- CenterWell (Lancaster, PA)
- …to sit on-site at our Lancaster, PA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Guthrie (Sayre, PA)
- …physicians and patients. + Assist physicians in protocol development. + Advise department manager on resource utilization and training needs. + Perform other ... research facility or hospital setting. Essential Functions: + Collaborate with the manager and director for the development of department research programs. This is… more
- Geisinger (Wilkes-Barre, PA)
- …leadership team and practice at the top of license in a collaborative environment! The manager position will vary in scope and complexity based on the area to which ... the manager is assigned. In general, the manager ...market needs. + Identifies and analyzes changes in medication utilization and costs including factors driving change trends. +… more
- Centene Corporation (Harrisburg, PA)
- …issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization . + Serve as primary contact for providers and act as a ... in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization , etc. + Completes special projects as assigned + Ability to travel… more
- Highmark Health (Harrisburg, PA)
- …pharmacy strategies and other pharmacy strategy teams to execute on the formulary/ utilization (UM) and other strategic pharmacy products. This job will be ... with the goal of lowering care costs associated with the Organization's drug utilization across both the pharmacy as well as the medical benefits. This job… more
- Sanofi Group (Moosic, PA)
- **Job Title** : Manager , Analytics **Location:** Moosic, PA ( Hybrid) **About the Job** The primary objective of this position is to facilitate the and strengthen ... data into meaningful, action-oriented business insights towards optimizing resource utilization and revenue. The ideal candidate is passionate about leveraging… more
- ChenMed (Philadelphia, PA)
- …from 9am-3pm, working remote for the remaining hours. The Acute Care Manager , Complex Care (RN) is responsible for achieving positive patient outcomes, managing ... Management program with verbal introduction to their Community Care Manager for home visit once discharge to home from...patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with inpatient staff… more
- Penn Medicine (Lancaster, PA)
- …_Penn Medicine Lancaster General Health is recruiting for a full-time inpatient Case Manager to join a team of dedicated Case Managers managing a variety complex ... health in an appropriate environment that would support their needs. The Case Manager functions within the full scope of practice to include the major… more
- Aveanna Healthcare (Wexford, PA)
- Care Experience Manager ApplyRefer a FriendBack Job Details Requisition #: 206752 Location: Wexford, PA 15090 Category: Administrative/Clerical Salary: $43,000.00 - ... to the health and wellbeing of children and their families. The Care Experience Manager (CEM) is accountable for building relationships with and meeting the needs of… more
- UPMC (Pittsburgh, PA)
- …Health Plan's Community HealthChoices team is looking for a Telephonic Care Manager to join the team! Community HealthChoices (CHC) is Pennsylvania's managed care ... Nursing Facility Transitions and the Complex Case Unit. The Telephonic Care Manager is responsible for care coordination and health education for identified Health… more