- Geisinger (Scranton, PA)
- Job Summary The Northeast Regional Manager is responsible for management of the Northeast Region which includes Luzerne, Lackawanna, and Wyoming Counties; ... developing, organizing and directing system resources to effectively manage the clinical utilization of supplies and equipment across the Health System with an… more
- UPMC (Pittsburgh, PA)
- …in a human services field. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... services as appropriate.Identifies provider issues and recommendations for improvement.Demonstrates knowledge of clinical treatment, case management and… more
- St. Luke's University Health Network (Allentown, PA)
- …for admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization ... agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management . +… more
- Trinity Health (Newtown, PA)
- …overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal regulations. ... Home, has a need for a Full-time Hospice Clinical Manager . This position is based out of our branch...team to meet financial indicators, and quality standards. Working knowledge in navigating through Excel and utilization … more
- Red River (Harrisburg, PA)
- **Position Summary:** The Manager , Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... further our Corporate Mission, Values and Objectives. Red River's Residency Services Manager will be responsible for our residents' growth and operational … more
- Guthrie (Sayre, PA)
- …adherence to payer-specific appeal timelines and protocols + Collaborate with clinical, utilization management , billing, HIM, and coding teams to resolve medical ... Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes...management and audit response best practices + Maintains knowledge of and complies with established policies and procedures… more
- Geisinger (Danville, PA)
- …Fleet Professional (CPFP) - American Public Works Associate (APWA); Certified Automotive Fleet Manager (CAFM) - Fleet Management Association (NAFA) OUR PURPOSE & ... Job Summary The Fleet Manager is responsible for planning, directing, managing, coordinating and supervising the programs for safety, acquisition, assignment, … more
- World Insurance Associates, LLC. (Philadelphia, PA)
- …knowledge of plan design alternatives, underwriting and funding concepts. + Drive utilization and ensure accuracy of all agency management system information ... surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. This individual will play a key role in the overall… more
- Eaton Corporation (Glenolden, PA)
- …Demonstrated leadership skills, experience with design processes, portfolio and program management skills, knowledge of customer strategies, successful new ... IS AER FED division is currently seeking an Engineering Manager . This position can be located at our Bethel,...teams to support both local and global product. Drive utilization of global engineering resources. * Support the development… more
- BJs Wholesale Club (Plymouth Meeting, PA)
- …by position **medical plans vary by location Job SummaryWorking closely with the Club Manager and the Assistant Club Managers, the Closing Manager is responsible ... for the departments that they directly manage. The Closing Manager is responsible for leading the Assistant Closing ...supersedes any previous or undated descriptions for this role. Management retains the right to add or change the… more