- 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 ... and entity values, policies, and procedures. Ensure system changes follow change management procedures and protocols. -Other duties as assigned to support the unit,… 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 ... controls, documentation, and audit trails. Ensure system changes follow change management procedures and protocols + Performs duties in accordance with Penn… more
- Genesis Healthcare (Mechanicsburg, PA)
- … of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... Responsibilities The Director of Rehab is responsible for the efficient management of rehabilitation services in their assigned account(s). This position also… more
- Genesis Healthcare (Norristown, PA)
- …management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... area The Director of Rehab PT is responsible for the efficient management of rehabilitation services in their assigned account(s). This position also assists… more
- CVS Health (Harrisburg, PA)
- …high-profile dental and vision clients. This role blends strategic account management with a growth mindset, ensuring exceptional client retention while proactively ... insights and consultative solutions tailored to client needs. * Analyze utilization and performance data to inform recommendations and interventions. * Coordinate… more
- Sanofi Group (Moosic, PA)
- …data into meaningful, action-oriented business insights towards optimizing resource utilization and revenue. The ideal candidate is passionate about leveraging ... Transform data into meaningful, action-oriented business insights that improve resource utilization and increase revenue. + Develop and adhere to QC/validation… 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 (Harrisburg, PA)
- …Benefits, Customer Service, Membership & Billing), Provider Data Management , Underwriting, and Professional Relations. **ESSENTIAL RESPONSIBILITIES** + Provide ... including gathering data from multiple sources related to Benefit/Claim Utilization , Enrollment, Networks ( utilization , disruption, geo-access) and making… more
- St. Luke's University Health Network (Bethlehem, PA)
- …the hematology/oncology providers, and infusion centers to monitor chemotherapeutic utilization , supportive drug therapy utilization , adverse drug reactions, ... treatment of malignancy, safe handling of hazardous medication, and drug utilization . Mentors pharmacists, pharmacy residents, and students. Interacts with health… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …their families. Management of the fiscal budget to include bed utilization , FTE planning/ utilization and monitors other operational expenses and sources of ... skilled in managing behavioral health funding, reimbursements and bed utilization ? Do you excel at fostering a work environment...guidance to all employees + Fiscal oversight & FTE Management You will be offered: + Compensation: $ 110,000… more