• Utilization Management…

    Penn State Health (Hershey, PA)
    …status, and family medical or genetic information._ **Union:** SEIU Healthcare Pennsylvania **Position** Utilization Management Specialist - Utilization ... responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management . MINIMUM QUALIFICATIONS: * Bachelors Degree in Nursing… more
    Penn State Health (05/13/25)
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  • Specialist (Part-time) - Varied Shifts…

    Penn State Health (Hershey, PA)
    …###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) Penn State Health is seeking a dedicated ** Utilization Management Specialist ** to join our ... SEIU Healthcare Pennsylvania **Position** Specialist (Part-time) - VARIED SHIFTS - Utilization Management **Location** US:PA: Hershey | Nursing | Part Time… more
    Penn State Health (04/17/25)
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  • Utilization Management…

    Penn Medicine (Lancaster, PA)
    …each day. Are you living your life's work? Summary: + Position Summary: The Utilization Management Specialist - Denials is responsible for evaluating medical ... insurance benefit structures and related legal medical issues. + Knowledge of utilization management and quality improvement processes. + Experience working… more
    Penn Medicine (05/01/25)
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  • Drug & Alcohol Case Management…

    Commonwealth of Pennsylvania (PA)
    Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4928216) ... Apply  Drug & Alcohol Case Management Specialist (Local Government) - Delaware County...personal visits, and review of treatment progress reports; conduct utilization review. Orient clients to the program, policies, procedures,… more
    Commonwealth of Pennsylvania (05/10/25)
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  • Clinical Pharmacy Specialist

    UPMC (Pittsburgh, PA)
    …+ Provide innovative and applicable ideas in clinical program development, utilization management , formulary management , provider education, therapeutic ... UPMC Corporate Quality is hiring a Clinical Pharmacist Specialist to join our team! This role will...innovative ideas for new and existing clinical program development, utilization management , formulary management , provider… more
    UPMC (05/08/25)
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  • Supervisor Child Life Specialist

    Penn Medicine (Lancaster, PA)
    …(CCLS) with required Education and Experience.** The Supervisor Child Life Specialist (CLS) demonstrates competence in supporting pediatric patients and family ... evaluation. Serve as the face of the Child Life Specialist team to providers, staff, and patients. Supervise and...job duties as outlined below (approximately 40%). Human Resource Management : (30%) * In collaboration with Director, assists with… more
    Penn Medicine (05/08/25)
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  • Quality Management System Specialist

    Carlisle Companies, Inc. (Carlisle, PA)
    This position of Quality Management System (QMS) Specialist will be responsible for developing, organizing, implementing, and maintaining our Quality ... Management System in accordance with ISO 9001:2015 standards. Implementation...to foster ISO 9001 and IMS awareness, understanding and utilization . + Facilitate training sessions and workshops related to… more
    Carlisle Companies, Inc. (04/19/25)
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  • Denials Management Specialist (RN…

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... setting required. + Prefer minimum of 2-5 years' experience in case management and/or utilization management . + Prefer financial experience related to appeal… more
    St. Luke's University Health Network (05/14/25)
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  • Sr. Specialist , Account Management…

    Cardinal Health (Harrisburg, PA)
    …urology community members and solutions to our industry partners. The _Sr. Specialist , Account Management (UroGPO Member Development)_ is responsible for ... Member Profiles, and overall success of membership network with utilization and optimization of Salesforce keeping up to date...1+ years of Sales and Marketing experience (or account management in a customer facing capacity), highly preferred. +… more
    Cardinal Health (05/09/25)
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  • Juvenile Justice Specialist Trainee,…

    Commonwealth of Pennsylvania (PA)
    Juvenile Justice Specialist Trainee, Loysville Youth Development Center, Perry County Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4868585) ... Apply  Juvenile Justice Specialist Trainee, Loysville Youth Development Center, Perry County Salary...CPR/AED and basic first-aid, use of mechanical devices, suicide management and awareness, Safe Crisis Management , medication… more
    Commonwealth of Pennsylvania (05/14/25)
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