• Utilization Management

    Penn State Health (Hershey, PA)
    …medical or genetic information._ **Union:** SEIU Healthcare Pennsylvania **Position** Utilization Management Specialist - DAY SHIFT - Utilization ... for maintaining compliance with the CMS Conditions of Participation for Utilization Management . **MINIMUM QUALIFICATIONS:** + Bachelors Degree in Nursing… more
    Penn State Health (01/01/25)
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  • Certified Peer Specialist , Victory…

    St. Luke's University Health Network (Lehighton, PA)
    …partners with participants to facilitate their recovery and community integration through utilization of the Specialist 's personal life experience and first-hand ... ability to pay for health care. The Certified Peer Specialist (CPS) has the lived experience of a mental...to model coping techniques and recovery tools needed for self- management of their health condition(s) and pursuit of their… more
    St. Luke's University Health Network (12/18/24)
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  • Denials Management Specialist , Full…

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... REQUIREMENTS: Requires sitting for up to 4 hours per day , 2 hours at a time. Standing for up...required. Prefer minimum of 2-5 years' experience in case management and/or utilization management required.… more
    St. Luke's University Health Network (12/28/24)
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  • Surgical Review Specialist

    St. Luke's University Health Network (Allentown, PA)
    …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... feedback to respective departments + Conduct concurrent review with utilization review department for post op surgical cases with...SENSORY DEMANDS: Sitting for up to 7 hours per day , 3 hours at a time. Repetitive arm/finger use… more
    St. Luke's University Health Network (10/31/24)
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  • Product Specialist

    Mitsubishi Chemical Group (Reading, PA)
    **Product Specialist (1825)** + Title:Product Specialist + Group Company: Mitsubishi Chemical Advanced Materials + Location:Reading, PA + Employment Type:Full ... KAITEKI COMPANY. Job Purpose Role of the Product Line Specialist is to enable profitable growth of the ES&S...products in the Americas region in cooperation with product management , commercial and operational teams. The position holder supports… more
    Mitsubishi Chemical Group (10/25/24)
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  • Pharmacist Clinical Specialist -Oncology

    St. Luke's University Health Network (Bethlehem, PA)
    …the hematology/oncology providers, and infusion centers to monitor chemotherapeutic utilization , supportive drug therapy utilization , adverse drug reactions, ... treatment of malignancy, safe handling of hazardous medication, and drug utilization . Mentors pharmacists, pharmacy residents, and students. Interacts with health… more
    St. Luke's University Health Network (10/12/24)
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  • Senior Learning and Development Specialist

    Guardian Life (Bethlehem, PA)
    …leadership development and learning strategies. As a Senior Learning & Development Specialist , you will develop and execute initiatives and programs enhancing our ... deadlines. + Organize, plan, and deliver results effectively through proficient change management and project management skills. + Apply instructional design… more
    Guardian Life (12/18/24)
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  • Loss Prevention Specialist

    Amazon (Hazleton, PA)
    Description The Loss Prevention Specialist (LPS) is a key hourly associate position within Amazon Operations. The LPS leads the effort to efficiently and effectively ... business demands * Serve as department's liaison and security/crisis management subject matter expert for site leadership keeping them...environment that requires walking up to 5 miles a day and ability to lift up to 20 lbs,… more
    Amazon (01/09/25)
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  • (Hybrid) Clinical Quality Value Analysis…

    Penn State Health (Hershey, PA)
    …**Location:** US:PA: Hershey **Work Type:** Full Time **FTE:** 1.00 **Shift:** Day **Hours:** 8:00a - 5:00p **Recruiter Contact:** Garrett Kieffer at ... cost savings related to improved product, service and process standardization and utilization that either improves or maintains patient care. + Develops and… more
    Penn State Health (12/31/24)
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  • Crisis Intervention Specialist II…

    St. Luke's University Health Network (Lehighton, PA)
    …who may require treatment with seclusion/restraints. + Supports the function of utilization management regarding pre-certification process for all intakes and ... SENSORY REQUIREMENTS: Sitting for up to 5 hours per day , 2 hours at a time. Standing for up...mental health/crisis intervention experience required. Previous experience with case management / utilization review and managed care models preferred.… more
    St. Luke's University Health Network (01/06/25)
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  • Clinical Pharmacist (Part-time) - Pharmacy…

    Penn State Health (Hershey, PA)
    …education of physicians, nurses, pharmacists, and pharmacy students regarding the appropriate utilization of medications. The clinical specialist is involved in ... Part Time **FTE: .** 50 **Shift:** Varied **Hours:** Primarily Day Shift **Recruiter Contact:** Rebecca L. Stuckey at ###@pennstatehealth.psu.edu… more
    Penn State Health (10/25/24)
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