- Evolent (Harrisburg, PA)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Harrisburg, PA)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Harrisburg, PA)
- …specialty match reviewer for Spine Surgery cases. you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Harrisburg, PA)
- …Doing:** Job Description As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Harrisburg, PA)
- …Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. .… more
- Magellan Health Services (Bethlehem, PA)
- …and other clinical team members through content knowledge, technical and utilization management expertise. Researches open questions and unresolved issues ... for Care Managers who are providing direct utilization management services. Mentors new Care Managers...with the company's Medical and Associate Medical Directors and/or Physician Advisors to discuss clinical and authorization questions and… more
- Cardinal Health (Harrisburg, PA)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. Furthermore, this business unit leverages the strength ... projects, 360 Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date outcomes and progress… more
- Fresenius Medical Center (Philadelphia, PA)
- …Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Highmark Health (Pittsburgh, PA)
- …department. (15%) + Promotes a professional work environment through the utilization of sound personnel management principles. Hires and supervises ... has oversight of West Penn vascular lab services and oversight of Physician Organization vascular lab services at Jefferson Hospital, Forbes Regional Hospital,… more
- Highmark Health (Harrisburg, PA)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more