- Universal Health Services (Westampton, NJ)
- …core of Hampton Behavioral Health Center's mission. We are looking for a Full Time Utilization Review Coordinator . In this role you will assist in screening ... patients to ensure that criteria are met, perform admission clinical reviews, facilitate discharge planning and coordinate continuum of care for the patient with the treatment team. In this position you will interact and communicate with clinical staff,… more
- Universal Health Services (Philadelphia, PA)
- …and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services ... or LSW preferred. Knowledge: Must possess knowledge of psychiatric care, utilization review , insurance reimbursement procedures, etc. Basic computer skills… more
- Penn Medicine (Philadelphia, PA)
- …living your life's work? **Job Summary:** + Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and...and have been translated into English so that case review by clinical staff can proceed. Assist with the… more
- Sevita (Delran, NJ)
- …services for infants, children, adolescents, Military Service Members and Veterans. Case Coordinator - Delran Day Program DSP or Caregiver experience is great for ... where you can actively make a difference in people's lives? As Case Coordinator , you will be responsible for providing organizational assistance and program support,… more
- Merck (Trenton, NJ)
- …the individual is responsible to manage/oversee a team of CTCs(Clinical Trial Coordinator ). As line manager the role is critical to continuously develop future ... reports are compliant to the timelines and key business metrics. + Review and approve timesheets, GTT compliance, expense reports, time‐off requests and provide… more
- Highmark Health (Trenton, NJ)
- …weekend and late** **availability This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the ... and then creates the case (data entry) in Highmark's utilization management system for clinical review . Ensures all accurate information is entered at the onset… more
- Penn Medicine (Philadelphia, PA)
- …skills and being a strong patient advocate.The case manager conducts utilization management activities, communication with insurers, team, and physician advisor. ... quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources,… more
- Penn Medicine (Philadelphia, PA)
- …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... resources + Participates and drives accountability in daily interdisciplinary meetings + Utilization Management: + Adheres to guidelines to satisfy 3rd party payer… more
- Penn Medicine (Philadelphia, PA)
- …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... and timely patient flow; elevates issues appropriately Enters all review activity in Canopy concurrently Accounts for all patient...Accounts for all patient days accurately in Canopy Enters review indicating "pending" status of case if outcome not… more
- Universal Health Services (Ambler, PA)
- Responsibilities The Horsham Clinic is seeking a dynamic and talented Utilization Review Specialist. The Horsham Clinic is a 206 bed private behavioral ... healthcare facility located on a beautiful 55-acre suburban campus. We are minutes from Philadelphia and we serve Southeastern Pennsylvania and New Jersey. The Horsham Clinic provides comprehensive behavioral health services to children, adolescents, adults,… more
- Nuclear Regulatory Commission (King Of Prussia, PA)
- …nuclear power reactor decommissioning program, including the inspection and assessment review process; and, Coordinate interactions with the Chief, DIRHP, Division ... of the nuclear power reactor decommissioning inspection program. Leads allegation review , processing and assessment of concerns or potential concerns associated with… more
- University of Pennsylvania (Philadelphia, PA)
- …of part time staff. Oversight of the two full time Facility Coordinator staff. This position leads and manages professional and administrative duties related ... housekeeping needs. Develops plans related to facility planning, space utilization and management, safety and accessibility requirements. Coordinates operations to… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation line of business by performing prospective and retrospective Utilization Review of pharmaceutical/medication requests in accordance with ... and causally related. + Evaluate requests that are routed for clinical review based upon established criteria to issue appropriate and timely determinations on… more
- Penn Medicine (Philadelphia, PA)
- …and appeals correspondence. + Maintains database for the department and the utilization management requirements for the hospital information system and within the ... communication. + Supports the activities of the Clinical Appeals Coordinator in all phases of the Clinical Quality and... in all phases of the Clinical Quality and Utilization Management functions including but not limited to data… more
- Utilities Service, LLC (Willow Grove, PA)
- …ensuring that the strategic solutions of Sourcing are finding strong and sustained utilization through the Procurement ends of the department. The Buyer will be ... delivery date. + Meet with internal Strategic Sourcing Team to review order fulfillment issues, make recommendations for adjustments, and determine corrective… more
- Burlington (Burlington, NJ)
- …non-technical staff to resolve and drive issues. **A Day in the Life** + Review Technical drawings, create action plans, and manage and coordinator asset ... that could help improve the store's AP Technology deployment, appearance, and utilization . + Provide written and oral reports, project updates, and communication… more