Utilization Review Jobs in Pennsylvania
1 - 15 of 18
Search Results - Utilization Review Jobs in Pennsylvania
Staff Today (STI)-Harrisburg
is board certified at least twenty (20) 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 in this position will serve...
resume-library.com -
National Coalition Of Healthcare Recruiters-State College
of Inpatient Units, and staff psychiatrists on site. The Medical Director, shall actively participate in facility's overall patient care evaluation program, assist in the performance of utilization review, and ensure the units' services are provided effectively...
nchcr.com -
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...
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Jefferson Health Plans-Philadelphia
served.Perform utilization, pharmacy, and quality reviews.
Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Perform utilization review for requests for services including...
mindmatch.ai -
TalentBurst, Inc.-Philadelphia
and selecting the proper drug, dosage form, strength and quantity. You will monitor patient profiles and perform a drug utilization review for medication appropriateness, duplicate therapy, side effects, drug interactions, etc.
Throughout the work period you...
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Wellpath-Mercer (PA)
ensuring non-formulary procedures are justified and approved by the Medical Director.
Supports standards of medical care by following policies and procedures for infirmary admissions, emergency room transfers, and the utilization review process...
TalentBurst, Inc-Philadelphia
and record retention, for the filling of medication orders timely and accurately, and selecting the proper drug, dosage form, strength and quantity. You will monitor patient profiles and perform a drug utilization review for medication appropriateness...
Wellpath-La Belle (PA)
ensuring non-formulary procedures are justified and approved by the Medical Director.
Supports standards of medical care by following policies and procedures for infirmary admissions, emergency room transfers, and the utilization review process...
Encompass Health-Hanover (PA)
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
Staff Today (STI)-Harrisburg
the last five years) professional experience in one or more of the following areas as related to the position need: long term care, acute care setting, behavioral health setting, drug and alcohol setting, managed care, quality management/utilization review...
resume-library.com -
Philadelphia
on any of these protected categories. Know Your Rights: [...]
Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech...
icims.com -
Encompass Health-Philadelphia
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
Jefferson Health Plans-Philadelphia
the organization complies with regulatory requirements, avoiding penalties and legal issues.
Streamline Medical Management Processes
• Optimize processes related to utilization management, care coordination, and claims review.
• Align medical management practices...
mindmatch.ai -
Giant Eagle-Carnegie (PA)
Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time Program.
• Process medical expense reports.
• Assist...
6 similar jobs: Coulters, West Mifflin, Glenshaw, Braddock, Pittsburgh...
Brookdale Premier Addiction Recovery-Tannersville (PA)
continuum of care.
Collaborates with staff in assessing patient, family age-specific nursing needs and develops plan of care for complex high-risk patients.
Provide assistance to Utilization Review in communicating pertinent nursing information.
Designs...
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