- Evolent Health (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Director , Utilization Management, you'll work with your managers, front line clinical team, and ... for our members, providers, and customers. **Collaboration Opportunities:** The Director , Utilization Management, will partner with a variety of different… more
- Penn Medicine (Hamilton, NJ)
- …you living your life's work? Summary: + Under supervision from the Director of outpatient services and other clinical directors, provides comprehensive oversight of ... and assist in maintenance of human resource files with director of outpatient services. + Program Development: + Collaborate...Provide support and back up for Utilization Reviewer and UM process + Monitor daily census of program. Collaborate… more
- Penn Medicine (Plainsboro, NJ)
- …you living your life's work? Summary: Under supervision from the Site Director , provides comprehensive oversight of the program including senior level clinical ... aspects of clinical services using best practices approaches Assists program director in development and refinement of program content and components. Coordinates… more
- Highmark Health (Trenton, NJ)
- …in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease management identification process, ... overall efficiencies. + Manage individual projects for timely review with the Director , Clinical Pharmacy. + Participate in Medicare Stars performance measures to… more