- UPMC (Altoona, PA)
- …schedules-perfect for those who value a dynamic and adaptable work environment. As a Clinical Educator, you'll assess, plan , and implement clinical learning ... nursing education? UPMC Altoona is looking for a full-time Clinical Educator to join our team! With a focus...the opportunity to make a lasting impact on patient care and professional growth. The role will primarily focus… more
- BriteLife Recovery (Hanover, PA)
- …Director of Nursing, Medical Director, and BHT Supervisor to deliver excellent client care . + Works with Utilization Review Department to address billing needs. ... CLINICAL DIRECTOR Do you work for a company...+ Comprehensive Benefits Package: Enjoy a fully sponsored Health plan through APA with Cigna Network, ensuring your health… more
- Highmark Health (Harrisburg, PA)
- …Administration/Management or Public Health **EXPERIENCE** **Required** + 5 years in Clinical , Direct Patient care (hospital, outpatient, or private practice) ... 1 year in Medical Management in a Health Insurance Plan ; strong knowledge of managed care industry...Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other… more
- Guardian Life (Bethlehem, PA)
- …work capacity and RTW opportunities. + Conduct analysis of claimant's current treatment plan and collaborate with health care providers and claimants to promote ... The **RN Clinical Consultant, Disability Claims** serves as a ...with treating providers to assist individuals to obtain appropriate care and ensure optimal treatment outcomes and acts with… more
- YAI (Kulpmont, PA)
- …home are being addressed. + The QBMP will attend and participate in the weekly/monthly clinical review . The QMP is responsible to contribute to the agenda and ... the approach that emphasizes positive behavior supports, person-centered practices and trauma-informed care in their practice. + The QBMP will utilize best practices… more
- Geisinger (Danville, PA)
- …rehabilitation program. + Assists with the orientation, development of individualized goals and plan of care of new patients. + This includes the calculation ... + Determines patient suitability for testing based on medical history, chart review , and resting EKG. + Contacts assigned cardiologist or patient's referring… more
- Highmark Health (Harrisburg, PA)
- …have budgetary responsibility and authority. + Provides direction to a team of clinical pharmacists as members of a multi-stakeholder care team responsible for ... + None **Preferred** + Pharmacy **EXPERIENCE** **Required** + 3 years of clinical pharmacy management experience including drug use review activities,… more
- Prime Therapeutics (Harrisburg, PA)
- …clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan , organize, schedule, ... fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative… more
- Prime Therapeutics (Harrisburg, PA)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure ... industry experience, previous reimbursement experience, and/or working in a health plan /health care setting. + In-depth knowledge of specialty injectable… more
- Sanofi Group (Pittsburgh, PA)
- …both internal and external care teams in the overall patient journey. The Clinical Educator (CE) is a key field-based member of the Tzield Patient Services team ... **Job Title:** Clinical Educator, Tzield - Pennsylvania - Upstate NY...maintains a strong working relationship with the Endocrinology Health Care providers (MD, NP, PA), HCFs (Nurses, Pharm D,… more