- 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
- Lancaster General Health (Lancaster, PA)
- …Pennsylvania Board of Nursing. + Bachelor's degree in Nursing (BSN). + Knowledge of utilization review or managed care. + Care management experience in a managed ... **_Penn Medicine Lancaster General Health is recruiting for a full-time inpatient Case Manager to join a team of dedicated Case Managers managing a variety complex… 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)
- …Description :** **JOB SUMMARY** This job provides Epic application software development management for IT projects. Creates plans and manages activities, within an ... available options, comparing costs and benefits, and recommending solutions. 2 Management Consulting + Identify issues and recommend solutions. + Create presentation… 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
- AmeriHealth Caritas (Newark, DE)
- …in collaboration with the Corporate Medical Director(s), Senior Medical Directors, Utilization Management and the CMO. The following responsibilities are ... most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health...+ 5+ years of clinical practice. + Experience in Utilization Management as a Medical Director within… more
- WellSpan Health (Mount Gretna, PA)
- …Remote/Hybrid Regular Apply Now Tuesday, June 18, 2024 Virtual Nursing Assistant & Behavioral Health Technician Hiring Event Multiple Locations 11:00 am - 2:00 pm ... Learn more about Nursing Assistant and Behavioral Health Technician opportunities at WellSpan Health. Register (https://intsignup.indeed.com/interview/b633ddbb-4f63-4a00-81b2-b2911b855b4b?from=eventspage)… 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 (York, PA)
- …surgery, arrythmia monitoring and intervention, advanced cardiac life support, pacemaker/ICD management , IABP management , CRRT utilization , ventricular ... Remote/Hybrid Regular Apply Now Tuesday, June 18, 2024 Virtual Nursing Assistant & Behavioral Health Technician Hiring Event Multiple Locations 11:00 am - 2:00 pm… more
- Universal Health Services (Newark, DE)
- …continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an ... Delaware's first private psychiatric facility and remains a leader in providing behavioral health care services and continues its commitment to providing quality… 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