- WellSpan Health (Mount Gretna, PA)
- …Summary** Performs a variety of duties to facilitate quality clinical care within the Inpatient Child/Adolescent and Adult Psychiatric Units. Supports bedside ... staff in day to day psychiatric and medical care coordination and workflow in pursuit of best outcomes....with Case Management as indicated. + Participates in the review of policy and procedures on an ongoing basis… more
- Geisinger (Danville, PA)
- …for operational changes desired or required to improve access to cost and utilization related data. + Participates in sessions to learn and incorporate computer ... Reporting team in advanced analytic modeling, best practice tool usage, and review business intelligence to support strategic initiatives. + Responsible for managing… more
- Globus Medical, Inc. (Audubon, PA)
- …documentation of project team activities including: kick- off meetings, design review meetings, verification/validation and cadaver lab utilization + Develops ... Customer Focused, Teamwork, and Driven. + **Passionate about Innovation** : Improving patient care by delivering advanced technology to our customers is at the core… more
- Canon USA & Affiliates (Philadelphia, PA)
- …including customer engagement, issue resolution and escalation as required. - Daily review of proactive care activities. - Escalation to Service Department ... employee training and staff development. - Oversees efficient and economical utilization of equipment, materials and labor. - Proactively pursues the development… more
- Evolent (Harrisburg, PA)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical… more
- Highmark Health (Pittsburgh, PA)
- …drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide recommendations for NDC ... not limited to: prior authorization, dose and duration edits, quantity limits, step- care edits, generic sampling medical policy review and development, member… more
- Cherry Bekaert (Harrisburg, PA)
- …Resource Coordinator will effectively fill resource engagement requests overseeing the utilization of resources, ensuring alignment of resources with the strategic ... at least 100 people with minimal oversight from a manager . + Collaborate with engagement teams to understand their...trusted business advisor for service leads. + Generate scheduling, utilization and forecasting reports and provide analysis of the… more
- Penn Medicine (Philadelphia, PA)
- …critical thinking skills and being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, team, and ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...will miss patient contact? If so, our nurse case manager role at Penn Medicine is the perfect transition… more
- Penn Medicine (Lancaster, PA)
- …improvement initiatives that result in a measurable impact on quality, cost and resource utilization . * Partners with the manager to assure efficient and cost ... 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)
- …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 ... program with requisite licensures and credentialing obtained. Works closely with the Manager of Faculty Affairs to align and maintain faculty academic plans. +… more