- Penn State Health (Hershey, PA)
- …and family medical or genetic information._ \#LI-TB1 IND567 **Union:** Non Bargained **Position** Manager Utilization Management - Utilization ... **SUMMARY OF POSITION:** Position is responsible to thoroughly understand all Utilization Management regulatory requirements for both CMS and DOH,… more
- Highmark Health (Harrisburg, PA)
- …Proven ability to deliver engaging and informative product demonstrations and walkthroughs. + ** Utilization Management & Clinical Expertise:** + Utilization ... Management Knowledge: A strong understanding of utilization management principles, processes, and industry best practices. + Clinical Knowledge: Familiarity… more
- Genesis Healthcare (York, PA)
- …while making a meaningful impact in the communities we serve. Responsibilities The Manager , Case Management is responsible for the clinical, administrative, and ... responding to the needs of its payor customers. The Manager will also perform the functions of the Case...of clinical nursing experience is required. Prior experience in utilization review, case management or discharge planning… more
- Motion Recruitment Partners (Harrisburg, PA)
- Sr. Mission Manager **Remote Only** Contract to Hire $70/hr - $100/hr **TG Federal is actively seeking a Sr. Mission Manager to join our remote team of ... Cybersecurity professionals.** **Summary:** The Sr. Mission Manager is a hybrid leadership role that combines the...operations team. + Track, manage, and report on labor utilization , forecasting, and burn rates to ensure alignment with… more
- Penn Medicine (Lancaster, PA)
- … management platform/analytics. + Analyzes data to identify under/over utilization ; improve resource consumption; promotes potential reduction in cost and ... per week). Monday-Friday (8am-4:30pm). No weekends or holidays. The Ambulatory Case Manager will provide support to physicians, clinical staff and patients who fall… more
- Highmark Health (Harrisburg, PA)
- …managing or supervising clinicians (such as pharmacists, nurses, or other clinicians) in a utilization management operations setting in a PBM or Health Plan. + ... pharmacy strategies and other pharmacy strategy teams to execute on the formulary/ utilization (UM) and other strategic pharmacy products. This job will be… more
- Select Medical (York, PA)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager ** _Requires a current licensure in a clinical...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Centene Corporation (Harrisburg, PA)
- …or medical group experience, provider relations, quality improvement, claims, contracting utilization management , or clinical operations. Project management ... align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- Highmark Health (Harrisburg, PA)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- CenterWell (Lancaster, PA)
- …to sit on-site at our Lancaster, PA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable...is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS**… more
- Penn Medicine (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
- UPMC (Hanover, PA)
- **$6,000 sign on bonus offered ** The Discharge Plan Manager functions as the coordinator and is accountable for all post-discharge needs and acts as financial ... and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and… more
- Cushman & Wakefield (Harrisburg, PA)
- **Job Title** Spatial Data Manager **Job Description Summary** The role of the Spatial Data Manager (SDM) will be responsible for day-to-day functionality of the ... client's Space Management tool including data integrity of CAD floor plans,...CAFM administration, space and occupancy data analytics and space utilization measurement. * Ensure compliance of client space data… more
- BAE Systems (York, PA)
- **Job Description** The Manager of Operations is responsible for planning, organizing, coordinating, managing, and evaluating the activities of a manufacturing group ... to achieve performance objectives for safety, quality, efficiency, utilization , schedule attainment, productivity, housekeeping, employee relations, and total… more
- Penn Medicine (Lancaster, PA)
- …In order to drive departmental performance, assignments will reflect appropriate utilization of personnel, considering scope of practice, competencies, patient needs ... Assist in department as needed and maintain specific identified Nurse Manager clinical competencies. **SECONDARY FUNCTIONS: The following duties are considered… more
- CVS Health (Harrisburg, PA)
- …and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of ... interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing… more
- Ryder System (Lancaster, PA)
- …competitive advantage is our people. _CULTURE- INTEGRITY- FAMILY_ . As a Senior Operations Manager , you'll be asked to lead a dynamic team of people and empower ... we've been in the game since 1933! **Position** **Summary** The Senior Ops Manager manages the operations and personnel for locations with approximately 600 truck… more
- Penn Medicine (Lancaster, PA)
- …Full Time (40 hours per week). Four, 10-hour shifts (evenings, between 3pm-3am). Manager on-call requirements every 4th or 5th weekend. Each day our Emergency ... beds. **POSITION SUMMARY:** Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans,...and setting standards for facilities and equipment, and monitoring utilization of equipment and supplies. + Provides input and… more
- Select Medical (Hummelstown, PA)
- …allotted timeframe; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safeand ... Health Rehabilitation Hospital** **In partnership with Select Medical** Hummelstown, PA **Case Manager (RN or MSW):** **Pay range: starting at $70,000** **_Pay based… more