Utilization Manager Jobs in Pennsylvania
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Search Results - Utilization Manager Jobs in Pennsylvania
UPMC Southwestern PA-Bellevue (PA)-
Physician Advisor, Quality Utilization Management
The Physician Advisor, Utilization Management (UM), provides clinical and management guidance to enhance process improvement and resource management at the hospital level. Reporting to the Regional...
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14 similar jobs: Brentwood, Sharpsburg, Monroeville, Bethel Park, Coraopolis...
UPMC-Pittsburgh-
Physician Advisor, Quality Utilization Management
The Physician Advisor, Utilization Management (UM), provides clinical and management guidance to enhance process improvement and resource management at the hospital level. Reporting to the Regional...
Read more
UPMC Southwestern PA-Allentown-
Physician Advisor, Quality Utilization Management
The Physician Advisor, Utilization Management (UM), provides clinical and management guidance to enhance process improvement and resource management at the hospital level. Reporting to the Regional...
Read more
UPMC - Pittsburgh Medical Center-Somerset (PA)-
as the nurse will establish patients’ plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians’ orders and patients’ needs.
• RN will coordinate case management activities across a multi...
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2 similar jobs: Altoona, Ebensburg
UPMC Southwestern PA-Philadelphia-
Physician Advisor, Quality Utilization Management
The Physician Advisor, Utilization Management (UM), provides clinical and management guidance to enhance process improvement and resource management at the hospital level. Reporting to the Regional...
Read more
Danville (PA)-icims.com-
Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
• Preferred Licensure: LPN, RN, LMSW...
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1 similar job: Henderson
Ustech Solutions-Pittsburgh-appcast.io-
Appeals Management
• Specialty Pharmacy
• Patient Assistance Programs
• Healthcare Navigation
• Utilization Management
• Social Work
• Nursing
• Healthcare Operations
• Care Management
Education:
• High School or GED required
Note:
• Location...
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Geisinger-Danville (PA)-
evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
• Works to appropriately apply benefits and utilization management serving as a resource to the patient...
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Ustech Solutions-Pittsburgh-appcast.io-
Appeals Management
• Specialty Pharmacy
• Patient Assistance Programs
• Healthcare Navigation
• Utilization Management
• Social Work
• Nursing
• Healthcare Operations
• Care Management
Education:
• High School or GED required
Note:
• Location...
Read more
Ustech Solutions-Pittsburgh-appcast.io-
Appeals Management
• Specialty Pharmacy
• Patient Assistance Programs
• Healthcare Navigation
• Utilization Management
• Social Work
• Nursing
• Healthcare Operations
• Care Management
Education:
• High School or GED required
Note:
• Location...
Read more
IntePros-Philadelphia-appcast.io-
for clinical and coding-related initiatives, analyses, and projects.
• Support business case development and strategic initiatives related to payment integrity and utilization management.
• Partner with vendors, consultants, and internal stakeholders to ensure...
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Doctor's Choice Placement Services, Inc-Philadelphia-appcast.io-
for centers of excellence in disease management.
• Manage patients in a high‑quality, cost‑effective fashion:
• Understand and participate in facility Utilization Management program.
• Understand and keep updated on the alternatives to inpatient care...
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2 similar jobs: Allentown, Pittsburgh
UPMC Southwestern PA-Pittsburgh-
for the medical department.
Support effective physician staffing models and utilization management.
Required Qualifications
MD or DO with active Pennsylvania medical license (or ability to obtain)
Board?certified or board?eligible in Hospice and Palliative...
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UPMC Southwestern PA-Allentown-
for the medical department.
Support effective physician staffing models and utilization management.
Required Qualifications
MD or DO with active Pennsylvania medical license (or ability to obtain)
Board?certified or board?eligible in Hospice and Palliative...
Read more
Color Employer, LLC-Pittsburgh-appcast.io-
clients.
• Familiarity with affordability, claims operations, payment integrity, utilization management, medical policy and/or benefit policy development.
Preferred Qualifications
• Active or prior state medical license (if retired from practice...
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2 similar jobs: Allentown, Philadelphia
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