- Penn Medicine (Philadelphia, PA)
- …+ **Patient Care Processes:** Ensures all entity patient care related processes (patient registration/scheduling, medical records, clinical patient ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...- Review , edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage… more
- Penn Medicine (Berwyn, PA)
- …management. Patient Care Processes: + Ensures all entity patient care related processes (patient registration/scheduling, medical records, clinical patient ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...- Review , edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage… more
- Sedgwick (Harrisburg, PA)
- …narcotic use contract with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost savings, ... and experience required to include three (3) years of recent clinical practice experience. Utilization practice experience preferred. Insurance/claims industry… more
- Penn Medicine (Lancaster, PA)
- …its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the ... Evidence Based Practice and Research, Leadership, Person and Family Centered Care , Professionalism, Safety, Technology/Informatics, and Teamwork. The Clinical … more
- Penn Medicine (Lancaster, PA)
- …its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the ... Evidence Based Practice and Research, Leadership, Person and Family Centered Care , Professionalism, Safety, Technology/Informatics, and Teamwork. The Clinical … more
- Penn Medicine (Lancaster, 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
- UPMC (Pittsburgh, PA)
- …be responsible for driving operational excellence, ensuring high-quality patient care delivery, and aligning departmental goals with broader institutional ... objectives. The Director will work in close partnership with clinical and administrative leaders to optimize workflows, enhance efficiency, and support growth… more
- Evolent (Harrisburg, PA)
- …experience and as an RN - **Required** + Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Penn Medicine (Philadelphia, PA)
- …in Nursing required.2+ years Clinical Experience preferred. We believe that the best care for our patients starts with the best care for our employees. Our ... 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 (Lancaster, PA)
- …the Pennsylvania Board of Nursing. + Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care . + Care management experience ... across the continuum inpatient outpatient community to assure appropriate utilization of clinical and community resources. +...needs to maintain expertise and keep current with health care trends, both clinical and financial. +… more