- Guthrie (Troy, PA)
- Up to a $15,000.00 Sign on Bonus! Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other ... physician offices, and the Robert Packer Hospital Business Office,...Hospital Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior authorization/certification… more
- UPMC (Pittsburgh, PA)
- The Regional Medical Director, CC/DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. This role ... focuses on improving patient flow, resource utilization , and length of stay (LOS) strategic oversight. The...The Regional Medical Director will have direct reports, including Physician Advisors at each hospital in their region. Key… more
- UPMC (Pittsburgh, PA)
- The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... Health Plan members. This fully remote role will be responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician... utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and… more
- LifePoint Health (Roaring Spring, PA)
- …available to correlate with the study to be done. Consults with referring physician to ensure appropriate utilization of services. Regularly performs general ... Health System serves more than a half-million patients each year through the Nason Physician Group, Conemaugh Physician Group and Medical Staff, a network of… more
- Penn Medicine (Philadelphia, PA)
- …optimization of provider experience and workflow. + Oversee initiatives pertaining to physician and clinic schedule utilization and management to enhance access ... underprivileged patients. + Provide guidance and assistance to optimize patient flow, utilization , and space design for clinical practices. + Working with the… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …students and residents within vascular services. Oversees Vascular specific time utilization to include appropriate prioritization of cases among all practitioners ... and other standards as applicable that guide that provider's practice. The physician will work in a team setting with other physicians, nurse practitioners,… more
- YesCare Corp (Philadelphia, PA)
- …_\#LI-DT1_ **Responsibilities** Below is a list of your responsibilities as a ** Physician ** with YesCare at Curran Fromhold Correctional Facility. We are seeking a ... night shift physician . + Provides typical community standard care based on...including sentinel event review. + Actively participant of the Utilization Review process and follow proper procedures. + Other… more
- Trinity Health (Woodlyn, PA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Primary Care Physician ** Shift: Monday - Friday 8 am to 5:00 pm Status: Full time Location: ... Purpose:** Under the supervision of the medical director, the Primary Care physician (PCP) provides primary medical care to PACE Organization (PO) participants,… more
- UPMC (Pittsburgh, PA)
- …time, every time? UPMC Community Medicine, Inc. is seeking a Primary Care Physician trained in Internal Medicine or Family Medicine to join Bedford Internal Medicine ... incentives, including a quality-based Value Incentive Plan, and an APP Utilization Plan. - Benefit highlights: Medical/dental/vision that starts on day one,… more