- Highmark Health (Camp Hill, PA)
- …+ Performs as the clinical subject matter expert for clinical, quality, care, utilization , high cost claim and population health management as the part ... and accounts after customer discussions.Participate in ad-hoc and annual clinical review meetings as needed to provide clinical, health and wellness perspective;… more
- UPMC (Mechanicsburg, PA)
- …least one year experience in leadership required.KNOWLEDGE AND SKILLS:Expertise in care management , discharge planning and utilization review processes. ... + Functions as a resource person for the care management and denial management processes. Develops and...Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse (RN) *Current licensure either in the state where… more