- UPMC (Pittsburgh, PA)
- …a minimum of 1 shift per pay period or 2 shifts per month. Are you an RN or social worker interested in care management , case management , or care ... and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and… more
- UPMC (Pittsburgh, PA)
- …in a clinical role involving discharge planning/clinical care coordination. Are you an RN or social worker interested in care management , case management ... and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and… more
- Sedgwick (Harrisburg, PA)
- …satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business ... lines; and to provide expertise in client specific case management and utilization review requirements and ensure...+ Assists in establishing policy and procedures to assure compliance to best practices, clinical management services… more
- CenterWell (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- St. Luke's University Health Network (Bethlehem, PA)
- …Worker (OP CM SW) is responsible for providing Social Work and care management services to out-patients and their families (occasional in-patients) as directed by ... policies and procedures of the entity and Outpatient Care Management Department. The OP CM SW provides professionally established...CM SW also collaborates with the Outpatient Care Manager RN , Community Health Worker and extender staff as needed… more
- Highmark Health (Pittsburgh, PA)
- …clinical site 3 days per week** **GENERAL OVERVIEW:** Responsible for the management of all clinical and administrative components for Clinical Informatics and ... the annual budgets. Ensures cost effective operations by scrutinizing resource utilization such as scheduling practices, payroll and inventory control. + Promotes… more
- J&J Family of Companies (Horsham, PA)
- …external relationships with the health care provider team (MD, PA, NP, RN , Pharm.D.) and developing and managing a geographical territory. These relationships and ... the area of Agility, applying the competencies of Change Management , Time Management and Innovation to the...activities in accordance with current regulatory and health care compliance guidelines. This is a field based clinical position… more
- UPMC (Erie, PA)
- …while safeguarding the patient's health, well-being, and rights. + Cost Management and Outcome Optimization: Balance patient safety, clinical quality, risk, and ... satisfaction to make recommendations that optimize outcomes and resource utilization . + Innovation and Technology Integration: Embrace and incorporate technological… more