• Daiichi Sankyo, Inc. (Bernards, NJ)
    …around rare diseases and immune disorders. Job Summary: The Director of Data Management (DM) Reporting provides leadership in Data Management Operations for the ... data protection, operational metrics, and clinical trial quality and risk management reporting requirements that adhere to programming standards and specifications… more
    HireLifeScience (05/16/25)
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  • Novo Nordisk Inc. (Denver, CO)
    …productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights ... external customers and during company sponsored meetings: Strategic Planning- Pre -Call Planning, Post-Call Analysis Creates Customer Engagement-Open Purposefully, Uncover… more
    HireLifeScience (05/10/25)
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  • Pre - Service Utilization

    Dignity Health (Bakersfield, CA)
    …review based on medical necessity. The position partners with both the Pre - Service and In-Patient Utilization Management teams. Ensures to monitor and ... as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the… more
    Dignity Health (05/15/25)
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  • Utilization Management Nurse

    Actalent (Sunrise, FL)
    Job Title: Utilization Management NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in optimizing the utilization of ... the UMN reviews service authorization requests to ensure appropriate service utilization . This includes reviewing specialties, medical treatments, elective… more
    Actalent (05/23/25)
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  • Registered Nurse - Utilization

    Veterans Affairs, Veterans Health Administration (Baltimore, MD)
    Summary The Utilization Management (UM) Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or ... , and customer satisfaction throughout the continuum of care. Responsibilities The Utilization Management (UM) Registered Nurse (RN) is responsible for providing… more
    Veterans Affairs, Veterans Health Administration (05/23/25)
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  • Utilization Review Nurse (Monday-Friday)

    Houston Methodist (Houston, TX)
    …eligibility for state, local, and federal programs + Progressive knowledge of utilization management , case management , performance improvement, and managed ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed...any denials to the appropriate case manager, denials, and pre -bill team members, as well as management .… more
    Houston Methodist (05/20/25)
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  • Utilization Review Nurse

    Independent Health (Buffalo, NY)
    …Collaborative and Accountable. **Essential Accountabilities** Provide High Quality, Professional Utilization Management Services: (Medical necessity review for ... payment review.) + Prompt, courteous, professional and error free in performing utilization management functions. + Available to answer inbound phone calls… more
    Independent Health (05/22/25)
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  • Case Manager (RN) - Utilization Review…

    Houston Methodist (The Woodlands, TX)
    …state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and managed ... is a registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of a targeted patient… more
    Houston Methodist (05/30/25)
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  • Nurse Manager, Revenue Utilization Review

    Veterans Affairs, Veterans Health Administration (Smyrna, TN)
    Summary As the regional Revenue Utilization Review (RUR) Nurse Manager the incumbent is accountable to the Consolidated Patient Account Center (CPAC) Director, ... Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. You may be required… more
    Veterans Affairs, Veterans Health Administration (05/30/25)
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  • Pre - Service Authorization…

    Trinity Health (South Bend, IN)
    …test(s)/procedure(s). May prepare special reports as directed by the Manager to document utilization of the Pre - Service unit's services and patient flow ... entered on the wrong encounter. Validates complete and accurate documentation by Physician/ Utilization Management colleague is met prior to completing Bed … more
    Trinity Health (05/23/25)
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