- St. Luke's University Health Network (Allentown, PA)
- …appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge, ... appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of...management of psychiatric cases in the absence of the utilization management coordinator. PHYSICAL AND SENSORY REQUIREMENTS: Able to… more
- WellSpan Health (York, PA)
- …individual staff to ensure safe quality care, progress towards goals, and proper utilization of services. * Provides after-hours and on-call staff support as well as ... and development of new clinical policies and the regular review and updating of existing clinical policies as indicated.*...Care in a professional manner. * Responsible for efficient utilization of all resources including, but not limited to,… more
- St. Luke's University Health Network (Allentown, PA)
- …as assigned by Supervisor. Case Management duties include individual assessments, utilization reviews, family or support interventions and assistance with discharge ... planning further noted. + Performs admission review on assigned patients. + Participates in individual patient...a positive outcome for patients. + Assists in the utilization management of psychiatric patients. + Maintains clinical records… more
- University of Pennsylvania (Philadelphia, PA)
- …all correspondence, written materials, documents are prepared in timely manner for review and distribution to meet all deadlines. Also ensures that all documents ... program for each fiscal year, including requests for applications, utilization of databases; application processing, recruitment, interviews, fellow selection,… more
- Humana (Harrisburg, PA)
- …Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical management review organization, ... Demonstrate adaptability and willingness to learn evolving workflows, tools, and utilization management practices **Work Schedule Monday - Friday w/standard weekends… more
- Carnegie Mellon University (Pittsburgh, PA)
- …+ Coordinate with grant and contract accounting, including pre-award budget review , post-award expense tracking, effort reporting, and closeout. + Coordinate with ... for financial planning, forecasting, and scenario analysis. + Assess resource utilization and staffing models to align operations with evolving organizational needs.… more
- Penn Medicine (Philadelphia, PA)
- …processes, and have the necessary skills to meet service expectations + Review Press Ganey reports and identify patient satisfaction trends and opportunities for ... projects and research protocols. Meets with clinical research sponsors/ auditors to review lab service support for various clinical trials + All other… more
- Sunrise Senior Living (West Chester, PA)
- …key to achieving customer engagement. + Lead the development and regular review of the engagement improvement plan. + Resolve customer concerns effectively through ... delivery and institute and ensure corrective action in a timely manner. + Review customer and secret shopper surveys and act accordingly by instituting appropriate… more
- Travelers Insurance Company (Harrisburg, PA)
- …which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations and medical ... guidelines to establish medical review policies. Works in close collaboration with the Claim...Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board… more
- Burns & McDonnell (Conshohocken, PA)
- …contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process. + Implement assigned sections of the Project Execution Plan, ... of multiple global practices/disciplines, and facilitate the efficient cost-effective utilization of staff while adhering to contractual and performance… more
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