- CVS Health (Harrisburg, PA)
- …Health Counselor) Preferred Qualifications + Crisis intervention skills preferred managed care/ utilization review experience preferred + Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- Humana (Harrisburg, PA)
- …us put health first** This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care ... Responsibilities** Tasks include, but are not limited to: **70%** : Performing utilization management activities for assigned areas. Ensures full compliance with… more
- CenterWell (Harrisburg, PA)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... ER visits, readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management programs with primary… more
- Centene Corporation (Harrisburg, PA)
- …healthcare environment Required 3+ years of experience in managed care, plus utilization management , care coordination, disease management , Medicare, ... on a regular basis.** **Position Purpose:** Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners… more
- Ford Motor Company (Harrisburg, PA)
- …is best-in-class. **In this position ** The Accessories eCommerce Merchandising Manager is responsible for deeply understanding customer needs and optimizing the ... business value daily by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion, and customer… more
- Nestle (Mechanicsburg, PA)
- …with governmental regulation (local, state, and federal) + Responsible for the Management of the Following Programs: Behavioral Based Safety, Chemical Approval, ... accident, zero defect, zero waste mentality. As a Safety Manager , you will lead the implementation of policies and...Industrial Hygiene, Workers Compensation, Incident Case Management , Bloodborne Pathogen, Hearing Conservation, PPE Management ,… more
- Highmark Health (Harrisburg, PA)
- …actions (promotions, hiring, terminations, etc.) Develops talent, Addresses resource management , cultivates capabilities of staff, planning and coordination of work, ... in first-line resolution of complex technical problems. + Provide Staff Management oversight. + Hire, promote, separate or make recommendations regarding same.… more
- Highmark Health (Harrisburg, PA)
- …actions (promotions, hiring, terminations, etc.) Develops talent, Addresses resource management , cultivates capabilities of staff, planning and coordination of work, ... in first-line resolution of complex technical problems 2. Provides Staff Management oversight * Hires, promotes, separates or makes recommendations regarding same… more
- CenterWell (Harrisburg, PA)
- …health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management , care management , clinical information ... the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post-acute care, transitions of care) at a population… more
- WellSpan Health (Mount Gretna, PA)
- …+ Engages assigned patients using Motivational Interviewing strategies in the active management of their health by encouraging participation in their care and ... planning. Assistance, as needed, with patient understanding of medication management , outpatient follow up treatment, discharge transportation needs, and identifying… more
- CenterWell (Harrisburg, PA)
- …optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national clinical program leader ... This role reports to the National Director, High Risk Patient Management . Responsibilities will include: + Lead comprehensive clinical pharmacy service development,… more
- Sharecare, Inc. (Harrisburg, PA)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more
- CenterWell (Harrisburg, PA)
- …to ensure enrollment success, identifying member education opportunities to drive maximum utilization of available resources, and directing patients on the use of ... care to seniors, including wellness visits, physical exams, chronic condition management , screenings, minor injury treatment and more. Our unique care model… more