- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Manager , Practice Operations leads and manages the operations of assigned practices to ensure ... on computer billing system, coding and insurance requirements. Together with the physician (s), responsible for the successful operation of the practice. JOB DUTIES… more
- Pfizer (Collegeville, PA)
- …future of Pfizer as a data-driven organization. We are seeking a Senior Manager of Performance Analytics & Insights to drive performance tracking and reporting for ... of flexible resources + Be accountable for continuous improvement and identification/ utilization of new capabilities to maximize the competitive advantages of the… more
- Evolent (Harrisburg, PA)
- …monitoring for improvement. Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… 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 ... type assignment or Care Coordination Team (CCT) Model (Case Manager and Social Worker teams are assigned to patients...and Social Worker teams are assigned to patients by physician practice) to address patient care transition needs. Provides… more
- Highmark Health (Pittsburgh, PA)
- …and testing processes in partnership with the pharmacy benefits manager . The successful candidate will possess excellent communication, analytical, and ... RESPONSIBILITIES** + Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to… more
- Fresenius Medical Center (Philadelphia, PA)
- …pre, during and post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing ... techniques to assist the physician in optimum patient outcomes following facility policies and...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more
- Penn Medicine (Philadelphia, PA)
- …critical thinking skills and being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, team, and ... will miss patient contact? If so, our nurse case manager role at Penn Medicine is the perfect transition...of internal resources, communication with interdisciplinary care team and Physician Advisor, with timely coordination of home care, DME,… more
- Guthrie (Sayre, PA)
- …staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the Guthrie ... Robert Packer Hospital. May be assigned to special projects per Clinical Manager / Director consistent with strategic, fiscal, quality and operational goals/targets.… more
- WellSpan Health (Chambersburg, PA)
- …to treatment. + For HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment and adjust treatment ... the provider and the patient concerning patient. + In collaboration with Physician /APP, reinforces health education, counseling, and advice to patients and families… more
- WellSpan Health (York, PA)
- …to treatment. + For HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment and adjust treatment ... the provider and the patient concerning patient. + In collaboration with Physician /APP, reinforces health education, counseling, and advice to patients and families… more