- Sharecare (Harrisburg, PA)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare… more
- Elevance Health (Seven Fields, PA)
- …autism and depression, and insightful analytics to improve the delivery of care. ** Behavioral Health Provider Quality Manager - Pennsylvania** **This is an ... Northwest, Pennsylvania.** Work Shift: **Monday - Friday, 40 hrs. a week** The ** Behavioral Health Provider Quality Manager ** is responsible for leading … more
- Highmark Health (Harrisburg, PA)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- AmeriHealth Caritas (Philadelphia, PA)
- …us at www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the LTSS Manager /Director for Utilization Management , this position is ... Home Modification Team and staff members within the LTSS Review Utilization Management Department. Responsibilities include providing technical and operational… more
- Sevita (Bethlehem, PA)
- **Mentor Behavioral Health** **,** a part of the Sevita family, provides Early Intervention, Applied Behavioral Analysis (ABA) and Behavioral Health services ... May develop and implement crisis intervention emergency procedures, oversee Utilization Review, Quality Assurance, investigations, internal evaluations and participate… more
- WellSpan Health (Chambersburg, PA)
- … manager cost and maximize employee satisfaction and resource utilization . **Duties and Responsibilities** **Essential Functions:** + Facilitates and directs ... changes. + Creates customized reports to present data valuable to logistics manager , nurse managers, department directors, and finance partners for resource … more
- WellSpan Health (York, PA)
- … management , all components of advanced cardiac life support, pacemaker/ICD management , IABP management , CRRT utilization , and Impella. **General ... of various computer applications designed for functions such as patient management , patient census, acuity, composer, bed tracking, transport, etc.. Serves as… more
- CenterWell (Harrisburg, PA)
- …**Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review ... work, communication of decisions to internal associates, participation in care management and possible participation in care facilitation with hospitals. The… more
- University of Pennsylvania (Philadelphia, PA)
- …Building Administrator, Wharton Operations Job Profile Title Building Operations Manager Job Description Summary The Senior Building Administrator is responsible ... Administrator ensures the seamless operation of facilities, work order management , vendor coordination, and emergency response efforts while maintaining Wharton's… more
- Highmark Health (Harrisburg, PA)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more