- Prime Therapeutics (Harrisburg, PA)
- …post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review . + Meets Credentialing criteria. ... facility.Discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial… more
- Sunrise Senior Living (Montgomery, PA)
- …best place that I've ever worked, simply because of the people. We provide quality care in an environment that feels like home. Our focus is doing what's right for ... in setting standards of excellence; we strive to provide care & services to seniors better than anyone. The...achieving customer engagement. + Leads the development and regular review of the engagement improvement plan. + Effectively resolves… more
- CenterWell (Harrisburg, PA)
- …+ Monitor plan performance and proactively bring issues to the forefront for review + Support new business implementations with a goal of ensuring all pharmacy ... and present to client + Escalate issues for immediate review and action whenever necessary + Request, review...internal partners and the Medicaid market to manage pharmacy utilization and spend + Manage escalated member, client and… more
- Penn Medicine (Philadelphia, PA)
- …to ensure accurate results under supervision of attending physician or Echo lab manager .Analyzes and evaluates results of studies for review by interpreting ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...all studies will be provided to interpreting physician for review . Will fulfill responsibility to HUP by adherence to… more
- Sharecare (Harrisburg, PA)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to become… more
- CVS Health (Newtown, PA)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... of continuous improvement, with the goal of changing health care for the better. **Position Summary:** At CVS Health,...+ Any additional tasks as directed by Supervisor or Manager **Preferred Qualifications:** + 1+ years of related work… more
- WellSpan Health (Lebanon, PA)
- …of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health ... **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the health care team at an intermediate… more
- LifePoint Health (Roaring Spring, PA)
- …Nurse has authority and accountability for decision making relative to the nursing care of his/her patients. The degree of independence for decision making is based ... on his/her knowledge or skill level as determined by the Nurse Manager /Clinical Supervisor. The Staff Nurse will utilize the nursing process to coordinate total… more
- WellSpan Health (York, PA)
- …of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health ... Monday - Friday Days **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the health care team… more
- WellSpan Health (York, PA)
- …of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health ... days with evening rotation **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the health care … more