- Genesis Healthcare (Mechanicsburg, PA)
- …Operations Area Director). 10. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, ... the delivery of the highest standard of rehabilitation services through appropriate utilization of resources, the promotion of clinical proms, and staff development… more
- CenterWell (Lancaster, PA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts ... problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review of the… more
- Highmark Health (Pittsburgh, PA)
- …that supports excellence of care and achievement of optimal resource utilization . Also facilitates appropriate LOS, patient satisfaction and reimbursement for all ... a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.… more
- UPMC (Pittsburgh, PA)
- …the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care following ... promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. Coordinates and modifies the care plan with… more
- Graham Packaging Company (West Hazleton, PA)
- …personnel in the management of safety, quality, customer service, efficient utilization of resources, equipment, materials and manpower procedures and programs. ... contact with sales department and customer service to effectively meet and maximize utilization of plant facilities. + Act as the Plant's Project Manager on new… more
- UPMC (Pittsburgh, PA)
- …includes managing an experienced team responsible for analyzing medical cost utilization and unit cost data, developing strategies to improve experience relative ... improvement opportunities and potential risks + Analyze trends in spending and utilization . + Develop and gain support for data-based recommendations with team… more
- Highmark Health (Harrisburg, PA)
- …**JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most ... URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team… more
- Commonwealth of Pennsylvania (PA)
- …requirements and goals. Make assessments and decisions in regard to staff utilization , supplies and equipment needs in accordance with safety standards. Work ... care and meet organizational goals. + C. Assess and make decisions on utilization of equipment and supplies in accordance with safety standards. 15 WORK BEHAVIOR… more
- Humana (Harrisburg, PA)
- …with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- Penn Medicine (Philadelphia, PA)
- …to improve patient outcomes and operational efficiency. + Monitor drug utilization and implement cost-saving initiatives without compromising quality of care. ... leadership responsibilities. + Strong knowledge of formulary management, drug utilization review, and cost-containment strategies. + Excellent communication, leadership,… more