- Organon & Co. (Plymouth Meeting, PA)
- …Care Providers such as Physicians across multiple specialties, Nurse Practitioners, Physician Assistants, Midwives, Nurses and Pharmacist in addition to quality ... and Residency programs, Federally Qualified Health Centers, Universities, Independent Physician Associations, Management Service Organizations, Planned Parenthood and Family… more
- WellSpan Health (Mount Gretna, 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 (Roaring Spring, PA)
- …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 ... specialty clinics and patient-focused programs. *Essential Functions:* Demonstrated effective utilization of nursing process as basis for nursing practices. Develops… more
- LifePoint Health (Johnstown, PA)
- Conemaugh Physician Group is seeking a full-time Practice Manager for CPG Orthopedics in Johnstown, PA.The primary responsibilities of the Practice Manager include ... 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
- Penn Medicine (Philadelphia, PA)
- …capacity optimization. This includes all sites on and off campus. + Provide Physician leadership and partner with the CNO and Clinical Director(s) and operational ... in realizing the strategic goals of PAH. + Work in concert with physician , nursing and operations partners to ensure that operational, strategic and programmatic… more
- CenterWell (Lancaster, PA)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- UPMC (Pittsburgh, PA)
- …healthy lifestyles, closes gaps in care, reduces unnecessary ER utilization and hospital admissions/readmissions, and manages social determinants of health. ... clinical and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the plan of care… more
- Sedgwick (Harrisburg, PA)
- …use contract with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost savings, trends, and ... data collection. + Interacts and coordinates work of physician advisors as needed; performs complex review of cases to identify referral for case management as… more
- UPMC (Pittsburgh, PA)
- …hiring a full-time Clinical Care Manager to support our partnership with various physician practices. This role will support locations in the Erie area. The position ... promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. Coordinate and modify the care plan with member,… more
- Highmark Health (Monroeville, PA)
- …that supports excellence of care and achievement of optimal resource utilization . Also facilitates appropriate LOS, patient satisfaction and reimbursement for all ... denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working knowledge… more