We interpreted Middletown, PA as Middletown, PA. Other options include: Middletown (Northampton County), PA
- WellSpan Health (York, PA)
- …a liaison between physician advisors in the designated geographic area and the Medical Director of Corp. Case Management + Attends CM RN morning report ... as needed and at the direction of the Medical Director of Corp. Case Management Common Expectations: + Fully documents review activities according… more
- Humana (Harrisburg, PA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Harrisburg, PA)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Select Medical (Camp Hill, PA)
- …patients. (example: ICU, step-down, med surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage and direct ... discharge planning, treatment plan management and financial management , while also completing medical record documentation.... record documentation. You will report directly to the Director of Case Management and… more
- Humana (Harrisburg, PA)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Evolent Health (Harrisburg, PA)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of… more
- J&J Family of Companies (Harrisburg, PA)
- Director , Regulatory Medical Writing (1 of 4)...countries. Remote work options may be considered on a case -by- case basis and if approved by the company. ... - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
- Highmark Health (Harrisburg, PA)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...or clinical group practice management + Utilization management experience in a medical management… more
- CVS Health (Harrisburg, PA)
- …preferably resides in PA/DE/WV and have a PA/WV/DE License without encumbrances. In the Medical Director role you will provide oversight for medical policy ... clinical / medical programs and expand Aetna's medical management programs to address member needs...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
- WellSpan Health (York, PA)
- …and non-physician staff within the department. + Provides direct patient care and medical case management services and otherwise performs the duties ... Medical Director -Employee Health and Safety Location:...###@wellspan.org. We will evaluate requests for accommodation on a case -by- case basis. Please note that we will… more
- UPMC (Harrisburg, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor, Attending Physicians and clinical team to ... of nursing experience required. BSN or related Bachelors degree preferred. Previous case management experience preferred. Knowledge of healthcare financial and… more
- UPMC (Carlisle, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor, Attending Physicians and clinical team to ... coverage for major and minor holidays. **Responsibilities:** + Reviews medical record daily to ensure patient continues to meet...+ BSN or related Bachelor's degree preferred. + Previous case management experience preferred. + Knowledge of… more
- WellSpan Health (Dallastown, PA)
- Director of Operations - Primary Care Dallastown Medical Center Location: WellSpan Health, Dallastown, PA Schedule: Full Time Schedule Dayshift hours, ... and provide a positive patient experience. + Provides overall management of practices within the Service Line, with a...within the service line. + In collaboration with Senior Director of Operations and IT, participates in the planning… more
- Highmark Health (Harrisburg, PA)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Gentiva (York, PA)
- …to give people the care they need with dignity, grace, and love. **Registered Nurse - RN Case Manager - Hospice - FT - Mon-Fri - 8a-5p - SOB** **$$ 10K SOB $$** **As ... a Hospice RN/ RN Case Manager, you will:** + Reportdirectly to the Administrator, Executive Director or Patient Care Manager Senior and will maintain primary… more
- J&J Family of Companies (Harrisburg, PA)
- Director , MedTech IBP Re-Ignite Leader - 2406221361W **Description** J&J MedTech is recruiting for a Director , MedTech Re-Ignite IBP Leader located in Raritan, ... locations! Remote work options may be considered on a case -by- case basis and if approved by the...across Commercial, Commercial Finance, and Supply Chain. Champion change management efforts to ensure smooth adoption of the re-engineered… more
- Sumitomo Pharma (Harrisburg, PA)
- …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more
- WellSpan Health (York, PA)
- Director , Patient Financial Services - Specialty Billing Location: WellSpan Health, York, PA Schedule: Full Time General Summary Directs, plans, organizes, and ... (PFS) Key Performance Indicator (KPI) goals through effective work queue management , dashboard performance monitoring, and strong employee engagement. Duties and… more
- J&J Family of Companies (Harrisburg, PA)
- Associate Director , CMC Regulatory Affairs - 2406221330W **Description** Johnson & Johnson is recruiting for an Associate Director , CMC Regulatory Affairs. This ... NJ; Beerse, Belgium or Leiden, Netherlands. Remote work options may be considered on a case -by- case basis and if approved by the Company. At Johnson & Johnson,… more