- Humana (Harrisburg, PA)
- …with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- Geisinger (Danville, PA)
- …services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to ... coordination of services. + Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency… more
- Penn Medicine (Philadelphia, PA)
- …with healthcare professionals, IT teams, and vendors to ensure the effective utilization of clinical systems to support patient care and improve operational ... professionals, IT teams, and vendors to ensure the effective utilization of clinical systems to support patient care and...professionals, IT teams, and vendors to ensure the effective utilization of clinical systems to support patient care and… more
- St. Luke's University Health Network (Allentown, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all treatment ... discharge interventions accordingly. + Actively addresses and monitors resource utilization and documents delays as appropriate. + Identifies patients with… more
- Highmark Health (Harrisburg, PA)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or… more
- CVS Health (Harrisburg, PA)
- …and coordination of psycho social wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of ... residence **Preferred Qualifications** + Crisis intervention skills preferred Managed care/ utilization review experience preferred + Case management and discharge… more
- Highmark Health (Harrisburg, PA)
- …**Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to assure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management, and… more
- Highmark Health (Pittsburgh, PA)
- …a two year commitment.** **GENERAL OVERVIEW:** Responsible for optimizing bed utilization and ensuring appropriate patient placement within AHN facilities. This ... identify and resolve bottlenecks in patient flow, proactively optimizing bed utilization and improving patient throughput.20% + Proactively identifying and resolving… more
- Organon & Co. (Plymouth Meeting, PA)
- …as well as other extended account team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business ... regional level, as required. Leads Organon 's efforts to maximize appropriate utilization of its portfolio while bringing resources and solutions to customers that… more
- Oracle (Harrisburg, PA)
- …with healthcare executives, clinical leaders, and IT teams to drive adoption and utilization of the Oracle Population Health suite. o Provide expert guidance on ... to continuously assess and identify opportunities for expansion and deeper utilization of Oracle Population Health solutions across the organization. o Identify… more