- WM (Philadelphia, PA)
- …. Responsible for delivering excellence in cost, equipment availability, asset utilization , shop productivity management and performance improvements and fleet ... equipment is available to meet disposal operation requirements. Manage effective utilization of heavy equipment assets. Implement cost reduction, customer and… more
- UPMC (Pittsburgh, PA)
- …of health insurance experience required. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management ... by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more
- Guthrie (Sayre, PA)
- …staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the ... / Director informed of clinical issues, triage problems, staffing issues, and risk management concerns. Acts on behalf of Clinical Manager / Director in his/her… more
- Magellan Health Services (Newtown, PA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...an active work load in accordance with National Care Manager performance standards. + Works with community agencies as… more
- Geisinger (Wilkes-Barre, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... optimizing the patient or member's health status. + Manages utilization and practice metrics to further refine the delivery...healthcare for complex care patient population. + Complex care manager works with Care Management Operations Team… more
- Highmark Health (Monroeville, PA)
- …and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, ... or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case … more
- ChenMed (Philadelphia, PA)
- …clinical work experience required + A minimum of one (1) year of utilization review and/or case management , home health, hospital discharge planning experience ... working remote for the remaining hours. The Acute Care Manager , Complex Care (RN) is responsible for achieving positive...plans. The success of this role is determined by management of patients in hospital to ensure patients receive… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …and sales support responsibilities. The ATM will work collaboratively with Territory Manager (s) to support sales activities and territory management tasks that ... and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus… more
- St. Luke's University Health Network (Quakertown, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all ... to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as… more
- Geisinger (Wilkes-Barre, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... career with impact. Join us as an RN Case Manager in Care Coordination to strengthen that impact. Apply...of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery… more