Utilization Manager Jobs in Pennsylvania
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Search Results - Utilization Manager Jobs in Pennsylvania
Jefferson Health Plans-Philadelphia
Summary/Objective:
Function as an integral part of the HealthCare Management team responsible for Utilization Management, Care Management, and Pharmacy Services programs. Represent HealthCare Management in interdepartmental activities and represent...
mindmatch.ai -
Monogram Health-Butler (PA)
utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social...
Jefferson Health Plans-Philadelphia
Summary/Objective:
The Medical Management Regulatory Manager ensures compliance with federal, state, and local regulations related to medical management operations, including utilization management, case management, and quality improvement...
mindmatch.ai -
Prisma Health-Greenville (PA)
and billing opportunities.
• Participates in:
• Establishment of quality assurance programs
• Establishment of utilization management programs
• Selection of management information systems
• Development of patient education services
• Development...
appcast.io -
MH Renal Services MSO LLC-Wilkes Barre
and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways...
Prisma Health-Greenville (PA)
medicine and implications relative to physician practice patterns. (5%)
• Participates in:
• Establishment of quality assurance programs
• Establishment of Utilization Management programs
• Selection of management information systems
• Development...
appcast.io -
1 similar job: Greenville
MH Renal Services MSO LLC-Pittsburgh
enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
By focusing...
Prisma Health-Columbia (PA)
and billing opportunities.
• Participates in:
• Establishment of quality assurance programs
• Establishment of utilization management programs
• Selection of management information systems
• Development of patient education services
• Development...
appcast.io -
NR Consulting LLC-Bethlehem (PA)
Hospitalizations.
Actively participates in Utilization Management or Interdisciplinary Care Management.
Meeting to facilitate appropriate discharge planning:
Communicates team's recommendations for discharge to the attending physician, patient and family...
resume-library.com -
MH Renal Services MSO LLC-Bloomsburg
including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
By focusing on increasing access to evidence-based...
12 similar jobs: New Britain, Plainfield, Bristol, Sterling, Brewster...
NR Consulting LLC-Hamburg (PA)
the plan of care to achieve patient goals and minimize re-
Hospitalizations.
Actively participates in Utilization Management or Interdisciplinary Care Management.
Meeting to facilitate appropriate discharge planning:
Communicates team's recommendations...
resume-library.com -
Prisma Health-Columbia (PA)
in responding to requests for proposals for managed care contracts.
• Participates in:
• Establishment of quality assurance programs
• Establishment of utilization management programs
• Selection of management information systems
• Development of patient...
appcast.io -
NR Consulting LLC-Easton (PA)
participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning:
Communicates team's recommendations for discharge to the attending physician, patient and family.
Prepares patient/family...
resume-library.com -
4 similar jobs: King of Prussia, Pennsburg, Dallastown, Lexington
Harrisburg
Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM...
enlyte.com -
NR Consulting LLC-Philadelphia
and performs treatments per physician orders.
Communicates pertinent data to RN and/or physician.
Documents accurately and thoroughly.
Consults and seeks guidance from the RN as necessary.
At the direction of the RN, participates in Utilization Management...
resume-library.com -
12
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