Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
This role is based on-site at our Ridgefield, CT location with hybrid flexibility of 2-3 days per week on-site.
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Strategic partner and the single point of contact for the TA/brand from a Review Committee Perspective and fully understand the integrated strategic brand plans in order to efficiently and effectively manage the review, approval and production of promotional, non-promotional, and scientific/medical communications. Closely collaborate with the Sr. AD, core brand team, field based medicine, extended marketing team, Medical, Legal, and Regulatory (MLR) team members as well as other internal/external partners to identify promotional/non-promotional/scientific communications that will need early alignment, review, approval, production and submission to the FDA at time of 1st use (if appropriate). Ensures appropriate TA/brand prioritization based on business needs across commercial and medicine including administration and logistics. Ensure communication of priority to Review Committee. On a daily basis, perform editorial, tracking, and follow-up functions to successfully complete the Review Committee Process. As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies´ success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, diversity and inclusion, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim´s high regard for our employees
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