- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... setting **Preferred** + Experience in UM/CM/QA/Managed Care + Medical/Surgical experience + Utilization Management (UM) or (UR) Utilization Review experience… more
- Guthrie (Sayre, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient,...experience in an acute care setting with strong care management , utilization review, and payer knowledge… more
- WellSpan Health (Lebanon, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and...Life Support Upon Hire Required + Certified in Case Management Preferred ** Knowledge , Skills, and Abilities:** +… more
- WellSpan Health (York, PA)
- …**Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and...Life Support Upon Hire Required + Certified in Case Management Preferred ** Knowledge , Skills, and Abilities:** +… more
- Wolters Kluwer (Philadelphia, PA)
- …efforts, prioritizing efforts and resources for assigned customer portfolio. + **Ongoing Utilization Management ** + Oversee and analyze customer utilization ... Knowledge , Skills, Abilities or Certifications:** + Excellent project management skills to track large, complex software implementations across multiple customer… more
- Highmark Health (Harrisburg, PA)
- …This role supports the full application product lifecycle for **clinical and utilization management software** , with a specific focus on driving ... They function as a pivotal bridge, translating high-level **clinical and utilization management software** business needs into detailed technical requirements… more
- UPMC (Harrisburg, PA)
- UPMC is hiring a Discharge Plan Manager for our Case Management department in Harrisburg! This is a full time, day shift position that requires an every 4th ... based on education and experience Purpose: The Discharge Plan Manager functions as the coordinator and is accountable for...a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews… more
- CompuCom (Philadelphia, PA)
- The Senior Manager , Talent Management is a strategic leader responsible for defining and executing the talent management and learning & development (L&D) ... development. This role oversees key talent processes (eg, performance management , succession planning, talent reviews, development programs), stewards the learning… more
- Penn Medicine (Philadelphia, PA)
- …ensure lowest price paid. + Works to identify opportunities for standardization and utilization management within a product categories and potential to leverage ... each day. Are you living your life's work? **Contract Manager Corporate Supply Chain** Job Summary: + The Contract... leads vendor negotiations, supports Value Analysis and has knowledge of contract to ensure compliance with all hospital,… more
- Highmark Health (Jefferson Hills, PA)
- …effective resource utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization , and patient/family ... or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case … more