- 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 (Chambersburg, PA)
- … manager cost and maximize employee satisfaction and resource utilization . **Duties and Responsibilities** **Essential Functions:** + Facilitates and directs ... changes. + Creates customized reports to present data valuable to logistics manager , nurse managers, department directors, and finance partners for resource… more
- Guthrie (Sayre, PA)
- Position Summary: The Program Manager , Value Analysis will lead the establishment and ongoing facilitation of system wide Clinical Quality Value Analysis processes ... aligning with system objectives and strategic goals. The Program Manager , Value Analysis will maintain expert clinical knowledge to...employment required. Experience: Minimum of 5 years of clinical nurse experience required. Minimum of 3 years of … more
- STG International (Pottsville, PA)
- …the recruitment, and orientation of clinical staff physicians, physician assistants and nurse practitioners. *Collaborate with the CBOC Clinic Manager to provide ... Care Program. The Medical Director will also collaborate with the CBOC Clinic Manager to supervise the CBOC's day-to-day delivery of medical care. The Medical… more
- WellSpan Health (Lebanon, PA)
- …and exercise according to a written plan of care developed by the primary nurse or therapist. + Performs household services to maintain a safe and healthful ... Assists in assessing patient/family needs and makes recommendations to the primary nurse or therapist. + Encourages independence, self-help and use of assistive… more
- WellSpan Health (Lewisburg, PA)
- …and exercise according to a written plan of care developed by the primary nurse or therapist. + Performs household services to maintain a safe and healthful ... Assists in assessing patient/family needs and makes recommendations to the primary nurse or therapist. + Encourages independence, self-help and use of assistive… more
- Stryker (Philadelphia, PA)
- …Support internal and external education on process, tool optimization, and utilization in collaboration with internal stakeholders + Uncover relevant clinical trends ... and market insights back to the team + Driving utilization of key metrics and measurement tools to be...performance metrics and evaluation data and report back to manager **What you need:** Required: + Bachelors degree in… more
- Sharecare (Harrisburg, PA)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending… more
- Deloitte (Philadelphia, PA)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics RN, Quality, ... in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS… more
- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied...care team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and pharmacists to… more