- Evolent (Harrisburg, PA)
- …team approach with call center staff. Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + ... Nurse, you will be a key member of the utilization management team. We can offer you a meaningful...other CR's (Clinical Reviewers), providers, office staff and Field Medical Directors. **What You Will Be Doing:** + Functions… more
- Evolent (Harrisburg, PA)
- …team approach with call center staff. Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + ... Nurse, you will be a key member of the utilization management team. We can offer you a meaningful...other CR's (Clinical Reviewers), providers, office staff and Field Medical Directors. **What You Will Be Doing:** + Functions… more
- WM (Philadelphia, PA)
- …responsible for delivering industry leading maintenance performance and asset utilization . Responsible for delivering excellence in cost, equipment availability, ... asset utilization , shop productivity management and performance improvements and fleet...to encourage safe and efficient operations. Meet all financial review dates and corporate directed programs in a timely… more
- Highmark Health (Monroeville, PA)
- …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... etc. Serves as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer guidelines. Adheres to… more
- FirstEnergy (Latrobe, PA)
- …+ Fostering a high-performing safety culture through personal conduct and utilization of human performance principles. + Coordinating and supervising smaller to ... drawings of the project site. + Participating in contractor evaluation, project review meetings, and meetings concerning "Lessons Learned". + Aware of procedures and… more
- Genesis Healthcare (Mechanicsburg, PA)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and ... Clinical Operations Area Director in the timely completion of the annual merit review for therapy staff. 7. Assists Clinical Operations Area Director in the hiring… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... report on budget variances, including operational drivers and external impacts. + Review , analyze, summarize, and interpret financial data. + Oversee preparation of… more
- Amergis (Pittsburgh, PA)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and Responsibilities: + Performs and coordinates the… more
- Fujifilm (Harrisburg, PA)
- …courses, and grant requests received by Fujifilm from industry societies, Academic Medical Centers, and other health-related organizations in the West and South ... received by the Fujifilm Endoscopy Division from industry societies, Academic Medical Centers, and other health-related organizations in the West and South-Central… more
- Penn Medicine (Philadelphia, PA)
- …must be a seasoned med/surg nurse with a minimum of 5 years' experience in Utilization review and 3 years of experience in the Transfer Center.** Summary: + ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more