- Highmark Health (Harrisburg, PA)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more
- Penn Medicine (Lancaster, PA)
- …community health worker/care navigators to formulate, develop and implement case management goals for the identified patients. This position will also collaborate ... or face-to-face encounters. + Manages rising and high-risk patients, including management of patients with multiple co-morbidities or high risk for readmissions… more
- UPMC (Harrisburg, PA)
- …patient access to care. We provide centralized bed placement, transfer center, and capacity management functions for all of UPMC Central PA. We have tripled in our ... transfer intake volume in the last 3 years. We are...of these assets (and more), we optimize our resource utilization to allow safe, efficient, and collaborative care on… more