- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- Wellpath (Lemoyne, PA)
- …point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, case management ... a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We...utilization of medical services. The Medical Director of Utilization Management serves as a key liaison… more
- WellSpan Health (Lewisburg, PA)
- …system, within a culture of quality, safety and efficient care. Assists the Director of Clinical Operations in management of staff to deliver high quality, ... Supervisors. + Collaborates with Practice Managers to provide performance evaluation and clinical competency review of clinical staff in the practices.… more
- Highmark Health (Jefferson Hills, PA)
- …and sharing in the network that supports the development of a fully qualified clinical staff through coaching, motivation and empowerment. Implements staff ... rational, safe, and cost effective drug therapy by developing and providing clinical services in their area of expertise. Conducts drug therapy monitoring and… more
- CenterWell (Lancaster, PA)
- …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
- CenterWell (Lancaster, PA)
- …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
- Guthrie (Sayre, PA)
- …competent in conflict management . Uses independent judgment, after consultation with clinical staff , to recommend and/or take action related to interviews, ... the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management ...Works with Nurse Manager / Director, Medical Director, and clinical staff to develop, modify and implement… more
- Guthrie (Towanda, PA)
- …in conflict management . + Uses independent judgment, after consultation with clinical staff , to recommend and/or take action related to interviews, new ... the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management ... Clinical Manager / Director, Medical Director, and clinical staff to develop, modify and implement… more
- Evolent (Harrisburg, PA)
- …a Clinical Reviewer, Nurse, you will routinely interact with leadership and management staff , other CR's ( Clinical Reviewers), providers, office staff ... Nurse, you will be a key member of the utilization management team. We can offer you...standards in the participating provider network and for other clinical staff . + Converses with medical office… more
- UPMC (Pittsburgh, PA)
- …1 year of health insurance experience required. + 1 year of experience in clinical , utilization management , home care, discharge planning, and/or case ... interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more
- UPMC (Murrysville, PA)
- …1 year of health insurance experience required. + 1 year of experience in clinical , utilization management , home care, discharge planning, and/or case ... interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more
- Fresenius Medical Center (Dallas, PA)
- …as a resource to facility staff . + Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional ... to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. ** STAFF :** + Responsible for… more
- Penn Medicine (West Chester, PA)
- …to systemwide Value Analysis Councils. Acting as a liaison among Materials Management , Physicians, Clinical Groups, Supply Chain, and System Leadership, the ... Services at all levels, Director of Supply Chain, Finance, Corporate Purchasing, Clinical Engineering, and Materials Management , and all relevant departments in… more
- UPMC (Pittsburgh, PA)
- …and answer relevant questions. + Provide innovative ideas for new and existing clinical program development, utilization management , formulary management ... tasks. + The Product Development Pharmacist is responsible for: Assisting with clinical management of the designated line of business (Commercial, Exchange,… more
- UPMC (Pittsburgh, PA)
- …aligned with interdisciplinary programs and services to provide comprehensive medication management to ensure clinical pharmacy is appropriately integrated in ... UPMC Mercy is hiring a Full Time Clinical Pharmacist to support our Inpatient Pharmacy! This...the provision of safe, effective, and efficient comprehensive medication management for specialized patient populations. They provide support of… more
- Penn Medicine (Philadelphia, PA)
- …EHR optimization. They will assist with hiring onboarding and orientation of new clinical staff , complete clinical competencies and evaluations. The ... will assist with hiring onboarding and orientation of new clinical staff , complete clinical competencies...utilization + Assists with the implementation of change management strategies within the practice in alignment with department,… more
- Penn Medicine (Philadelphia, PA)
- …data. Assists/Trains internal team members, physicians, clinical and practice staff in the utilization of functionality within the application. Promptly ... COMMUNICATION: Ability to communicate effectively with all levels of staff PROJECT/CHANGE MANAGEMENT : Ability to implement process...management tools and query language - preferred Senior Clinical Analyst A Senior Clinical Analyst may… more
- Penn Medicine (West Chester, PA)
- … staff , HR and nursing staff development to ensure the smooth onboarding of clinical staff . * Trains providers, nurses and other clinical staff on ... during business hours. * Participates in rotating on-call 24/7 telephone support for clinical staff , for issues immediately impacting patient care * Provides… more
- Deloitte (Philadelphia, PA)
- …plans for both formal and informal education of physicians, CDI team, health information management and other clinical staff + Develop in-service education ... clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review, informatics RN, Quality, DRG… more
- Penn Medicine (Lancaster, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... each day. Are you living your life's work? Job: Clinical Pharmacist Hours: 36 hrs per week, evenings, 7...and reduce costs. + Utilizes assessment skills in the management of medically complex elderly to monitor responses to… more