- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market ... team. The UM Coordinator provides non-clinical support for policies and procedures related...for policies and procedures related to the administration of utilization management , ensuring the best and most… more
- CVS Health (Westminster, MD)
- …and procuring community resources and durable medical supplies. The Care Coordinator tracks population disease management practices, commits to recognize ... of a clinical operation leader and local leader, the Retail health coordinator will communicate with plan and retail health identified members telephonically on… more
- Milton Hershey School (Hershey, PA)
- Project Coordinator - ( 24000141 ) **Description** Milton Hershey School (MHS) is one of the world's best pre-K through 12th grade private schools, where students ... lives and is expanding to serve more students. MHS is seeking a Project Coordinator to join our Capital Projects Department. The Project Coordinator performs… more
- Johns Hopkins University (Timonium, MD)
- …Serve as liaison for the group with the billing office and division management . Maintain accurate information on each patient to facilitate the patient encounter. ... and department specific information to patients. + Ensure efficient utilization of the templates. _Registration_ + Verify and enter...clinic manager on issues related to front office staff management . + Serve in a leadership capacity with the… more
- Terracon (Sparks, MD)
- …**Job Description:** **Terracon's Baltimore office is growing and looking for a Laboratory Coordinator to join their team!** As a Laboratory Coordinator , you'll ... and in a timely manner. Oversee or coordinate the training and utilization of laboratory staff. Oversee or coordinate the maintenance and cleanliness of… more
- Highmark Health (Harrisburg, PA)
- …timeframes and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management . + Route Cases Based on Established Guidelines. + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more
- Johns Hopkins University (Lutherville, MD)
- …into Epic will be subject to evaluation, quality controls and performance management standards. + Refer patient to appropriate resources/clinical areas. + Send out ... with the clinic manager to ensure scheduling conflicts are resolved. Monitor room utilization and maintain clinic patient flow. + Intervene, as necessary, on issues… more
- Highmark Health (Harrisburg, PA)
- …and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, ... coordination of care in accordance with recognized standards of practice for Care Management . The incumbent utilizes expertise in care management to promote a… more
- Sunrun (Harrisburg, PA)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- WellSpan Health (York, PA)
- Registered Nurse - Patient Placement Coordinator - Nights Location: WellSpan Health, York, PA Schedule: Part Time Schedule Night shift (7p-7a) Part Time (48 Hours ... Biweekly) General Summary Coordinates, communicates and predicts impacts to bed management , transfers and admissions from all possible points of entry and provides… more
- WestRock Company (Lancaster, PA)
- The Shipping Coordinator is responsible for organizing and managing the day to day logistical activities for shipping and receiving of the Plant facility. ... opportunities to maximize manufactured square footage (MSF) per trailer to increase utilization of assets and increase cost savings \u2022 Review prior day shipping… more
- Highmark Health (Harrisburg, PA)
- …for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is ... documentation including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of process and judgement to… more
- Sunrun (Harrisburg, PA)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… more
- Lancaster General Health (Lancaster, PA)
- … management platform/analytics. + Analyzes data to identify under/over utilization ; improve resource consumption; promotes potential reduction in cost and ... a comprehensive assessment of biopsychosocial, cultural and language support and self- management support needs. + Provide coordination with and act as liaison… more
- Lancaster General Health (Lancaster, PA)
- …Pennsylvania Board of Nursing. + Bachelor's degree in Nursing (BSN). + Knowledge of utilization review or managed care. + Care management experience in a managed ... positive working relationships with patients, families and providers. + Functions as a coordinator and manager of a defined health population across care setting and… more
- Lancaster General Health (Lancaster, PA)
- …of patients and families and provide information, support, counseling, care management , and referrals to appropriate resources. Independently provide services to ... Opiate Use Disorder to achieve/enhance the skills and knowledge for case management + Completes in-home comprehensive psychosocial assessment of patients and reports… more
- Johns Hopkins University (Lutherville, MD)
- …and implement appropriate processes to ensure all facets of clinic practice management are effective. This may include scheduling efficiency, complete and accurate ... access, volumes, number of patients served, show rates, provider cancellations, room utilization , and other selected metrics to assess practice performance by the… more