- AmeriHealth Caritas (Philadelphia, PA)
- …in a clinical setting. + Minimum of 3 years of Utilization Management experience, preferably within a managed care organization. + Experience utilizing ... those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty...Under the direction of the unit Supervisor, the Clinical Care Reviewer- Shift Care is… more
- Penn State Health (Hershey, PA)
- …(MAILTO://###@pennstatehealth.psu.edu) Penn State Health is seeking a dedicated ** Utilization Management Specialist** to join our team ... of acute inpatient bedside nursing experience** , along with experience in ** Utilization Management ** -either from the provider side (inpatient hospital) or… more
- Evolent (Harrisburg, PA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, … more
- Penn State Health (Hershey, PA)
- …responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management . MINIMUM QUALIFICATIONS: * Bachelors Degree in Nursing ... family medical or genetic information._ **Union:** SEIU Healthcare Pennsylvania **Position** Utilization Management Specialist - Utilization Management… more
- Wellpath (Lemoyne, PA)
- …of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, case management , ... medical staff in their efforts to ensure quality patient care and the appropriate utilization of medical...utilization of medical services. The Medical Director of Utilization Management serves as a key liaison… more
- Highmark Health (Pittsburgh, PA)
- …:** **GENERAL OVERVIEW:** Provides operational and strategic leadership for Hospital/facility Care Management Department. Collaborates with nursing and clinical ... level of care determination practices. (20%) + Studies and implements the care management model and structure to achieve sustainable length of stay, resource… more
- Commonwealth of Pennsylvania (PA)
- …+ B. Evaluate and monitor processes and staff through performance improvement and quality management to improve patient care and meet organizational goals. + C. ... Registered Nurse Supervisor (3rd Shift ) - Warren State Hospital Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4933167) Apply Registered… more
- Trinity Health (Newtown Square, PA)
- …years previous experience required 5-8 years previous experience preferred Knowledge of utilization management ie acuity. Ability to define appropriate level of ... includes: Bed Planning, Case Management , Leadership, Transfer Center, and Utilization Management ** **Our Commitment to Diversity and Inclusion** Trinity… more
- Penn State Health (Hershey, PA)
- …medications, including compatibility, availability, and stability. .Review and verify orders ** Shift :** .This role will be 100% staffing/patient care in ... Center** **Location:** US:PA: Hershey **Work Type:** Part Time **FTE:** 0.50 ** Shift :** Varied **Hours:** Day/ Evening **Recruiter Contact:** Rebecca L. Stuckey at… more
- Geisinger (Danville, PA)
- …of $15.25, with increased rates for experienced individuals and up to $3 shift differentials for evening, nights, and weekend shifts! Also offering up to $40,000 ... dependents + Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings...assumes role of mentor to nursing staff for the utilization of all available lifting equipment in an appropriate… more