- WellSpan Health (Mount Gretna, PA)
- …(BSN) Required **Work Experience:** + 2 years Nursing experience and recent behavioral health experience required **Licenses:** + Licensed Registered Nurse Upon ... providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland.… more
- Highmark Health (Pittsburgh, PA)
- …and testing processes in partnership with the pharmacy benefits manager . The successful candidate will possess excellent communication, analytical, and ... RESPONSIBILITIES** + Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to… more
- WellSpan Health (Mount Gretna, PA)
- …**General Summary** Supervises the workflow of the department. Responsible for resource utilization for behavioral health hospitals, admissions, and acute ... providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland.… more
- Highmark Health (Erie, PA)
- …refine and maintain appropriate inventory carrying levels. Conducts routine inventory utilization reviews with Materials Manager and Department leadership. (15%) ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This...for supporting the organization's procedural inventory locations through the utilization of technology and sound inventory management practices. It… more
- UPMC (Pittsburgh, PA)
- …and modify the care plan with the member, caregivers, PCP, specialists, community resources, behavioral health , and other health plan and system departments ... within recognized standards of nursing practice, coordinating care, and providing health education to identified Health Plan members through face-to-face… more
- WellSpan Health (Lewisburg, PA)
- …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... between visits. + Assists in the management of patient utilization of health care system and provides...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
- WellSpan Health (Gettysburg, PA)
- …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... between visits. + Assists in the management of patient utilization of health care system and provides...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
- Highmark Health (Harrisburg, PA)
- …agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. ... designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret… more
- Highmark Health (Pittsburgh, PA)
- …of AI-powered products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, and clinical ... Focus on creating differentiated offerings across data modernization, digital health , value-based care, and cloud-native technologies tailored to specific client… more
- LifePoint Health (Johnstown, PA)
- …delivery network committed to/making communities healthier/(R)with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your ... *Registered Nurse (RN), Case Manager PRN/Hourly* Job Type:PRN/Hourly| M-Sun 8a-430p ** *Department/Unit...patients. Our team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure that payer… more