- 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 ... hospital inpatient admissions and short procedures by translating clinical information to Utilization Management requirements using pre ‐ determined criteria. b.… more
- UPMC (Pittsburgh, PA)
- … management ? UPMC Health Plan is looking for you! We are hiring a full-time Utilization Management Care Manager to support the Utilization ... Friday. Preference will be given to candidates located in Pennsylvania. The Utilization Management (UM) Care Manager is responsible for utilization … more
- Select Medical (Erie, PA)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… 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... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… 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... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- Burns & McDonnell (Conshohocken, PA)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with the engineering team to establish the development ... **Description** The Construction Project Manager supports the Engineer Procure Construct Project Manager or Program Manager to oversee day-to-day operations… more
- Wolters Kluwer (Philadelphia, PA)
- …efforts, prioritizing efforts and resources for assigned customer portfolio. + **Ongoing Utilization Management ** + Oversee and analyze customer utilization ... (see locations listed on the posting) **OVERVIEW** The Customer Success Engagement Manager plays a high-impact role in managing strategy and product utilization… 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
- 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