- CenterWell (Lancaster, PA)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- Guthrie (Troy, PA)
- …for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with other internal ... in an acute care setting with strong care management, utilization review, and payer knowledge. A Case Management certification...and community providers. a) Works closely with the Medical Director and other members of the healthcare team to… more
- Highmark Health (Pittsburgh, PA)
- …RESPONSIBILITIES** + Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to ... Formularies by monitoring FDA-approvals and drug manufacturer pipelines, assessing drug utilization reports, and writing drug monographs for Pharmacy & Therapeutics… more
- UPMC (Pittsburgh, PA)
- …PA. Preference will be given to candidates with a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization review of ... written notification to providers as applicable. Consult with health plan medical director to discuss medical necessity for requested service. + Document all… more
- Sanofi Group (Moosic, PA)
- …data into meaningful, action-oriented business insights towards optimizing resource utilization and revenue. The ideal candidate is passionate about leveraging ... complex problems. This position will report to the Sr. Director , Analytics - VaxServe. This role is based in...data into meaningful, action-oriented business insights that improve resource utilization and increase revenue. + Develop and adhere to… more
- St. Luke's University Health Network (Bethlehem, PA)
- …the hematology/oncology providers, and infusion centers to monitor chemotherapeutic utilization , supportive drug therapy utilization , adverse drug reactions, ... treatment of malignancy, safe handling of hazardous medication, and drug utilization . Mentors pharmacists, pharmacy residents, and students. Interacts with health… more
- UPMC (Washington, PA)
- …operations of the Case management department under the direction of the Director . The Manager is accountable for the following Case Management functions: training, ... the continuum of care. **Responsibilities:** + Develops reporting tools to assist Director and executive leadership teams to assess the effectiveness of Case… more
- University of Pennsylvania (Philadelphia, PA)
- …Job Title Senior Prospect Management Analyst Job Profile Title Associate Director , Prospect Research Job Description Summary The Senior Prospect Management Analyst ... reports to the Director of Advancement Prospect Development and Research and is...Development and Research and is responsible for maximizing the utilization of prospects at the University. The Senior Prospect… more
- UPMC (Pittsburgh, PA)
- …staff, and manage all day-to-day operations under the direction of the Medical Director and the Administrative Director . Has 24 hr responsibility for achieving ... quality patient care services through leadership and utilization of resources. This role will work day shifts,...defined fiscal parameters. + Provide assistance to the Administrative Director in preparing annual man-hour and capital budgets based… more
- UPMC (Mckeesport, PA)
- …Collaborate with medical staff and external agencies + Work alongside the Unit Director , RN Clinician and Addiction Medicine Nurse Liaison to ensure patients are ... our team of Life Changing Medicine! Responsibilities: + Collaborates with the Director to ensure effective processes and systems are established and maintained to… more