- CenterWell (Harrisburg, PA)
- …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
- Penn Medicine (Philadelphia, PA)
- …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings Utilization Management:Adheres to guidelines to satisfy 3rd party payer… more
- WellSpan Health (Ephrata, PA)
- …0800 to 1630 **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources ... address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** + Reviews… more
- WellSpan Health (Lebanon, PA)
- …Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of ... address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** + Reviews… more
- Penn Medicine (Lancaster, PA)
- …Monday to Friday workweek. **Summary:** + Position Summary: + Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans, ... primary duties listed above: + In collaboration with the Nurse Manager , counsels employees and takes appropriate...and setting standards for facilities and equipment, and monitoring utilization of equipment and supplies. + Provides input and… more
- Penn Medicine (Lancaster, PA)
- …unit, and 13 dedicated pediatric beds. **POSITION SUMMARY:** Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans, ... primary duties listed above: + In collaboration with the Nurse Manager , counsels employees and takes appropriate...and setting standards for facilities and equipment, and monitoring utilization of equipment and supplies. + Provides input and… more
- St. Luke's University Health Network (Stroudsburg, PA)
- …serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams to facilitate the… more
- St. Luke's University Health Network (Quakertown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams to facilitate the… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …SUMMARY OF JOB UP TO $6000 SIGN ON BONUS The role of the ER Care Manager is to increase patient through put to the most appropriate level of care while facilitating ... interdisciplinary care across the continuum. The ER Care Manager will assist in identifying patients appropriate for Admission, Observation or other patient care… more
- Geisinger (Wilkes-Barre, PA)
- …build a rewarding, lasting career with impact. Job Duties The RN Complex Care Manager will work with individuals who have complex health needs or multiple chronic ... with the goal of optimizing the patient or member's health status. + Manages utilization and practice metrics to further refine the delivery of care model to… more
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