- WellSpan Health (Chambersburg, PA)
- …to effectively manager cost and maximize employee satisfaction and resource utilization . **Shift** Full Time, Days, Rotating weekend and holiday schedule. **Duties ... manager, nurse managers, department directors, and finance partners for resource management . + Customizes UKG application to meet individual department needs.… more
- Penn Medicine (Philadelphia, PA)
- …care and population management . Collaborates in coordinating patient care management across enterprise wide cross functional departments, supporting ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- WellSpan Health (York, PA)
- …in orthopedic or neuro nursing required + Previous quality assessment and utilization management experience preferred **Licenses:** + Licensed Registered Nurse ... identifying areas that require attention. Is responsible for all program management , report generation and review, process improvement, patient satisfaction and… more
- Gentiva (Canonsburg, PA)
- …Plans + Wellness Program and Resources including: + A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare ... We believe every day is an opportunity to make care more personal and life more comfortable. That's why...of 7on/7off.** The **Afterhours RN in our Advanced Illness Management (AIM) program** will report directly to the Director… more
- UPMC (Pittsburgh, PA)
- …year of health insurance experience preferred. + 1 year of experience in clinical, utilization management , home care , discharge planning, and/or case ... Hiring a Full-Time Registered Nurse for a Nurse Clinical Care Coordinator Position.** **This position travels to...geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the plan of care … more
- St. Luke's University Health Network (Bethlehem, PA)
- …recommendations and actions. SUPERVISION (RECEIVED BY AND/OR GIVEN TO): Received: Pharmacy Management - Clinical coordinator , site director of pharmacy, network ... mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care… more
- Geisinger (Wilkes-Barre, PA)
- …ensure completion, accuracy, and filing in medical record to ensure continuity and care . Job Duties + Obtains and documents patient medical history, chief complaint, ... substances to ensure adequate supply levels, verify expiration dates, document utilization , optimize organizational efficiency and space utilization . + Routinely… more
- CVS Health (Harrisburg, PA)
- … and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. **Key ... and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards… more
- Penn Medicine (Lancaster, PA)
- …+ Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care . + Care management experience in a managed care setting. We ... with patients, families and providers. + Functions as a coordinator and manager of a defined health population across...Helps in identification of best methods to transmit case management plan to all points of care … more
- St. Luke's University Health Network (Easton, PA)
- …utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... departments, and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification,...admission and/or referral to appropriate level of care . + May assist in the … more