- Select Medical (Hummelstown, PA)
- …Employer, including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/347230/ director -of- quality - management inpatient ... joint venture with Select Medical & Penn State Health** ** Director of Quality Management ** **(DQM)**...+ Customizable health insurance packages **Who We Are** Our inpatient rehabilitation hospital is committed to providing exceptional and… more
- Datavant (Harrisburg, PA)
- …life experiences to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing consulting and educational ... needs related to coding quality , compliance assessments, external payer reviews, coding education, interim coding management , and coding workflow operations… more
- Select Medical (Mechanicsburg, PA)
- …insurance verification? Read more to unlock your future career!_** Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care ... partnership between Select Medical and Pinnacle Health. This hospital provides inpatient physical rehabilitation for patients who are medically complex and in… more
- Geisinger (Scranton, PA)
- …support a dynamic team of Healthcare Heroes? Through professional growth, quality improvement, and interdisciplinary collaboration, we've built an innovative culture ... neighbors, and family members. To join Geisinger as an Inpatient Nursing Manager for the Operating Room and start...of the team. Works in partnership with the Medical Director and Physician Liaison of the department to provide… more
- UPMC (Williamsport, PA)
- …Williamsport has an opening for a Full-Time Sr. Clinician to join the Inpatient Behavioral Health Unit located at the Divine Providence Campus! This position will ... process improvement to advance their specialty, and partners with management in the achievement of a culture of excellence...The Sr. Clinician, under the direction of the Unit Director or Department Manager, assists in the completion of… more
- Highmark Health (Pittsburgh, PA)
- …coordination and management for the Center of Inclusion Health Division Director and Director of Operations. The incumbent will implement the CIH ... working closely with Division Director , SVD, Informatics team and Director of Evaluation.Identify metrics and quality improvement activities. + Other… more
- Geisinger (Danville, PA)
- …a board certified pediatric hospitalist or pediatric subspecialist to serve as the Director of Pediatric Quality and Safety. Non-subspecialty candidates will be ... Hospital of Philadelphia. The roles and responsibilities of the Director , Pediatric Quality and Safety will be...plans. + Oversees and mentors the providers active in Quality and Performance Improvement Projects in both inpatient… more
- Geisinger (Wilkes-Barre, PA)
- …all operational functions of the team. Works in partnership with the Medical Director and Physician Liaison of the department to provide administrative and medical ... and initiating improvements in the organization and delivery of high quality , cost effective patient care. Responsible for nursing clinical practice, budgetary… more
- St. Luke's University Health Network (Stroudsburg, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . . Facilitates communication among all ... and multi-disciplinary care teams to facilitate the achievement of desired patient, quality , and financial outcomes. JOB DUTIES AND RESPONSIBILITIES: . Develops a… more
- St. Luke's University Health Network (Quakertown, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among all ... and multi-disciplinary care teams to facilitate the achievement of desired patient, quality , and financial outcomes. JOB DUTIES AND RESPONSIBILITIES: + Develops a… more
- St. Luke's University Health Network (Easton, PA)
- …, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among all ... and multi-disciplinary care teams to facilitate the achievement of desired patient, quality , and financial outcomes. JOB DUTIES AND RESPONSIBILITIES: + Assesses the… more
- CenterWell (Harrisburg, PA)
- …with prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning ... toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical … more
- Humana (Harrisburg, PA)
- …participation in care management . The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have ... skills, with prior experience participating in teams focusing on quality management , utilization management , case...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- Humana (Harrisburg, PA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or… more
- Humana (Harrisburg, PA)
- …care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop procedures, processes, ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or...skills, with prior experience participating in teams focusing on quality management , utilization management , case… more
- Humana (Harrisburg, PA)
- …with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation. Preferred ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Harrisburg, PA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- Humana (Harrisburg, PA)
- …+ Conduct comprehensive, timely, and compliant medical necessity reviews for inpatient services + Maintain accountability for productivity, quality , and ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Harrisburg, PA)
- …members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...subject matter contribution Preferred Qualifications + Experience in an inpatient environment and/or related to care of a Medicare… more
- Humana (Harrisburg, PA)
- …members of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more