• Medical History Specialist - Medication…

    Penn Medicine (Lancaster, PA)
    …entering patient medication histories into the hospital's information system for utilization by health care professional during the hospital encounter. ESSENTIAL ... admission. + Responsible for gathering information from various resources ( physician offices, community pharmacy, historical encounter, extended care facility,… more
    Penn Medicine (08/09/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Harrisburg, PA)
    …Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or… more
    Humana (08/09/25)
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  • Supervisor, Clinical RN -Med/Surg Nursing - 6 NW…

    Guthrie (Sayre, PA)
    …judgment. Ensures compliance with entity/department goals and clinical resource utilization . Promotes change and teamwork. Performs clinical duties of the ... experience or charge nurse experience desired Essential Functions: + RESOURCE UTILIZATION ; Considers factors related to safety, effectiveness, cost, and impact on… more
    Guthrie (06/27/25)
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  • Associate Center Operations Director - Market

    ChenMed (Philadelphia, PA)
    …best practices and addressing patient feedback to improve satisfaction. + **Slot Utilization :** Optimize the utilization of available appointment slots to ... for seniors and changing America's healthcare for the better. Family-owned and physician -led, our unique approach allows us to improve the health and well-being… more
    ChenMed (06/27/25)
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  • Supervisor, Assistant Clinical Manager RN…

    Guthrie (Sayre, PA)
    …Assists with business plans, fiscal accountability, and clinical and resource utilization . Fosters change, and teamwork. Performs clinical duties of the patient ... experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION : Considers factors related to safety, effectiveness, cost, and impact on… more
    Guthrie (06/11/25)
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  • Manager, Sleep/Neuro Diagn - Mobil Sleep Lab…

    Guthrie (PA)
    …demand using R&K standards and AASM recommendations + Coordinates the utilization of equipment for Sleep Services + Provides coverage as technician/technologist ... a copy of testing schedule for all host institutions for staff/equipment utilization + Reviews, revises and ensures compliance with departmental policies and… more
    Guthrie (06/06/25)
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  • Senior Practice Manager - CCP Heritage…

    UPMC (Camp Hill, PA)
    …and resources. + Serve as liaison for renovations, construction and building utilization with UPMC and outside construction services. + Develop strategic plans for ... practice valuations, contract negotiations and staffing as required. + Assist in physician relations as necessary. + Maintain knowledge initiatives as it relates to… more
    UPMC (08/16/25)
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  • Professional Care Manager

    UPMC (Pittsburgh, PA)
    …the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning and post-acute care referrals ... and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation to support… more
    UPMC (08/15/25)
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  • RN Care Coordinator PCMH (Patient Centered Medical…

    Guthrie (Sayre, PA)
    …autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review, and payer knowledge. Fast paced ambulatory care experience ... for all identified patients. + e. Collaborates with patient, physician , and other care team members in assessing the...Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician -led organization in the Twin Tiers of New York… more
    Guthrie (08/12/25)
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  • Clinical Service Specialist (Part time, Day shift)

    Penn Medicine (Elizabethtown, PA)
    …verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and ... patient acuity. Demonstrates skill to service both hospital and physician office patients, if necessary. + Supports inbound and...practices and able to access need for changes in utilization Patient Care Safety + Greets and escorts patient… more
    Penn Medicine (08/07/25)
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