- Cleveland-Cliffs Inc. (Butler, PA)
- …bring a data-driven mindset to support strategic decision-making around labor utilization , overtime management , and performance-based compensation. Summary of ... Responsibilities + Analyze workforce data to identify trends in labor utilization , overtime, absenteeism, and productivity. + Develop and maintain labor standards,… more
- Highmark Health (Harrisburg, PA)
- …Provide analytical/strategic-thinking and leadership support that enables the medical policy and utilization management teams to: 1) isolate business issues; 2) ... to junior team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a… more
- AmeriHealth Caritas (Philadelphia, PA)
- …the PCC supports daily functions of the Personal Service Program, Integrated Care Management , and Utilization Management initiatives. This role involves ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Geisinger (Danville, PA)
- …department and service line policies. + Participates in departmental strategic planning, utilization management , and implementation of the strategic plan. + Acts ... operations and performance. + Performs duties associated with AP staff Kronos management and payroll approval for direct reports. + Participates in conflict… more
- Evolent (Pittsburgh, PA)
- …medical review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation. **Core ... Responsibilities** + **Team Leadership & Performance Management ** + Lead and manage a team of medical oncologists responsible for reviewing oncology cases. +… more
- Trinity Health (Philadelphia, PA)
- …nursing required. + Active PA RN License required. + Three (3) years of utilization management or case management experience, including emphasis on discharge ... planning. + Case Management certification from an accredited organization preferred **We offer a competitive salary and comprehensive benefits including:** +… more
- Humana (Harrisburg, PA)
- …to deliver exceptional, person-centered support to members through role-specific care and utilization management activities. This is an opportunity to foster ... and optimize learning processes, including program marketing, registration, resource management , and follow-up communications. + Plan for departmental growth and… 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
- 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 (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