• Care Nurse Coordinator-RN - Extended Acute…

    WellSpan Health (Mount Gretna, PA)
    …alternative treatment settings to provide appropriate care. + Coordinate with Case Management as indicated. + Participates in the review of policy and ... + Engages assigned patients using Motivational Interviewing strategies in the active management of their health by encouraging participation in their care and… more
    WellSpan Health (05/31/25)
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  • Psychiatrist

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …telepsychiatry services based on the needs of the organization; d. Participating in utilization review activities including but not limited to development of ... and Statistical Manual of Mental Disorders, written treatment orders, admissions on-call review for all legal commitment status documents and review and… more
    KidsPeace Childrens Hospital (07/09/25)
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  • Pediatrician / Family Practice

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …and/or services based on the needs of the organization; + Participating in utilization review activities including but not limited to development of standards, ... history and physical examination, either written or dictated. This includes a review of the immunization status, allergies, past history, family history and… more
    KidsPeace Childrens Hospital (07/09/25)
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  • Drug & Alcohol Therapist

    Sojourner House (Pittsburgh, PA)
    …representatives. + Excellent time management skills. + Ability to provide case management , diagnostic assessments, develop treatment plans, make and track ... when conducting individual and group interventions. + Provides clinical case management supporting including linkages to behavioral...+ Ensures that clients have appropriate insurance. + Conducts utilization review in a timely manner so… more
    Sojourner House (08/01/25)
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  • Resource Manager

    Aflac (PA)
    …needs analysis to determine project resource needs; works closely with business unit management in the review of weekly and monthly reports; stays abreast ... funds while maintaining and improving quality standards + Strong project management , leadership, and practice development skills + Experience and proficiency using… more
    Aflac (08/08/25)
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  • Supervisor, DSD WH-1

    Mondelez International (Tatamy, PA)
    …, pallets management . **How you will contribute** You will: + Review and analyze stock inaccuracies and guarantee accurate stock alignment between SAP and ... and external (third-party logistics vendors) business partners to ensure effective management , timely solutions and execution. You will also be responsible for… more
    Mondelez International (07/31/25)
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  • Professional Care Manager

    UPMC (Pittsburgh, PA)
    …(CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and ... all Avoidable Days in CANOPY system. + Performs clinical review on admission and/or continued stay using InterQual criteria...+ BSN or related Bachelors degree preferred. + Previous case management experience preferred. + Previous In-Patient… more
    UPMC (07/11/25)
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  • Attorney

    Evolent (Harrisburg, PA)
    …provider and vendor contracting, compliance, population health (including utilization management ), Medicare, and Medicaid. + Draft, review and negotiate ... the Senior Vice President, Deputy General Counsel, the Attorney will prepare and review a variety of complex contracts and provide legal counsel, guidance, and… more
    Evolent (07/16/25)
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  • District Sales Manager

    Sysco (Philadelphia, PA)
    **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance...the SC + Fully leverages our CRM in the management of SC's sales planning, prospecting, and daily customer… more
    Sysco (07/15/25)
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  • Supervisor, Clinical Care Coordination

    UPMC (Mckeesport, PA)
    …managing departmental operations required. + Knowledge and Skills:Expertise in care management , discharge planning and utilization review processes. ... + Lead and support the Clinical Care Coordination team through direct case management work and aftercare planning + Oversee system-wide consults and running… more
    UPMC (08/09/25)
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