• Utilization Management

    Penn Medicine (Lancaster, PA)
    …pressure, we'd love to hear from you!_ **Summary** : The Utilization Management Specialist - Admissions is responsible for evaluating medical records ... Lancaster General Health is looking for an experienced RN to join our Utilization Management Specialist team! In this critical role, you'll advocate for… more
    Penn Medicine (12/24/25)
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  • Preregistration Specialist

    Penn Medicine (Philadelphia, PA)
    …for the services being rendered. + Identifies potential quality and utilization concerns and refers to Management when appropriate and ... Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Ophthalmology Pathology Admin Personnel **Location:** Penn Presbyterian… more
    Penn Medicine (11/20/25)
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  • Health Plan Specialist

    UPMC (Pittsburgh, PA)
    …with 6-8 year of experience. + 3 years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... a licensed individual to function as a Health Plan Specialist to work onsite at UPMC Shadyside. This role...and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or… more
    UPMC (11/25/25)
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