- WellSpan Health (York, PA)
- Utilization Care Manager Location: York Hospital, York, PA Schedule: Part Time Hours: M-F Days Part Time: 20 hours/week General Summary Performs a variety of ... clinical treatment administered by the provider. + Coordinates services with medical utilization / care management personnel of other health plans to ensure… more
- Evolent Health (Harrisburg, PA)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health care… more
- WellSpan Health (York, PA)
- …and/or under utilization . + Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support ... Registered Nurse - Case Manager - Days Location: WellSpan Health, York, PA...continuous quality and cost of care efforts. + Liaisons between utilization management… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Behavioral Health Care Manager --PerformCare Pennsylvania** Location: Harrisburg, PA Primary Job Function: Behavioral Health ID**: 34296 **Job Brief** ... PerformCare PA seeking an experienced Behavioral Health Care Manager for a Full-Time opportunity. This...care team. The CCM is responsible for proving utilization management and both case and care … more
- UPMC (Harrisburg, PA)
- **UPMC is hiring a Professional Care Manager ! This is a full time, day shift position with rotating weekends and holidays.** **_ This position is eligible for a ... generous Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization … more
- UPMC (Harrisburg, PA)
- **Professional Care Manager (RN) - Cardiac Team - Harrisburg Hospital** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan ... utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in resource… more
- UPMC (Harrisburg, PA)
- …help to develop safe and appropriate discharge plans using available resources._ The Care Manager (CM) coordinates the clinical and financial plan for patients. ... utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in resource… more
- UPMC (Harrisburg, PA)
- The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge ... authorizations. Works with multi-disciplinary team in resource management, discharge planning and care facilitation. Hours of Work: Monday - Friday, 8:00am to 4:30pm… more
- Abbott (Harrisburg, PA)
- …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll ... atherectomy devices. We currently have an opportunity available for an **Account Manager , Peripheral in** **Pittsburgh, PA** **.** This role will be responsible for… more
- CVS Health (Harrisburg, PA)
- …and English **Preferred Qualifications** + Crisis intervention skills preferred Managed care / utilization review experience preferred + Case management and ... discharge planning experience preferred + Managed care / utilization review experience preferred **Education** Masters Degree in Social Work or Counseling required… more
- SMX (Harrisburg, PA)
- …within the company and will help to optimize engagement, understanding, and utilization of benefit programs. Additionally, the Benefits Manager ensures plans ... Benefits Manager (3461)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States...inquiries. + Surveys industry trends, reviews experience data and utilization reports. Examines possible benefit changes and proposes recommendations… more
- Select Medical (Hummelstown, PA)
- …Summary** The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve ... Select Medical & Penn State Health Hummelstown, PA **Case Manager (RN, RT, PT, OT, LPN, MSW)** **PRN/Per Diem/As...quality and outcomes, coordination of care across the continuum; promotion of cost-effective … more
- Select Medical (Harrisburg, PA)
- …Summary** The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve ... with Select Medical & UPMC Pinnacle Harrisburg, PA **Case Manager ** **(RN, RT, PT, LPN, OT, ST, SW)** **Per...quality and outcomes, coordination of care across the continuum; promotion of cost-effective … more
- Highmark Health (Harrisburg, PA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... where clinical care is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case Management **SKILLS** +… more
- Johns Hopkins University (Lutherville, MD)
- …Secure and coordinate training of employees as needed in conjunction with the Nurse Manager , clinical trainer, and educator for PSC, CMA, and RNs. + Generate Nexus ... yearly evaluations of PSC staff members. + Collaborate with the Nurse Manager and Clinical Director on clinical operations, process improvement projects, and… more
- Prime Therapeutics (Harrisburg, PA)
- …passion and drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** **This Clinical Program Manager opening is ... while being that utility player/SME of the department.** The Clinical Program Manager is responsible for the management of all client specific clinical programs… more
- HealthEdge Software Inc (Harrisburg, PA)
- …implementations by developing and managing the clinical components of our care programs. This includes overseeing content development, clinical product design, and ... stakeholders and drive ongoing client value and success. This Clinical Program Manager will be responsible for ensuring the clinical integrity of our clinical… more
- CBRE (Harrisburg, PA)
- Procurement Sr Manager - Remote Job ID 183609 Posted 05-Sep-2024 Service line GWS Segment Role type Full-time Areas of Interest Purchasing/Procurement Location(s) ... geographies. **About the role** As a CBRE Procurement Sr. Manager , you'll be responsible for leading a large team...+ Act as a key point of contact for utilization management and coordination with outside procurement solutions. **What… more
- Clear Vision Optical (Harrisburg, PA)
- Territory Sales Manager - Outside Eyewear Sales We have our eyes on you! Come join the CVO Family as a Territory Sales Manager and see for yourself what we are ... is passionate about supporting the growth of independent eye care professionals and helping them give the gift of...Revo, ILLA, and Steve Madden. The successful Territory Sales Manager will take the established sales territory to a… more