- UPMC (Pittsburgh, PA)
- The UPMC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director , Utilization Management role. The Medical Director , ... full remote role._ Responsibilities: + Actively participates in the daily utilization management and quality improvement review processes, including concurrent,… more
- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to ... Changing Medicine happen. **Responsibilities:** + Actively participates in the daily utilization management and quality improvement review processes, including… more
- Genesis Healthcare (Moon Township, PA)
- …Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Carnegie Mellon University (Pittsburgh, PA)
- …Provide analytical support and financial insight for audits, facilities projects, space utilization , grants management , and special projects. + Coordinate with ... areas to investigate and solve real-world problems. We are seeking a Director of Accounting Operations. This position provides strategic and operational leadership… more
- UPMC (Pittsburgh, PA)
- …workplace for staff, and overseeing clinical, and administrative/business functions. The Unit Director is responsible for collaborating with medical staff to ... UPMC Western Psychiatric Hospital is hiring a Unit Director to support our Child & Adolescent I unit! Millions of Americans face the reality of living with a mental… more
- UPMC (Pittsburgh, PA)
- …the Unit Director , you would be responsible for collaborating with medical staff to monitor patient outcomes and setting clinical quality priorities, supporting ... Magee-Womens Hospital is looking to hire a second Unit Director for the Neonatal ICU. The Neonatal ICU is...83-bed Level III critical care facility that provides acute medical , nursing, and respiratory care to critically ill infants;… more
- UPMC (Bethel Park, PA)
- …workplace for staff, and overseeing clinical, and administrative/business functions. The Unit Director is responsible for collaborating with medical staff to ... UPMC is hiring a full-time Unit Director to oversee their South Surgery Center in...department orientation, and fostering a culture of continuous performance management . This includes completing and delivering employee evaluations, managing… more
- UPMC (Pittsburgh, PA)
- …the future of women's health. What can you expect as the OB Clinical Director ? The Clinical Director is accountable for achieving quality patient care through ... appropriate leadership and utilization of human and fiscal resources in their program...trends, strategic benchmarking and innovative interventions. As a Clinical Director , you will ensure a culture of caring by… more
- UPMC (Pittsburgh, PA)
- …workplace for staff, and overseeing clinical, and administrative/business functions. The Unit Director is responsible for collaborating with medical staff to ... + UPMC Presbyterian 10EW is hiring a full-time Unit Director ! + Purpose:The Unit Director maintains 24-hour accountability for leading and managing their… more
- PNC (Pittsburgh, PA)
- …opportunity to contribute to the company's success. As a Software Engineering Director within PNC's Enterprise Technology organization, you will be based either in ... ensure they adhere to and support PNC's Enterprise Risk Management Framework. * PNC also has fundamental expectations of...benchmarks in the IT field. * Consults on the utilization and optimization of specific and multiple industry information… more
- UPMC (Washington, PA)
- …staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director /Physician Advisor and staff to ensure effective ... The Manager oversees the day-to-day operations of the Case management department under the direction of the Director . The Manager is accountable for the… more
- Select Medical (Mckeesport, PA)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... well by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management… more
- UPMC (Pittsburgh, PA)
- …few telephonic responsibilities. This role is dedicated to driving effective utilization management for behavioral health services, ensuring appropriate, timely, ... review requests for authorization for behavioral health services. The Utilization Management (UM) Care Manager is responsible...notification to providers as applicable. Consult with health plan medical director to discuss medical … more
- CVS Health (Pittsburgh, PA)
- …for Medical Affairs. This includes accountability and support for utilization management (UM), formulary development, regulatory audits and clinical ... these locations. **Key Responsibilities:** **Clinical Program Support Services** + Development, management and evaluation of Medical Affairs clinical programs… more
- Fresenius Medical Center (Pittsburgh, PA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- UPMC (Pittsburgh, PA)
- …and technology. C. Maintains overall responsibility for all aspects of contract management including quality assurance, utilization review, ROI and other areas ... This nurse leader will be responsible for various Hillman Cancer Center Medical Oncology/Infusion network offices located in Indiana, Punxsutawney, St Clair (Mt.… more
- UPMC (Pittsburgh, PA)
- …of defined program objectives. Partners with other program supports and the Program Director in ensuring that the training program is in full compliance with UPMC, ... UPMC Medical Education (ME), and Accrediting Body (ACMGE, AHSP, CODA,...in the position specific responsibilities. Responsibilities: + Utilize Residency Management system (Med Hub) to complete various tasks. Tasks… more
- UPMC (Pittsburgh, PA)
- University of Pittsburgh Physicians is hiring a full-time Medical Education Program Department Manager to join their team! This position will be part of our ... objectives. This position will work with Pediatric Endocrinology Fellows and Program Director to discuss, schedule, and run departmental activities. You will also… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …and tracks credentialing. May plan and lead Faux Hub activities under Director oversight. + Documentation Management : Collaborates with Service Delivery and ... billing, reporting, or service concerns. Monitors overtime to ensure cost-effective utilization . + Organizational Collaboration: Partners with program management … more
- UPMC (Pittsburgh, PA)
- …repeat testing, modifications, corrections and consultations. + Assists the Laboratory Director with the maintenance and improvement of quality control, quality ... + Remains abreast of developments in the field of management and laboratory science while pursuing a program of...or community committees. + On behalf of the Laboratory Director , participates in the preparation, approval, editing and maintenance… more