- 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
- Guthrie (Troy, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in ... Acute Case Manager Position Summary: The Acute Case Manager...healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …room and ongoing medical management of patient care needs. The ER Care Manager will assist in identifying physician and staff documentation opportunities to ... SIGN ON BONUS The role of the ER Care Manager is to increase patient through put to the... will function as a liaison between attending physicians, Physician Advisors, local CCRCs, SNFs, PCFs, patients, families and… more
- Magellan Health Services (Somerset, PA)
- …Strong organization, time management and communication skills.* Knowledge of utilization management procedures, mental health and substance abuse community resources ... of DSM V or most current diagnostic edition.* Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.… 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
- ChenMed (Philadelphia, PA)
- …from 9am-3pm, working remote for the remaining hours. The Acute Care Manager , Complex Care (RN) is responsible for achieving positive patient outcomes, managing ... Management program with verbal introduction to their Community Care Manager for home visit once discharge to home from...patient is in SNF, in conjunction with the post-acute physician , coordinates the transition to a lower level of… 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
- 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 ... 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
- UPMC (Pittsburgh, PA)
- …you are caring for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with various physician practices. This role will ... no evenings, weekends, or holidays! As a Clinical Care Manager , you will be responsible for care coordination and...lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. Coordinate and modify the care… 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
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