- UPMC (Pittsburgh, PA)
- …clear and concise documentation of all physician advisory activities in the UPMC Care Management information system. + Conduct or coordinate concurrent appeals ... Medical Director , CC/DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. This role focuses on… more
- Highmark Health (Natrona Heights, PA)
- …:** **GENERAL OVERVIEW:** Provides operational and strategic leadership for Hospital/facility Care Management Department. Collaborates with nursing and clinical ... care determination practices. (20%) + Studies and implements the care management model and structure to achieve sustainable length of stay, resource… more
- UPMC (Pittsburgh, PA)
- …closely with the director in the continued development of the care management department. + Demonstrates excellent clinical, written and oral communication ... guiding principles of the organization. + Acts with the authority of the Director of Care Management and Member Services when designated. + Participates in… more
- Humana (Harrisburg, PA)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Humana (Harrisburg, PA)
- …business relationships, value based care , population health, or disease or care management . **Responsibilities** The Medical Director provides medical ... or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or… more
- Humana (Harrisburg, PA)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Humana (Harrisburg, PA)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....business metrics. + Experience working with Case managers or Care managers on complex case management , including… more
- UPMC (Pittsburgh, PA)
- …JCAHO requirements. + Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor, Attending Physicians and ... services coverage and availability. + Attends Department meetings and Corporate Care Management Training sessions in order to maintain current knowledge of all… more
- Aveanna Healthcare (Harrisburg, PA)
- Executive Director - Home Care ApplyRefer a FriendBack Job Details Requisition #: 205481 Location: Harrisburg, PA 17110 Category: Management Salary: ... with all Federal and State regulations governing Home Health Care Agencies, and ensuring compliance with Aveanna's policies and...also reporting to Area Vice President, AVP, and/or Area Director , AD. Essential Job Functions Team Management :… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- Summary The Associate Director of Clinical Care is responsible for planning, coordinating, and managing clinical activity in the Parkinson's Disease Research, ... Corporal Michael J. Crescenz VA Medical Center in Philadelphia, PA. Responsibilities The Associate Director of Clinical Care (AD of Clinical Care ) is… more