Utilization Manager Jobs in Harrisburg
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Search Results - Utilization Manager Jobs in Harrisburg
AmeriHealth Caritas-Harrisburg
providers, behavioral health service system, Physical Health (PH)-Managed Care Organization (MCO) and medical providers when applicable, as well as the larger primary care team. The CCM is responsible for proving utilization management and both case and care...
Harrisburg
and Resource Management
• Ensure that all clinical staff adhere to Utilization Management and Revenue Cycle Management guidelines, facilitating accurate coding and billing of services.
• Address and resolve escalated concerns from both internal and external...
icims.com -
UPMC-Harrisburg
The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations.
Works with multi-disciplinary team...
healthecareers.com -
Harrisburg
to streamline patient transitions, improving overall care outcomes.
• Utilization:
• Oversees utilization management with commercial insurance, including pre-certification processes.
• Attends meetings with outside agencies and represents the mobile crisis...
icims.com -
NR Consulting LLC-Dallastown, 28 mi from Harrisburg
and thoroughly.
Consults and seeks guidance from the RN as necessary.
At the direction of the RN, participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning:
Communicates team's...
resume-library.com -
Doctor's Choice Placement Services, Inc-Pennsylvania
quality, cost-effective fashion.
• Understand and participate in facility Utilization Management program.
• Understand and keep updated on the alternatives to inpatient care.
• Discuss patient care preferences and ensure that interventions are consistent...
appcast.io -
Equiliem-Lebanon (PA), 26 mi from Harrisburg
as necessary;
3. 5. At the direction of the RN, participates in Utilization Management or Interdisciplinary
Care Management Meeting to facilitate appropriate discharge planning:
3. 5.1. Communicates team's recommendations for discharge to the attending...
resume-library.com -
Harrisburg
clinical staff adhere to Utilization Management and Revenue Cycle Management guidelines, facilitating accurate coding and billing of services.
• Address and resolve escalated concerns from both internal and external stakeholders, proactively identifying...
icims.com -
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