• Mobile Professional Care Manager - Blair County

    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 (12/08/25)
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  • Mobile Professional Care Manager (Cambria/Somerset…

    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
    UPMC (12/08/25)
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  • Patient Financial Counselor

    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
    Geisinger (11/08/25)
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  • VP & Medical Director

    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
    Travelers Insurance Company (10/24/25)
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  • Clinical Care Manager or Senior/Mobile…

    UPMC (Pittsburgh, PA)
    …with 6-8 year of experience. + 3 years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health plan… more
    UPMC (12/25/25)
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  • Mobile Professional Care Manager - Blair & Cambria…

    UPMC (Pittsburgh, PA)
    …Psychologist, LMFT or LPC + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health plan… more
    UPMC (12/08/25)
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  • Mobile Professional Care Manager - Beaver…

    UPMC (Pittsburgh, PA)
    …6-8 year of experience. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... is seeking a full-time Mobile Professional Care Manager to support the Care Management Department in Beaver & Lawrence Counties! The Mobile Professional Care Manager… more
    UPMC (11/13/25)
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  • CDI Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …medical staff, and all areas of clinical documentation improvement, CEQI, denials management , coding, utilization management to develop and implement ... CDI, Coding, medical necessity, levels of care, care progression, denial management , compliance with governmental and private payer regulations, and appropriate… more
    Penn Medicine (10/17/25)
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  • Clinical Account Director - Remote

    Prime Therapeutics (Harrisburg, PA)
    …specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products ... stakeholders through effective consultative services. **Responsibilities** + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics… more
    Prime Therapeutics (12/07/25)
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  • VP, MSK and RBM Value

    Evolent (Harrisburg, PA)
    …in healthcare leadership roles, with expertise in musculoskeletal and radiology, utilization management , or value-based care programs. + **Strategic Acumen:** ... Value** will lead Evolent's Musculoskeletal (MSK) and Radiology Benefit Management (RBM) programs strategy and execution, driving clinical innovation, operational… more
    Evolent (12/18/25)
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