plus. + Familiarity with utilization management practices across Pharmacy and Medical Benefit products. + ... and requires strong teamwork across Brand Marketing, Pricing/Contracting, Account Management , HEOR, Field Sales, and other commercial operations teams. **Key… more
- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions ... Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years...Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse +… more
- Devereux Advanced Behavioral Health (Viera, FL)
- **Description** Are you looking to advance your career in Admissions & Utilization Review ? If you answered yes, then consider joining our team where you can take ... your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a nonprofit behavioral health… more
- Merck (Juneau, AK)
- …Content Creation, Copyright Compliance, Customer Journey Mapping, Customer Relationship Management (CRM) Utilization , Data Analysis, Design Thinking, ... **Job Description** The US Human Health Global Headquarters (HH GHQ) Asset Management Specialist's scope spans over three primary areas: + Responsible for approving… more
- Gerber Collision & Glass (Elmhurst, IL)
- …enhancements. + Develop and implement plans for continuous improvement in system utilization and efficiency. People Management : + Manage people, collaborate, and ... and Protected Veterans. Job Description: The Sr. Manager, Workday Product Management - Financials role leads the strategy, configuration, and optimization of… more
- Atrius Health (Newton, MA)
- …. Minimum 5 years nursing experience, which includes a minimum of 3 years in utilization management or case management . . Minimum of 3-5 years clinical ... the Atrius Health practice to the patient. . Conducts review of the medical record for Atrius Health adult...degree in a related field required. Certification in Case Management (CCM) or CCM eligible preferred. Current unrestricted RN… more
- Ochsner Health (New Orleans, LA)
- …None. Preferred - 3 years of hospital-based experience in discharge planning, case management or utilization review . **Certifications** Required - Current ... individualized needs. Registered Nurse (RN) Case Manager - Case Management OMC Jefferson Highway PRN To perform this job...of the conditions of participation as it relates to utilization review and discharge planning. + Maintains… more