• Director - Utilization

    WellSpan Health (York, PA)
    Director - Utilization and Denials Management Location: WellSpan Health, York, PA Schedule: Full Time General Summary Supervises and oversees the ... the System. Duties and Responsibilities + Oversees the utilization management process for preauthorization, concurrent review, denials and appeals for… more
    WellSpan Health (10/08/24)
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  • Professional Care Manager Utilization

    UPMC (Hanover, PA)
    …(CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and ... is hiring a Professional Care Manager to support the Utilization Review process! This is a full time, day...leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor, Attending Physicians and… more
    UPMC (11/06/24)
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