- Evolent (Harrisburg, PA)
- …As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,...consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as… more
- Magellan Health Services (Bethlehem, PA)
- …DSM V or most current diagnostic edition and ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care ... and other clinical team members through content knowledge, technical and utilization management expertise. Researches open questions and unresolved issues for Care… more
- Evolent (Harrisburg, PA)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
- WellSpan Health (York, PA)
- …holiday per year **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of ... Model (Case Manager and Social Worker teams are assigned to patients by physician practice) to address patient care transition needs. Provides leadership in the… more
- Highmark Health (Pittsburgh, PA)
- …has oversight of West Penn vascular lab services and oversight of Physician Organization vascular lab services at Jefferson Hospital, Forbes Regional Hospital, ... and control of operating and capital budgets, the monitoring of resource utilization and justification of variances. Assists with vascular lab budgeting at … more
- Fresenius Medical Center (Philadelphia, PA)
- …Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. ... appropriate labs; reporting and forwarding of lab results to appropriate physician . + Maintains competency with all emergency operational procedures, and initiates… more
- Penn Medicine (Lancaster, PA)
- …Department: Pharmacy and IV Solutions POSITION SUMMARY: In collaboration with the physician and other allied health professionals, evaluate drug therapy based on ... teaching aides or computer-generated warning or supplemental information. + Conducts drug utilization reviews to assure the quality of drug use. Determines if… more
- Magellan Health Services (Newtown, PA)
- …collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or ... outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental… more
- WellSpan Health (Chambersburg, PA)
- …the provider and the patient concerning patient. + In collaboration with Physician /APP, reinforces health education, counseling, and advice to patients and families ... will direct patient/caller to an acceptable alternative venue of care. Seeks Physician /APP advice appropriately. + Tracks, reviews, and monitors the follow-up of… more
- LifePoint Health (Johnstown, PA)
- Conemaugh Physician Group is seeking a full-time Practice Manager for the CPG East Hills Primary Care and Medwell. The primary responsibilities of the Practice ... Pennsylvania, serving over a half-million patients each year through the Conemaugh Physician Group and Medical Staff, a network of hospitals, specialty clinics and… more