- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings Utilization Management :Adheres to guidelines to satisfy 3rd party… more
- CenterWell (Lancaster, PA)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- St. Luke's University Health Network (Bethlehem, PA)
- …the hematology/oncology providers, and infusion centers to monitor chemotherapeutic utilization , supportive drug therapy utilization , adverse drug reactions, ... treatment of malignancy, safe handling of hazardous medication, and drug utilization . Mentors pharmacists, pharmacy residents, and students. Interacts with health… more
- WellSpan Health (Mount Gretna, PA)
- …tests (ie, INR results in Anticoagulation Clinic) under the collaboration of the Physician /APP. Assists in the management of patient care between visits. + ... and the patient concerning patient. + In collaboration with Physician /APP, reinforces health education, counseling, and advice to patients...Assists in the management of patient utilization of health care… more
- Penn Medicine (Philadelphia, PA)
- …This role will be the PAH collaborative interface with physicians, materials management , supply chain, DTS and others for new technology. It is anticipated ... includes all sites on and off campus. + Provide Physician leadership and partner with the CNO and Clinical...OR Executive Committees including but not limited to: OR utilization , patient access, revenue cycle, patient satisfaction and quality… more
- ChenMed (Philadelphia, PA)
- …expanding and we need great people to join our team. ChenMed, a physician -led and mission-driven, primary care organization, is currently one of the most successful ... and personal opportunity and join the ChenMed family. The Primary Care Physician (PCP) in our organization demonstrates: * Accountability for outcomes: The PCP… more
- Sedgwick (Harrisburg, PA)
- …use contract with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost savings, trends, and ... data collection. + Interacts and coordinates work of physician advisors as needed; performs complex review of cases...complex review of cases to identify referral for case management as needed. + Participates in client meetings and… more
- Penn Medicine (Philadelphia, PA)
- …Mon-Fri office hours per department needs **Summary:** + This role is the management of the outpatient Neurosurgery Physician offices and is non-patient facing. ... Employee Payroll - Review, edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage employee and physician schedules… more
- Humana (Harrisburg, PA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a… more
- Guthrie (Sayre, PA)
- Position Summary: In collaboration with the management team focuses on daily department operations. Supervises personnel and coordinates shift activities of Nursing. ... in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the Guthrie Robert Packer Hospital. May be… more