• Utilization Management

    CVS Health (Harrisburg, PA)
    …to promote quality effectiveness of healthcare services and benefit utilization . The Utilization Management Clinician will work in conjunction with the ... every day. **Position Summary** This is a full-time, remote position. The Medicare Behavioral Health Outpatient clinician will be part of the Medicare… more
    CVS Health (06/23/25)
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  • Utilization Management

    CVS Health (Harrisburg, PA)
    …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
    CVS Health (06/24/25)
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  • Nurse Care Manager

    Intermountain Health (Harrisburg, PA)
    …an accredited institution. Degree will be verified. + Experience in case management , utilization review, or discharge planning. **Physical Requirements:** + ... and promotes optimal allocation of resources while balancing clinical quality and cost management . **Job Specifics** + Pay Range: $40.39 - $60.96 Exempt + Benefits… more
    Intermountain Health (06/27/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Harrisburg, PA)
    …care that affect patient care and population management , such as quality management , utilization management , network management , and payment ... patients at national scale. S/he will be a proven clinician , leader, and strategist capable of driving the highest...quality/STARS, efficiency of care, and improved clinical outcomes and utilization . + Identify and act on opportunities to better… more
    CenterWell (05/28/25)
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  • Analyst Case Manager- West Virginia

    CVS Health (Harrisburg, PA)
    …experience * Foster care experience * Crisis intervention skills * Managed care/ utilization review experience * Case management and discharge planning experience ... * Familiarity with QuickBase **Education** Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or… more
    CVS Health (06/14/25)
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