- UPMC (Wellsboro, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- Genesis Healthcare (Camp Hill, PA)
- …to achieve patient goals and minimize rehospitalizations; 4.4. Actively participates in Utilization Management or InterdisciplinaryCare Management Meeting to ... facilitate appropriate discharge planning: 4.4.1. Communicates team's recommendations for discharge to the attending physician, patient and family; 4.4.2. Prepares patient/family for discharge including patient and family education; 5. Communicates patient… more
- UPMC (Seven Fields, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- UPMC (Erie, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- UPMC (Pittsburgh, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- UPMC (Erie, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- UPMC (Somerset, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- UPMC (Harrisburg, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care. +… more
- Highmark Health (Wexford, PA)
- …with all regulatory agency requirements **ESSENTIAL RESPONSIBILITIES** + Reviews pharmacy utilization management (UM) coverage requests and prepares such cases ... among others. (5%) + May perform other non-clinical duties as required by management and department needs. **QUALIFICATIONS** **Required** + 2 years of experience as… more
- Evolent (Harrisburg, PA)
- …various sites of care/service is preferred + Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the ... will partner with stakeholders of various levels across analytics, finance, and account management . **What You Will Be Doing:** + Develop and deploy models and… more