- Grant Thornton (Pittsburgh, PA)
- …to share strategy, to implement process improvements and to roll out capacity management strategies to maximize utilization and drive operational excellence + ... Grant Thornton is seeking an Advisory Capacity & Resource Management (C&RM) Leader to join the team. Approved office...on yearly budget planning for headcount, gross charge hours, utilization , and leverage. You will lead your team to… more
- CVS Health (Pittsburgh, PA)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides… more
- UPMC (Pittsburgh, PA)
- …work commitment!** **UPMC Presbyterian Operating Room is hiring a full-time Unit Director to join their department! This position is Monday through Friday with ... No on-call, weekend, or holiday hours!** **Responsibilities:** + Collaborates with medical staff to monitor patient outcomes; set clinical quality priorities,… more
- Sanofi Group (Pittsburgh, PA)
- **Job Title:** Regional Business Director - Keystone-PA, MD, DC **Location** : Us Remote-PA, MD, DC **About the Job** Reporting into a US Oncology Divisional General ... Manager, Commercial, the Regional Business Director , Oncology assumes the commercial leadership role for assigned...in partnership with their V&A, OOA, Marketing, PSS and Medical , has responsibility for building a strategic account plan… more
- UPMC (Pittsburgh, PA)
- …the ability to operate in a dynamic environment while reconciling the objectives of management and the medical staff in order to produce optimal patient results. ... **Purpose:** The Director , Lab Operations will plan, organize, direct, and...consistent with UPMC's strategic plan. Work collaboratively with the medical staff and department directors to identify and develop… more
- Bayer (Pittsburgh, PA)
- **Cardiorenal Assoc Dir Regional Mktg** **Associate Director , Regional Marketing, Cardiovascular - Ohio and Pennsylvania** **PURPOSE** As part of the field-based ... a region, including opinion leaders and other influencers, treatment and utilization trends, payer and reimbursement dynamics, and opportunities and challenges for… more
- WM (Pittsburgh, PA)
- …orientation, gender identity, age, national origin, disability, or veteran status. Waste Management (WM), a Fortune 250 company, is the leading provider of ... and Loss (P&L) reviews, and executes prescribed programs on routing equipment utilization , equipment maintenance, and labor and material costs. + Implements and… more
- Highmark Health (Wexford, PA)
- …(20%) + Support the development of an institute growth plan and medical staff plan.Facilitate business planning and analysis including new business opportunities, ... Institutes, including but not limited to; driving improvements in slot utilization , productivity and other operational efficiencies. (5%) + Identify improvement… more
- UPMC (Washington, PA)
- …staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director /Physician Advisor and staff to ensure effective ... **Purpose:** The Manager oversees the day-to-day operations of the Case management department under the direction of the Director . The Manager is accountable for… 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
- Fresenius Medical Center (Baden, PA)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Highmark Health (Pittsburgh, PA)
- …leadership team. The Physician Advisor is an integral part of the Utilization Management Committee and participates in hospital and enterprise-level quality ... Vice President of Care Continuum and Transitions and the Medical Director of Physician Advisors. **Duties:** +...appeal letters and participates in data collection activities for utilization management . + Receives daily report from… more
- Gentiva (Coraopolis, PA)
- …Illness Management (AIM) program** will report directly to the Director of AIM. Responsible for identifying and coordinating patient/family needs and for ... with them and other specialists to offer advanced illness management , a specialized form of high-touch palliative care designed...nurse practitioner, or PCP + Assist in overseeing the utilization of medications, DME and supplies related to the… more
- Grifols Shared Services North America, Inc (Pittsburgh, PA)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... role in the successful launch of a new Bleeding Management product within the Grifols Biopharma portfolio. The KAM...The KAM will report directly to the Regional Sales Director with responsibility for their specific geographic alignment. **The… more
- UPMC (Pittsburgh, PA)
- …with patient/physician concerns. Clinicians work in collaboration with their Unit Director , management , and other caregivers to coordinate clinical activities ... regular Full-time Clinician (RN) to help support the Outpatient Medical Oncology team at the Hillman Cancer Center in...to self and others for safe work hours, time management and healthy lifestyles. + *Performs in accordance with… more
- UPMC (Pittsburgh, PA)
- …level; clinical duties reduced due to additional responsibilities + Collaborates with Administrative Director , Medical Director , and Supervisor to provide an ... programs within the department + Assure clinic coordination through optimal resource utilization maintaining a patient focus + Assesses departmental needs as they… more
- UPMC (Pittsburgh, PA)
- …of the University Trauma Center of the UPMC. Responsible for collaborating with the Medical Director of Trauma Services, the Program Administrator and the Trauma ... referring physicians/agencies. Responsibilities: + Coordinates activities with the Trauma Program Medical Director and Trauma Program Administrator to facilitate… more
- Amergis (Pittsburgh, PA)
- …optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and Responsibilities: + Performs and coordinates the ... information pertinent to patient's needs/goals + Partners with the Program Director in development and review of the patient's individualized coordination of… more
- Elevance Health (Seven Fields, PA)
- …of care investigations and using criteria closes case appropriately or refers to BH Medical Director for further review. + Travels to worksite and other ... Analyst Sr** This role is primarily focused on conducting medical record reviews of facilities and clinics in our...years' experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed… more
- UPMC (Pittsburgh, PA)
- …(CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and ... + Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor, Attending Physicians and clinical team to… more