• Nurse Clinical Care Coordinator -Allegheny County

    UPMC (Pittsburgh, PA)
    …based on education and nursing experience for Sr. Professional Care Manager within the Community and Ambulatory Services Division. Responsibilities: + Provides ... healthy lifestyles, closes gaps in care, reduces unnecessary ER utilization and hospital admissions/readmissions, and manages social determinants of health.… more
    UPMC (12/31/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Harrisburg, PA)
    …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans to… more
    Highmark Health (01/10/26)
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  • Clinical Auditor/Analyst Intermediate - Remote

    UPMC (Pittsburgh, PA)
    …services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization . This role also acts as a SME for the department in ... but are not limited to analysis of controlled substance prescribing and utilization to identify potential clinical care issues; prepayment review of claims, and… more
    UPMC (01/06/26)
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  • Regional Payer Account Director - Mid Atlantic

    Organon & Co. (Plymouth Meeting, PA)
    …as well as other extended account team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business ... regional level, as required. Leads Organon 's efforts to maximize appropriate utilization of its portfolio while bringing resources and solutions to customers that… more
    Organon & Co. (11/25/25)
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  • Staffing & Scheduling Coordinator - Chambersburg…

    WellSpan Health (Chambersburg, PA)
    manager cost and maximize employee satisfaction and resource utilization . **Duties and Responsibilities** **Essential Functions:** + Facilitates and directs ... + Creates customized reports to present data valuable to logistics manager , nurse managers, department directors, and finance partners for resource management.… more
    WellSpan Health (01/07/26)
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  • Supervisor - Home Health - West Region - Days

    WellSpan Health (York, PA)
    …current programs and policies. Assumes the responsibilities of the Clinical Manager as designated. **Duties and Responsibilities** **Essential Functions:** + Related ... required.* Identifies un-met patient needs and reports findings to appropriate Clinical Manager .*Completes S1 and CRS as needed. Completes 4C with team members to… more
    WellSpan Health (11/29/25)
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  • Music Therapist, Partial Hospitalization Program…

    St. Luke's University Health Network (Allentown, PA)
    …music therapy and expressive therapy groups, the Music Therapist serves as a case manager and coordinates the treatment for an assigned number of patients under the ... as assigned by Supervisor. Case Management duties include individual assessments, utilization reviews, family or support interventions and assistance with discharge… more
    St. Luke's University Health Network (11/25/25)
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  • Plant Director

    Graham Packaging Company (York, PA)
    …personnel in the management of safety, quality, customer service, efficient utilization of resources, equipment, materials and manpower procedures and programs. The ... primary duties of a Plant Manager include: + Understands, follows and enforces all established...department and customer service to effectively meet and maximize utilization of plant facilities. + Act as the Plant's… more
    Graham Packaging Company (11/18/25)
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  • Employer Health Consultant

    WellSpan Health (Lewisburg, PA)
    …partnerships and achieves sales targets, while serving as the primary account manager to deliver sustained value, foster loyalty, and identify opportunities for ... reports and dashboards that capture sales performance, market intelligence, and utilization trends; conduct utilization review meetings with employers to… more
    WellSpan Health (01/10/26)
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  • Care Nurse Coordinator-RN - Adult Psychiatric…

    WellSpan Health (York, PA)
    …through monitoring patient outcomes. Assists with the collection and analysis of utilization patterns including avoidable days and denied cases; shares this with ... of these events. Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager (s). +… more
    WellSpan Health (01/09/26)
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