- Grifols Shared Services North America, Inc (Pittsburgh, PA)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... role in the successful launch of a new Bleeding Management product within the Grifols Biopharma portfolio. The KAM...provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process… more
- Highmark Health (Harrisburg, PA)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Magellan Health Services (Bethlehem, PA)
- …with other members of the clinical team, authorizes and reviews utilization of autism services, including Applied Behavioral Analysis (ABA). Collects and ... analyzes utilization data. Assists with shaping of ABA services and...of the members progress are ongoing. Assures overall case management with the inclusion of behavioral health services when… more
- St. Luke's University Health Network (Allentown, 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 ... to hear from you! Job Duties The RN Care Manager assesses, plans, implements, coordinates, monitors and evaluates all...of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery… more
- Geisinger (Danville, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... lasting career by joining us as a RN Case Manager - Care Coordinator for the Geisinger Medical Center...healthcare team. + Maintains required documentation for all case management activities. + Collects required data and utilizes this… more
- Centene Corporation (Harrisburg, PA)
- …or medical group experience, provider relations, quality improvement, claims, contracting utilization management , or clinical operations. Project management ... align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- Chobani (Philadelphia, PA)
- Summary The Sales Enablement Manager will be responsible for managing daily operations related to our sales technology stack, including HubSpot CRM, lead generation ... enhance sales productivity and efficiency by ensuring seamless integration and utilization of sales and marketing tools and resources. Responsibilities Sales… more
- Geisinger (Wilkes-Barre, PA)
- …leadership team and practice at the top of license in a collaborative environment! The manager position will vary in scope and complexity based on the area to which ... the manager is assigned. In general, the manager ...care professionals as well as patients concerning medication therapy management . Job Duties + Performs all pharmacist duties and… more
- Penn Medicine (Lancaster, PA)
- …Pennsylvania Board of Nursing. + Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care. + Care management experience in a managed ... health in an appropriate environment that would support their needs. The Case Manager functions within the full scope of practice to include the major… more