• Psychiatrist

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …telepsychiatry services based on the needs of the organization; d. Participating in utilization review activities including but not limited to development of ... and Statistical Manual of Mental Disorders, written treatment orders, admissions on-call review for all legal commitment status documents and review and… more
    KidsPeace Childrens Hospital (07/09/25)
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  • Pediatrician / Family Practice

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …and/or services based on the needs of the organization; + Participating in utilization review activities including but not limited to development of standards, ... history and physical examination, either written or dictated. This includes a review of the immunization status, allergies, past history, family history and… more
    KidsPeace Childrens Hospital (07/09/25)
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  • Certified Medical Assistant - CMA

    Geisinger (Port Matilda, PA)
    …patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and ... substances only to ensure adequate supply levels, verify expiration dates, document utilization , optimize organizational efficiency and space utilization . + May… more
    Geisinger (08/21/25)
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  • Certified Medical Assistant - CMA

    Geisinger (Bellefonte, PA)
    …patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and ... substances only to ensure adequate supply levels, verify expiration dates, document utilization , optimize organizational efficiency and space utilization . + May… more
    Geisinger (07/20/25)
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  • RN Palliative Care Coordinator - AGH - Full Time…

    Highmark Health (Pittsburgh, PA)
    …and their families. Professional role model utilizing expertise in care management to promote a collaborative professional environment that supports excellence of ... care and achievement of optimal resource utilization . **ESSENTIAL RESPONSIBILITIES** + Assumes role in assessment of patient physical, psychosocial, and economic… more
    Highmark Health (08/23/25)
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  • Insurance Pre-Cert Coord at Infusion Services…

    Penn Medicine (Philadelphia, PA)
    …optimal reimbursement for the hospital for services provided. Responsibilities: + Review chemo schedule in advance and determines patients insurance requirements for ... to patient arrival. Assess information for appropriateness of setting and utilization of resources to optimize patient outcomes and cost effectiveness. Maintain… more
    Penn Medicine (08/07/25)
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  • Health Care Manager (Pediatric)

    UPMC (Pittsburgh, PA)
    …is hiring a full-time Pediatric Health Care Manager to support the Medical Management Medicaid team. This position will predominantly work from home and primarily ... use of community supports and resources. + Works with Member Services, Network Management and Quality Management staff to assure that systematic revisions to… more
    UPMC (08/20/25)
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  • Professional Care Manager

    UPMC (Pittsburgh, PA)
    …(CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and ... care referrals and authorizations. Works with multi-disciplinary team in resource management , discharge planning and care facilitation. This position may require… more
    UPMC (08/15/25)
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  • Associate Clinical Manager LPN Neuroscience Shared…

    Penn Medicine (Philadelphia, PA)
    …accurate timecard review and approval, reviews and manages all overtime utilization . + Assists with the implementation of change management strategies within ... Experience:** + HS Diploma/GED (Required) + Graduate of a state approved Practical Nurse Program (Required) + And 3+ years practical nursing experience (Required) +… more
    Penn Medicine (08/16/25)
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  • Associate Clinical Manager Ambulatory RN

    Penn Medicine (Radnor, PA)
    …+ Manage pay practices including accurate timecard review and approval, review and manage all overtime utilization + Assists with the implementation ... to enable high performance of team and individuals Credentials: + Registered Nurse - PA (Required) + BLS/ACLS/PALS per specialty (Required) Education or Equivalent… more
    Penn Medicine (08/14/25)
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