• Utilization Review Clinician

    Monte Nido (Villanova, PA)
    …lives while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician ** **Monte Nido** **Remote - MST/PST hours** ... to provide comprehensive care within an intimate home setting. We are seeking a Utilization Review Clinician to join our team based Remotely. **This is a… more
    Monte Nido (11/04/25)
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  • Utilization Management Clinician

    CVS Health (Harrisburg, PA)
    …with behavioral health background. **Preferred Qualifications** + 3 years Managed care/ utilization review experience preferred. + Crisis intervention skills and ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
    CVS Health (11/01/25)
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  • Program Manager - Family Based Program…

    Penn Medicine (Philadelphia, PA)
    …and phone on-call supervision to teams, when needed and supervise the Clinician Supervisor. They will be responsible for service delivery, quality improvement, ... and planning for future clinical needs.Provides clinical supervision to Clinician Supervisor, clinicians and clinical interns, including crisis consultation for… more
    Penn Medicine (11/04/25)
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  • Care Coordinator

    Penn Medicine (Philadelphia, PA)
    …and/or caregiver(s). For clinical-related questions and inquiries identify the appropriate clinician and/or clinical department and ensure that all of the patient's ... addressed in a timely manner. In collaboration with a clinician , ensure that all medical records are received and...and have been translated into English so that case review by clinical staff can proceed. Assist with the… more
    Penn Medicine (10/17/25)
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  • Customer Care Specialist

    Prime Therapeutics (Harrisburg, PA)
    …into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. + Demonstrates flexibility in areas such as job duties ... responds to Crisis calls and continues assistance with the Clinician until the call has been resolved. + Informs...$17.85 - $25.48 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
    Prime Therapeutics (11/04/25)
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  • Programmatic Nurse Specialist (RN) - NICU (UPMC…

    UPMC (Harrisburg, PA)
    …nursing staff and other disciplines in area of specialty. Participate in self- review . Improve knowledge, skills and performance based on feedback or on ... design, facilitate, monitor and evaluate program improvement initiatives As the expert clinician , is accountable and responsible for sharing that expertise with the… more
    UPMC (10/24/25)
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