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West Kendall Baptist Hospital
Registered Nurse Utilization Review, Case Management
West Kendall Baptist Hospital · Miami, FL, United States · via Indeed
17 hours ago
Full–time
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Job description
Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.
What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients’ shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we’re all in.
Description:
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention and coordination to decrease avoidable delays denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry, Facilitates communication between payers, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource, Coordinates communication with physicians, Identify opportunities for expedited appeals and collaborates resolve payer issues and ensures, maintains effective communication with Revenue Cycle Departments. Estimated pay range for this position is $47.00 / hour depending on shift as applicable.
Qualifications:
Degrees:
• Associates.
Licenses & Certifications:
• Registered Nurse.
Additional Qualifications:
• RNs hired prior to 2/2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN; however, required to complete the BSN within 3 years of hire.
• 3 years of hospital clinical experience preferred.
• Excellent written, interpersonal communication and negotiation skills.
• Strong critical thinking skills and the ability to perform clinical chart review abstract information efficiently.
• Strong analytical, data management and computer skills.
• Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
• Current working knowledge of payer and managed care reimbursement preferred.
• Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.
• Knowledgeable in local, state, and federal legislation and regulations, and ability to tolerate high volume production standards.
Minimum Required Experience: 3 Years
EOE, including disability/vets
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Amgen
Account Manager/Specialty Account Manager, Nephrology - KRYSTEXXA
Amgen · Miami, FL, United States · via LinkedIn
18 hours ago
Full–time
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Job description
HOW MIGHT YOU DEFY IMAGINATION?
At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do.
Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our focus on four therapeutic areas –Oncology, Inflammation, General Medicine, and Rare Disease– we reach millions of patients each year. Amgen is advancing a broad and deep pipeline of medicines to treat cancer, heart disease, inflammatory conditions, rare diseases, and obesity and obesity-related conditions. As a member of the Amgen team, you’ll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.
Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you’ll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
Account Manager/Specialty Account Manager - Krystexxa
Live
What You Will Do
Let’s do this. Let’s change the world. In this vital role you will be responsible for representing KRYSTEXXA to physicians and health care professionals, establishing product sales, and performing total territory account management.
The Specialty Account Manager is responsible for providing account management support to accounts within a specific geography in the designated marketplace with a focus on issues specific to their designated accounts. The SAM acts as central account manager; responsible for driving product demand and coordinating relevant field teams to address account needs.
Responsibilities
• Develops a comprehensive and effective territory business plan aimed at achieving and exceeding annual sales goals established by sales and business unit leadership.
• Promotes Krystexxa within approved labeling in a comprehensive, fair and ethical manner that is consistent with industry specific and corporate legal and regulatory guidelines.
• Addresses issues related to access, pull-through, and reimbursement by coordinating with key stakeholders and matrix team members.
• Develops strong customer relationships by better understanding the customer’s needs and goals and communicating those needs and goals to other team members.
• Consistently meets or exceeds corporate sales goals.
• Communicates territory activity in an accurate and timely manner as directed by management.
• Drive product demand among targets through education on disease state and product information.
• Provides feedback to sales and business unit leadership, colleagues, and other internal departments about changing environment and results.
• Adheres to the Company’s compliance policies and guidelines as well as any other applicable guidelines, including but not limited to the PhRMA code.
• Must be able to work closely with patient services and market access team members, and understand their roles, to achieve overall business goals,
• Coordinate between accounts and relevant Amgen field teams to support full range of account needs,
• Educate healthcare professionals and office staff on site of care options.
• Attends medical congresses and society meetings as needed.
• Manages efforts within assigned promotional and operational budget.
• Maximizes use of approved resources to achieve territory and account level goals
• Successfully completes all Company training classes.
• Completes administrative duties in an accurate and timely fashion.
• Functions as a contributing member of a high-performance team.
• Perform such other tasks and responsibilities as requested by the Company.
Win
What We Expect Of You
We are all different, yet we all use our unique contributions to serve patients. The Specialty Account Manager we seek is a motivated professional with these qualifications.
Basic Qualifications (Account Manager – Level 4)
Bachelor's Degree and 3 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
OR
Associate degree and 6 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
OR
High school diploma/GED and 8 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
Basic Qualifications (Specialty Account Manager – Level 5)
Doctorate degree & 2 years of collective account management experience, sales, & commercial experience
OR
Master’s degree & 6 years of collective account management experience, sales, & commercial experience
OR
Bachelor’s degree & 8 years of collective account management experience, sales, & commercial experience
OR
Associate degree & 10 years of collective account management experience, sales, & commercial experience
Preferred Qualifications:
• Buy-and-bill experience with documented success and/or biologic/infusion experience strongly preferred.
• Sales experience in Nephrology, Endocrinology, Ophthalmology, and/or rare/specialty disease states preferred.
• Site of care and reimbursement experience strongly preferred.
• Experience working with institutions and integrated delivery networks preferred.
• Pharma account management selling experience essential; must be able to coordinate across field teams to address full range of account needs.
• Approximately 80% travel (may vary by territory), including some overnight and weekend commitments.
• Proficient in Microsoft Office.
• Professional, proactive demeanor.
• Strong interpersonal skills.
• Excellent written and verbal communication skills.
Thrive
What You Can Expect Of Us
As we work to develop treatments that take care of others, we also work to care for our teammates’ professional and personal growth and well-being. The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is (Account Manager – Level 4) $154,736 - $183,900 (Specialty Account Manager – Level 5) $173,255 - $203,801. In addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including:
• Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts.
• A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
• Stock-based long-term incentives
• Award-winning time-off plans and bi-annual company-wide shutdowns
• Flexible work models, including remote work arrangements, where possible
Apply now
for a career that defies imagination
Objects in your future are closer than they appear. Join us.
careers.amgen.com
Application deadline
Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.
Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, ****** orientation, gender identity, national origin, protected veteran status, or disability status.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
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UOMUOMUS
Core Desk RN Coordinator - Preadmissions - Bascom Palmer Eye Institute
UOMUOMUS · Miami, FL, United States · via Careers At The University Of Miami | University Of Miami Jobs - University Of Miami
9 hours ago
Full–time
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Job description
Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The Bascom Palmer Eye Institute is currently seeking a full time Core Desk Coordinator for the Department of Preadmissions in Miami. Florida. The Core Desk Coordinator assumes responsibility for the daily management and efficient coordination of the surgical case load, staffing availability, and room start times and room turnover. Moreover, The Core Desk Coordinator assumes responsibility for the daily management and efficient coordination of
preadmission workflows, including patient readiness, staffing support, and timely processing of scheduled and add-on cases.
The Core Desk Coordinator provides direct and indirect support to patients and staff, facilitates communication between nursing, APRNs, anesthesia, and surgical teams, and helps ensure all preoperative requirements are completed accurately and efficiently. Additionally, the incumbent supports the development and implementation of individualized plans of care and evaluates patient readiness for surgery.
