- Humana (Harrisburg, PA)
- …to address identified gaps. They will work closely with established functions inside utilization management ( Medical Director , clinician decision making ... working with CMS Compliance Regulations + Experience working with medical directors in some capacity ie Committees, projects. +...capacity ie Committees, projects. + 3 or more years' Utilization Management Experience + 2 + years… more
- Cognizant (Philadelphia, PA)
- …within the Retail and CPG space supporting Salesforce engagements in technical and management capacity. Focused on growing our client base, this role supports the ... real-time visibility into project health, financial performance, and resource management . Build and maintain strong collaborative relationships between practice and… more
- UPMC (Somerset, PA)
- …is accountable for achieving quality patient care through appropriate leadership and utilization of human and fiscal resources in their program area. The position ... organization operational imperatives, and implements clinical practice changes. Collaborates with medical staff and key stakeholders to improve patient outcomes; set… more
- Guthrie (Sayre, PA)
- … and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. ... Manager has the responsibility, accountability, and authority for coordinating the medical management of hospital patients, using outcomes-based approaches. The… more
- UPMC (Washington, PA)
- …staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director /Physician Advisor and staff to ensure effective ... The Manager oversees the day-to-day operations of the Case management department under the direction of the Director . The Manager is accountable for the… more
- Genesis Healthcare (Williamsport, PA)
- … of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- University of Pennsylvania (Philadelphia, PA)
- …wellness programs and resources, and much more. Posted Job Title Senior Prospect Management Analyst Job Profile Title Associate Director , Prospect Research Job ... Description Summary The Senior Prospect Management Analyst reports to the Director of... of prospects at the University. The Senior Prospect Management Analyst leads the departmental prospect utilization … more
- Genesis Healthcare (Mechanicsburg, PA)
- …The Director of Rehab is responsible for the efficient management of rehabilitation services in their assigned account(s). This position also assists ... Area Director ). 10. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and… more
- Select Medical (Mckeesport, PA)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... well by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management… more
- Select Medical (York, PA)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... well by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management… more