- Highmark Health (Erie, PA)
- …**GENERAL OVERVIEW:** Assists in the delivery of health care and patient care management by maintaining an organized clinical flow of care between physicians ... patients; provides day-to-day supervision of clinical staff; is responsible for clinical staff training and managing medical resources that affect patient… more
- University of Pennsylvania (Philadelphia, PA)
- …supportive work and family benefits, a wealth of health and wellness programs and resources , and much more. Posted Job Title Clinical Research Coordinator B ... Job Description Summary This position will assist in the management of clinical trials and responsibilities in...and are subject to underwriting. + Wellness and Work-life Resources : Penn is committed to supporting our faculty… more
- UPMC (Pittsburgh, PA)
- … resources for developing specific programs to address the needs of the clinical and management staff. Establish a working relationship with staff of managed ... UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland,...role involves systematically managing potential and actual claims. Analyzing clinical data is crucial for identifying liability areas, with… more
- Merck (North Wales, PA)
- …participate in development of tools and processes to support holistic portfolio management and increased integration of CMC and Clinical strategies. **Position ... **Valid Driving License:** No **Hazardous Material(s):** n/a **Required Skills:** Adaptability, Change Management , Clinical Supplies Management , Clinical … more
- UPMC (Pittsburgh, PA)
- The Regional Medical Director, CC/DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. This role ... focuses on improving patient flow, resource utilization, and length of stay (LOS) strategic oversight....Proven ability to collaborate effectively with hospital administration and clinical teams. + Experience in utilization management … more
- Guthrie (Sayre, PA)
- …patients + Fosters collaborative relationships with internal departments/staff and external agencies/ resources + Resource for medical staff and other providers ... data for decision making, PI planning, and strategic planning + Responsible for the clinical Utilization Management component of the Revenue Cycle + Assures UM… more
- UPMC (Pittsburgh, PA)
- …of held licensure. + Demonstrates knowledge of clinical treatment, case management and community resources . + Encourages coordination of care with primary ... A Care Manager is expected to bring a level of clinical leadership to the care management department. These Care Managers are specifically chosen based upon a… more
- Humana (Harrisburg, PA)
- …+ Experience advocating for managed care members at all levels of care. + Non- clinical Case Management experience + Call Center Experience + Experience working ... so they can achieve and/or maintain an optimal wellness state. The Care Management Support Professional contributes to administration of care management in… more
- Guthrie (Sayre, PA)
- …exercising independent judgment. Ensures compliance with entity/department goals and clinical resource utilization. Promotes change and teamwork. Performs ... the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management ...to recognized standards and care model. Functions as the clinical & operating resource with designated hours… more
- Evolent (Harrisburg, PA)
- …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, ... discussions with treating providers to ensure appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and … more