Utilization Manager Jobs in Philadelphia
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Search Results - Utilization Manager Jobs in Philadelphia
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 -
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 -
Philadelphia
Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
2. Experience in basic to intermediate computer skills/knowledge.
3. High School Diploma required.
4. Behavioral Violence...
icims.com -
Doctor's Choice Placement Services, Inc-Philadelphia
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 -
Philadelphia
Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management...
enlyte.com -
Insight Global-Camden (NJ), 10 mi from Philadelphia
Insight Global Health is searching for multiple Utilization Review/Utilization Management nurses to join our growing team in Camden, NJ. This team currently works hybrid.
Requirements:
• Active NJ RN license
• Minimum 1 year of experience working...
Pride Health-Newark (DE), 30 mi from Philadelphia
Triad Team, working alongside RN Case Managers and Utilization Management professionals.
Key Responsibilities:
Provide psychosocial support and coordination for patients in the Emergency Department.
Resolve barriers to care, including social...
mindmatch.ai -
ChristianaCare-Wilmington (DE), 17 mi from Philadelphia
and drive patient progression and establish a discharge plan.
• Social Worker – resolve psycho-social barriers and supports discharge needs.
• Utilization Management – review patient status for appropriateness and anticipated payer coverage.
EDUCATION...
ChristianaCare-Newark (DE), 30 mi from Philadelphia
and supports discharge needs.
• Utilization Management – review patient status for appropriateness and anticipated payer coverage.
• THE CARE MANAGEMENT MODEL:
Our Care Management Triad Team Model is a collaboration between the following:
• RN Case Manager...
mindmatch.ai -
ChristianaCare-Wilmington (DE), 17 mi from Philadelphia
and drive patient progression and establish a discharge plan.
• Social Worker – resolve psycho-social barriers and supports discharge needs.
• Utilization Management – review patient status for appropriateness and anticipated payer coverage.
EDUCATION...
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