- MetLife (Clarks Summit, PA)
- …the applications are available and functionally reliable. The Director for Production Management will lead a cross-domain team to ensure service reliability and ... Resiliency group is a fast-paced, global, multi-cultural environment where time/task management , professionalism, self-study using research and discovery, as well as… more
- LifePoint Health (Johnstown, PA)
- …Manager PRN/Hourly* Job Type:PRN/Hourly| M-Sun 8a-430p ** *Department/Unit Summary* Case Management plays an important role in the care of hospitalized patients. ... Our team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure that payer...individualized plan of care for our patients. The Case Management staff coordinates with the interdisciplinary team and community… more
- Penn Medicine (Philadelphia, PA)
- …integrated health care, achieve clinically appropriate and financially sound resource utilization , support the insurance verification team, clinical staff and verify ... payer reimbursement.Asses clinical information for appropriateness of settling and utilization of resources to optimize patient outcomes and cost effective.Provide… more
- The Hershey Company (Hershey, PA)
- …to present and field questions to customers in a live environment. * Utilization and application of traditional category management tools including, but not ... The Category Consultant will serve as a key constituent to internal team members, management & external customers; Success in the role will be defined as the… more
- CVS Health (Pittsburgh, PA)
- …consistent responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of… more
- US Army Reserve Command (Horsham, PA)
- …Army Reserve, visit http://www.goarmy.com/reserve/jobs.html Responsibilities Serve as a Logistics Management Specialist in an Army Reserve Brigade or equivalent ... Executive Order (EO) 12721 Interagency Career Transition Assistance Plan Land Management Workforce Flexibility Act Military Spouses, under Executive Order (EO) 13473… more
- Gentiva (Canonsburg, PA)
- …with a schedule of 7on/7off.** The **Afterhours RN in our Advanced Illness Management (AIM) program** will report directly to the Director of AIM. Responsible for ... for the designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic, video, and in person interventions… more
- Highmark Health (Natrona Heights, PA)
- …OVERVIEW:** Provides operational and strategic leadership for Hospital/facility Care Management Department. Collaborates with nursing and clinical leaders to assure ... level of care determination practices. (20%) + Studies and implements the care management model and structure to achieve sustainable length of stay, resource … more
- Grifols Shared Services North America, Inc (Pittsburgh, PA)
- …countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...protocol changes within their related area of practice. + Utilization of corporate resources including the Key Account Manager,… more
- Genesis Healthcare (Williamsport, PA)
- … of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more