- EGA Associates (Pottsville, PA)
- …hours, and collaborating with PACT staff to develop personal health plans that incorporate care management and care coordination appropriate to the patient's ... Urgency** Normal **Offering** Allied **Profession** Nurse Practitioner **Specialty** Primary Care **Job ID** 16154253 **Job Title** Advanced Practice Provider… more
- EGA Associates (Pottsville, PA)
- …hours, and collaborating with PACT staff to develop personal health plans that incorporate care management and care coordination appropriate to the patient's ... services under the direction of the Community Based Outpatient Clinic (CBOC) Primary Care Provider (PCP). The NP or PA is an Advanced Practice Generalist who… more
- Prime Therapeutics (Harrisburg, PA)
- …Nurse (RN). + 5 years of post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review. + Meets ... facility.Discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial… more
- Humana (Harrisburg, PA)
- …and partnering across the enterprise (eg, with Clinical Operations, Markets, Care Management , Analytics, Pharmacy, etc.) to develop discrete, high-value ... you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+… more
- UPMC (Pittsburgh, PA)
- …as needed + Provide leadership and direction in meeting Quality Improvement and Care Management goals directed at improvements in member health status outcomes ... interventions support implementation of the Health Plan's Quality Improvement and Care Management Programs. + Represent the Health Plan in external accreditation… more
- Highmark Health (Pittsburgh, PA)
- …all aspects of the Medicaid business, including member enrollment, claims processing, care management , and quality improvement. Implement best practices to ... role requires a deep understanding of the Medicaid landscape, including managed care principles, state and federal regulations, and the needs of vulnerable… 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
- Penn Medicine (Philadelphia, PA)
- …operative procedures and 1000 discharges annually. You will be responsible for direct care management as well as collaboration with residents, surgeons, medical ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...co- management , and consultants. You will serve as the in-house… more
- Highmark Health (Pittsburgh, PA)
- …Experience in field care as it relates to BLS, ALS and critical care medicine. + Extensive knowledge in: management and budget, specialized software and ... **GENERAL OVERVIEW:** This job is responsible for 24/7 leadership for AHN Prehospital Care Operations including: Life Flight, Critical Care Transport, AHN EMS… more
- Maxim Healthcare (Cranberry, PA)
- …within the home setting. You will have the opportunity to learn direct patient care , care management , vent/trach/g-tube management , and critical thinking ... Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or contracted services + Administers medications and treatments as prescribed,… more