- CenterWell (Lancaster, PA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... and help us put health first** **Work Schedule** : Full -time/40 Hours **Position Type** : On-site **Branch Location** :...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- ChenMed (Philadelphia, PA)
- …assess and record patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with inpatient staff for possible ... great people to join our team. *This is a full time role requiring Monday through Friday hours from...required + A minimum of one (1) year of utilization review and/or case management, home health,… more
- UPMC (Pittsburgh, PA)
- **UPMC Your Care is Hiring a Full -Time Registered Nurse for a Nurse Clinical Care Coordinator Position.** **This position travels to patients' homes in Allegheny ... face-to-face assessments that include a clinical assessment and treatment, a review of the medical, functional, behavioral, pharmaceutical, and social needs of… more
- UPMC (Pittsburgh, PA)
- …with the members you are caring for? UPMC Health Plan is hiring a full -time Clinical Care Manager to support our partnership with various physician practices. ... promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. Coordinate and modify the care plan with member,… more
- Humana (Harrisburg, PA)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Humana (Harrisburg, PA)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- LifePoint Health (Johnstown, PA)
- Conemaugh Physician Group is seeking a full -time Practice Manager for the CPG East Hills Primary Care and Medwell. The primary responsibilities of the Practice ... over a half-million patients each year through the Conemaugh Physician Group and Medical Staff, a network of hospitals,...* Health (Medical, Dental, Vision) and 401K Benefits for full -time employees * Competitive Paid Time Off / Extended… more
- WellSpan Health (New Freedom, PA)
- **Schedule** Full Time: 40 hours per week; Full Time Day with one evening per week until 6:30 pm **General Summary** Performs screening to determine appropriate ... the provider and the patient concerning patient. + In collaboration with Physician /APP, reinforces health education, counseling, and advice to patients and families… more
- LifePoint Health (Johnstown, PA)
- Conemaugh Physician Group is seeking a full -time Practice Manager for CPG Plastic Surgery & Breast Surgery in Johnstown, PA.The primary responsibilities of the ... the efficient delivery of services of his or her assigned practices. Manages full functions of assigned physician practices.Assists in development of policy and… more
- WellSpan Health (York, PA)
- **Schedule** Full Time: 40 hours per week, days with evening rotation **General Summary** Performs screening to determine appropriate avenue for care of patients. ... the provider and the patient concerning patient. + In collaboration with Physician /APP, reinforces health education, counseling, and advice to patients and families… more