• Field Medical Director-Vascular Surgery

    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 ... to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization more
    Evolent (08/03/25)
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  • Case Management Nurse-RN Weekend Option 3 - York…

    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 ... patient care transition needs. Provides leadership in the integration of utilization and case management principles throughout the hospital. **Essential Functions:**… more
    WellSpan Health (07/22/25)
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  • Field Medical Director, MSK (Spine) Surgery

    Evolent (Harrisburg, PA)
    …match reviewer for Spine Surgery cases. you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization more
    Evolent (07/02/25)
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  • Medical Director, MSK Surgery

    Evolent (Harrisburg, PA)
    …to the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit processes ... training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts… more
    Evolent (05/20/25)
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  • CAR-T Cell Therapy Experience Lead - South Central

    J&J Family of Companies (Horsham, PA)
    …the appropriate patients to access CARVYKTI. Facilitating successful CARVYKTI(R) product utilization of the sites by advising them on order management, operations, ... be the face of Johnson & Johnson Oncology CAR-T utilization to these sites and will be tasked with...logistics, providing counsel on topics ranging from CARVKTI(R) technology utilization to process optimization. + **Lead Issue Resolution Process**… more
    J&J Family of Companies (08/16/25)
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  • Contract Manager Corporate Supply Chain

    Penn Medicine (Philadelphia, PA)
    …Contract Manager collects and conducts analysis of spend data and other utilization data to identify expense reduction and operational improvement opportunities as ... UPHS departments + Analytics/Planning: + Reviews and analyzes supply trends and utilization , and recommends purchasing practice changes to ensure lowest price paid.… more
    Penn Medicine (08/15/25)
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  • Supply Chain Solutions Analyst

    Owens & Minor (Pittsburgh, PA)
    …running reports, inventory management, and maintaining the usage history to improve a product utilization . We are looking for an individual who is able to commute to ... Department by providing product information for monitoring, controlling, and tracking utilization trends. * Utilize QSight to provide management reports necessary to… more
    Owens & Minor (08/15/25)
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  • RN Case Manager (Daylight) , Forbes

    Highmark Health (Monroeville, PA)
    …outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management of readmissions, ... length of stay, ED utilization , and patient/family satisfaction. **ESSENTIAL RESPONSIBILITIES:** + Contributes to or completes comprehensive assessment of patients… more
    Highmark Health (08/13/25)
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  • Emergency Dept Care Manager Registered Nurse…

    Redeemer Health Home Care & Hospice (Meadowbrook, PA)
    …work and adjust to different environments. Knowledge of Interqual and utilization review standards. Experience in clinical documentation within electronic medical ... Experience in Care Coordination, Discharge Planning, Clinical Documentation and Utilization Review preferred. Strong verbal, written and leadership skills.… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Heavy Equipment Area Manager

    WM (Philadelphia, PA)
    …responsible for delivering industry leading maintenance performance and asset utilization . Responsible for delivering excellence in cost, equipment availability, ... asset utilization , shop productivity management and performance improvements and fleet...is available to meet disposal operation requirements. Manage effective utilization of heavy equipment assets. Implement cost reduction, customer… more
    WM (08/08/25)
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