- WellSpan Health (York, PA)
- …provider groups to support contracting and enrollment efforts. + Partners with physician leadership, recruitment, and onboarding teams to ensure a seamless and ... mergers, and clinical integration efforts. + Leads optimalization and utilization of credentialing/enrollment software systems to support scalability and accuracy.… more
- UPMC (Coudersport, PA)
- …patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and patients' needs. ... and maintain positive, caring relationships with executives, managers, physicians, non- physician providers, ancillary and support staff, other departments, and… more
- University of Pennsylvania (Philadelphia, PA)
- …with a particular focus on the K to R transition of CHOP physician -scientists engaged in clinical CV research. Clinical responsibilities may include working in the ... comprehensive pediatric cardiology research center * Help lead the development and utilization of a "through the door" Cardiac Center/CVI biorepository linked to the… more
- Sedgwick (Harrisburg, PA)
- …lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization ... review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing**… more
- UPMC (Mechanicsburg, PA)
- …required.KNOWLEDGE AND SKILLS:Expertise in care management, discharge planning and utilization review processes. Ability to build credible and effective ... relationships with physician and executive leadership.Understanding of clinical, financial, and regulatory processes.Ability to prepare and critically analyze data,… more
- Geisinger (Port Matilda, PA)
- …professional determinations regarding medications and various drug interactions, drug utilization review, generic substitution, and accurately filling and dispensing ... + Process prescriptions by receiving the prescription via telephone from the physician or in person from the patient, reviewing it against the medication… more
- Guthrie (Sayre, PA)
- …+ Assist physicians in protocol development. + Advise department manager on resource utilization and training needs. + Perform other duties as assigned by the ... Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician -led organization in the Twin Tiers of New York and Pennsylvania. Our… more