- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …administrative guidelines. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... judgment and the flexible use of a wide range of clinical flow processes relating to access to care across multiple clinics, specialties, and /or care in… more
- BriteLife Recovery (Hanover, PA)
- …of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit setting for behavior, ... healthy choices. Under the supervision of the Director of Clinical Services, and in collaboration with a multi-disciplinary treatment...post treatment placement to the most appropriate level of care as recommended for each client. The goal of… more
- Wellpath (Coal Township, PA)
- …month over month and a very large percent of those individuals receive direct clinical care , which includes lives saved by Narcan. We offer ongoing training ... clinical resources for training, education, and point of care support. **How you make a difference** The Nurse...procedures for infirmary admissions, emergency room transfers, and the utilization review process for specialty referrals while… more
- 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, ... Summary A Pediatrician is responsible for providing and maintaining quality medical care to patients in KidsPeace programs. The position will ensure the maintenance… more
- Sojourner House (Pittsburgh, PA)
- …to appropriate health/behavioral health providers. Responsible for providing exceptional clinical care and adhering quality assurance standards, licensing, ... Psychology, Counseling, Chemical Dependency, Social Work, Nursing (with a clinical specialty in administration or human services) with a...+ Ensures that clients have appropriate insurance. + Conducts utilization review in a timely manner so… more
- 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 ... Manual of Mental Disorders, written treatment orders, admissions on-call review for all legal commitment status documents and ...and emergency Certificate of Need (CON) as required for care . Provide ongoing care and psychiatric evaluation… more
- Penn Medicine (Bala Cynwyd, 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 ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… 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 ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Sunrise Senior Living (Montgomery, PA)
- …needs. + Possesses functional knowledge of all operating programs including memory care , clinical , dining, and social programs. + Makes accurate forecasts. ... worked, simply because of the people. We provide quality care in an environment that feels like home. Our...achieving customer engagement. + Leads the development and regular review of the engagement improvement plan. + Effectively resolves… more
- Travelers Insurance Company (Harrisburg, PA)
- …and analysis skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical ... **Who Are We?** Taking care of our customers, our communities and each...can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations… more