- Sargent Electric (Pittsburgh, PA)
- …Timely decisions and direction to ensure project profitability. + The proper utilization / management of Company-Owned and rented equipment. + Direct supervision ... office. The primary responsibility of this position is the successful supervision and management of construction activities, in the safest manner possible, up to and… more
- Guthrie (Sayre, PA)
- …adherence to payer-specific appeal timelines and protocols + Collaborate with clinical, utilization management , billing, HIM, and coding teams to resolve medical ... The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the health system.… more
- Carnegie Mellon University (Pittsburgh, PA)
- …Provide analytical support and financial insight for audits, facilities projects, space utilization , grants management , and special projects. + Coordinate with ... audit readiness and resolution of findings. **Process Improvement and Systems Management ** + Identify and execute initiatives to streamline accounting processes and… more
- Select Medical (Harrisburg, PA)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more
- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... DME, placements, hospice, community resources, transportationQuality data collection and risk management referralWorks with patient and family to assure provision of… more
- Select Medical (Hummelstown, PA)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more
- UPMC (Pittsburgh, PA)
- …in a human services field. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... substance use disorder who have unstable, inadequate, or no residence. Intensive care management is provided in collaboration with the local housing vendor with whom… more
- UPMC (Pittsburgh, PA)
- …to LSW, LPC or CSW. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Mobile Professional Care Manager position to support the Population Health Case Management department. This is a Monday through Friday daylight role (8:00 am… more
- Geisinger (Shamokin, PA)
- …all Revenue Management teams and departments including Practice Consultants, Utilization Management and Care Management , Providers, Geisinger ... and out surgeries and outpatient clinical departments. + Follows Revenue Management policies and procedures regarding financial matters and payment arrangements. +… more
- Travelers Insurance Company (Harrisburg, PA)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more