- BriteLife Recovery (Hanover, PA)
- …+ Under the direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit ... to and from the facility. The ability to follow the direction of the Clinical Director and BHT Supervisor and safely transport clients in a timely fashion will be… more
- Highmark Health (Wexford, PA)
- … utilization management (UM) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical director when required. (20%) + ... Within the context of the request, applies plan-specific benefits to each case appropriately, summarizes pertinent facts, and cites applicable internal policies and guidelines. (20%) + Resolves non-clinical issues independently and acts as a liaison between… more
- BriteLife Recovery (Hanover, PA)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... to and from the facility. The ability to follow the direction of the Clinical Director and BHT Supervisor and safely transport clients in a timely fashion will be… more
- UPMC (Harrisburg, PA)
- …defined program objectives. Partners with other program support areas and the Program Director to ensure that the training program is in full compliance with UPMC, ... documentation pertaining to the UPMC Medical Education Annual Program Oversight Review (APOR) and anticipated required documents that will be requested during… more
- UPMC (Pittsburgh, PA)
- …the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning and post-acute care referrals ... leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor, Attending Physicians and clinical team to obtain necessary… more
- UPMC (Pittsburgh, PA)
- …defined program objectives. Partners with other program support areas and the Program Director to ensure that the training program is in full compliance with UPMC, ... documentation pertaining to the UPMC Medical Education Annual Program Oversight Review (APOR) and anticipated required documents that will be requested during… more
- Highmark Health (Harrisburg, PA)
- …of delivering innovative AI solutions across the organization. Reporting directly to the Director of AI Platforms and Services, you will be responsible for guiding ... have budgetary responsibility and authority. + Understand budget and resource utilization across the product teams. Escalate any issues regarding product delivery… more
- Philadelphia Gas Works (Philadelphia, PA)
- …range of contract requirements and performance issues. Brief and discuss with the Director of Contracts Management and Supplier and Vice President of Supply Chain on ... and statistical reports for all professional and non-professional contract activities. Review PGW's capital and operating budget for forecasting of DBE… more
- CBRE (Pittsburgh, PA)
- …Funds Manager, you will independently prepare market value appraisals on real estate assets with review by a Director (one of whom must be MAI). You'll prepare ... and use of the property; conducting analyses and studies, eg, land utilization , supply and demand, economic feasibility, highest and best use, marketability,… more
- St. Luke's University Health Network (Bethlehem, PA)
- …+ Reviews documentation from Liaison/Intake nurse, referral source, Medical Director and admitting clinician. Utilizing standard coding conventions makes ... Consistently meets established productivity targets for coding assignment and record review . + Communicates and collaborates with Quality Managers, Patient Care… more