Utilization Review Jobs in Pennsylvania
1 - 15 of 17
Search Results - Utilization Review Jobs in Pennsylvania
Pyramid Healthcare Inc-Tyrone (PA)
Deliverables/Principal Results Expected:
• Assists facilities in the overall function of daily schedule including but not limited to: assessment, utilization review, and clinical services.
• Provides individual and group therapy to individuals...
Staff Today (STI)-Harrisburg
/utilization review or other related clinical experience; or
An equivalent combination of experience and training in the field of medical assistance (MA), health care services, human services, long term care, utilization review, or knowledge of home care...
resume-library.com -
Tower Behavioral Health-Reading (PA)
Overview:
PURPOSE STATEMENT:
Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit...
Staff Today (STI)-Harrisburg
in which the Resource is board certified at least sixteen (16) hours per month. Demonstrate an understanding of utilization review processes.
Basic computer skills to include, but not limited, to Microsoft Office Products.
Role Description:
Resource...
resume-library.com -
Angels of Care Pediatric Home Health-Harrisburg
in orientation of new staff, in-service education, continuing education, utilization review and QAPI programs.
Participates in/attends staff development activities and in-service meetings to educate the personnel.
Provides training and in-services to agency...
Community LIFE-Bedford (PA)
of utilization review, quality assurance and managed health care concepts.
Ability to work with the interdisciplinary team approach to care for the elderly.
Working knowledge of local health care and geriatric service networks.
Basic working knowledge...
mindmatch.ai -
2 similar jobs: Tarentum, Pittsburgh
Encompass Health-West Mifflin
relations and total fiscal management. The CM I performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The case manager assures that regulations regarding patient's rights...
116 similar jobs: Englewood, Zion, Lock Haven, Quincy, Belleville...
Dane Street, LLC-Ambridge
strengthening your medical practice with medical necessity and utilization review/management expertise
Expanded credentials as an expert in Independent Medical Exams and physician advisor services
Fully prepped cases, streamlined case flow, transcription...
resume-library.com -
Geisinger-Ebervale
prescriptions, making necessary professional determinations regarding medications and various drug interactions, drug utilization review, generic substitution, and accurately filling and dispensing the prescription.
• Provides drug and clinical information...
4 similar jobs: Taylor, Weston, Clarks Summit, Wilkes Barre
Reliant Rehabilitation-Philadelphia
risks, and successes.
• Communicates effectively to the public (including medical personnel) within the community regarding the therapy services offered by Reliant Rehabilitation.
• Participate in utilization review, quality assurance, resident care...
5 similar jobs: Needham, Austin, Rockland, Cheraw, Scranton
Pittsburgh
Overview:
Come join the nation's largest provider of behavioral healthcare for adolescents at our newly built hospital in Upper St. Clair!
Southwood Children's Behavioral Healthcare is seeking an additional member for their Utilization Review team...
icims.com -
Rite Aid-Pittsburgh
Ensure the accuracy and appropriateness of all prescriptions filled by completing Drug Utilization Review and Final Quality Assurance, applicable to state and federal Board of Pharmacy regulations. 2. Build profitable business and script growth through...
Encompass Health-Allentown
performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The case manager assures that regulations regarding patient's rights are fulfilled.
Qualifications
License...
Philadelphia
action plans as necessary.
• Work closely with Utilization Review and Admissions staff to ensure proper authorization of patient
insurance coverage.
• May include managing and directing subordinate staff to identify goals and objectives.
Qualifications...
icims.com -
Pittsburgh
for the leadership team throughout the discipline.
• Consistently monitors the backlog of work and the sharing of resources within the discipline, maximizing staff utilization. Reviews staff utilization regularly and promptly addresses staff not meeting utilizations...
colliersengineering.com -
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