- ChenMed (Philadelphia, PA)
- …clinical work experience required + A minimum of one (1) year of utilization review and/or case management , home health, hospital discharge planning experience ... on-site at an assigned hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager,...through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care… more
- CenterWell (Lancaster, PA)
- …driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... **Position Type** : On-site **Branch Location** : Lancaster, PA **This is not a remote or work-from-home position. This position requires you to sit on-site at our… more
- Guthrie (Sayre, PA)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management / utilization review, and payer knowledge. Fast paced ambulatory care ... Coordinator has the responsibility and accountability for coordinating the medical management of patients, using an outcomes‐based approach. In collaboration with… more
- UPMC (Pittsburgh, PA)
- …works Monday through Friday during daylight hours. The position will be fully remote ! In this role, the DRG Specialist II will review clinical documentation within ... the medical record to ensure that all patient resource utilization , diagnostic complications and co-morbidities have been coded in compliance with coding guidelines,… more
- UPMC (Pittsburgh, PA)
- …overnight shifts, Thursday - Sunday 9:30 pm - 8 am. This role works fully remote and must reside within 2 hours of a CCBH office location. Candidate should reside ... Care contracts. The Care Manager will also be responsible for crisis management and referring members to appropriate services based on triage assessment. The… more
- J&J Family of Companies (Pittsburgh, PA)
- …TA and/or Immunology. + Must be familiar with Microsoft Word, Excel, PowerPoint, and utilization of computers and remote technologies. + Reside in or near ... their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr....PharmD, PhD, MD, or other advanced medical degree NP ( Nurse Practitioner), PA (Physician Assistant), with +3 years relevant… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …of care as an integral part of the overall Medical Center quality management program. This includes participation in medical center meetings, VISN meetings and ... students and residents within vascular services. Oversees Vascular specific time utilization to include appropriate prioritization of cases among all practitioners… more
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