- Geisinger (Danville, PA)
- …pharmaceutical care in hematology and oncology, including medication order review , dosing, and monitoring for safety and efficacy. 2. Oversee the residency ... Residency Program Director and Hematology Oncology Pharmacist provides quality pharmaceutical care defined as being responsible for assuring the provision of safe,… more
- Evolent (Harrisburg, PA)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- UPMC (Media, PA)
- …network. + Ensures the quality of clinical care provided to Community Care members. + Focus on quality and utilization from a regional perspective to ... a physician reviewer for cases referred by care management staff. + Focus on clinical ...designing and evaluating protocols. + Assures effective and appropriate utilization of the various levels of care … more
- Evolent (Harrisburg, PA)
- …provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Prime Therapeutics (Harrisburg, PA)
- …design and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care ... and drives every decision we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description**...and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in… more
- Prime Therapeutics (Harrisburg, PA)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative… more
- Guthrie (Sayre, PA)
- …Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for ... Position Summary: Coordinate multiple in-patient and out-patient clinical research protocols. Education/Experience: Required: An Associate's degree in applied… more
- Sevita (Erie, PA)
- …+ May develop and implement crisis intervention emergency procedures, oversee Utilization Review , Quality Assurance, investigations, and internal evaluations. + ... for infants, children, adolescents, Military Service Members and Veterans. ** Clinical Supervisor** Are you an experienced social worker/therapist with supervisory… more
- Prime Therapeutics (Harrisburg, PA)
- …implementation of innovative drug solutions, including optimizing optimize drug utilization , patient outcomes, and cost-effectiveness through value-based care ... drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The… more
- Prime Healthcare (Bristol, PA)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... Health and Human Services field is highly preferred. 2. Utilization Review /Case Management experience is highly preferred....Management experience is highly preferred. 3. 1+ year of clinical experience in acute care setting preferred.… more