Utilization Review Jobs in Pennsylvania

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Search Results - Utilization Review Jobs in Pennsylvania

Manager, Case Management (RN)

Lower Bucks Hospital-Bristol (PA)-today

coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates...

Director of Medical Services

DesireMD-Philadelphia-yesterday

protocols, policies, and patient care standards. • Coordinate with hospital discharge planners, providers, and wellness teams. • Oversee care planning, utilization review, and quality improvement initiatives. • Maintain compliance with all state...

Supervisor, Respiratory Thrpy - Respiratory Therapy - Full Time

Guthrie-Sayre (PA)-today

provider preferred/BLS provider. 2. Utilization review/chart review. 3. Participates in interdisciplinary groups and councils, as needed. 4. Assists the Manager of Cardiopulmonary/ Respiratory Services in spearheading special departmental projects. 5. Other...

Retail Pharmacist Part Time

Geisinger-Pottsville (PA)-yesterday

responsibility for the delivery of pharmaceutical care to patients by interpreting prescriptions, making necessary professional determinations regarding medications and various drug interactions, drug utilization review, generic substitution, and accurately...

Board-Certified Neurological Surgery

Dane Street, LLC-Pittsburgh-appcast.io-5 days ago

expertise in medical necessity, utilization review, and claims support • Expanded credentials as an expert medical reviewer • Fully prepped cases, streamlined workflow, transcription services at no cost, and a user-friendly online portal If you...

2 similar jobs: Allentown, Philadelphia

Case Manager

Encompass Health Rehabilitation Hospital of Nittany Valley-Bellefonte (PA)-yesterday

documentation to post discharge providers/physician • Ensure accuracy of discharge and payor-related information in the patient record • Participate in utilization review process: data collection, trend review, and resolution actions. • Participate in case...

8 similar jobs: Mifflintown, State College, Belleville, Los Angeles, Boalsburg...

Board Certified- Diagnostic Radiologist

Dane Street, LLC-Philadelphia-appcast.io-5 days ago

and no treatment is provided • Enhanced industry expertise in medical necessity, utilization review, and claims support • Expanded credentials as an expert medical reviewer • Fully prepped cases, streamlined workflow, transcription services at no cost...

2 similar jobs: Pittsburgh, Allentown

Case Manager

Encompass Health Rehabilitation Hospital of Nittany Valley-Lewistown (PA)-2 days ago

Quality & Risk Director

Geisinger Encompass Health Rehabilitation Hospital-Kulpmont-yesterday

of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...

Case Manager

Encompass Health Rehabilitation Hospital of Nittany Valley-Lemont (PA)-2 days ago

Manager Business Office

Moosic-icims.com-3 days ago

support and leadership to achieve departmental goals and objectives. • Review all statistical reports to monitor trends, determine operational deficiencies and implement corrective action plans as necessary. • Work closely with Utilization Review...

Director of Case Management

West Reading-towercareers.org-1 week ago

Average Length of Stay (ALOS) by identifying systemic bottlenecks and implementing proactive discharge planning. • Utilization & Revenue Integrity: Oversee the UM Plan to ensure compliance with CMS and payer requirements; manage the peer-to-peer review...

Board Certified- Diagnostic Radiologist

Dane Street, LLC-Pittsburgh-workable.com-2 weeks ago

2 similar jobs: Allentown, Philadelphia

Department Manager/Senior Project Manager - Construction Engineering & Inspection

Philadelphia-colliersengineering.com-2 weeks ago

staff utilization. Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals. • Prepares for the future state of the discipline through succession planning. • Responsible for fostering staff professional development...

Case Manager

Reading (PA)-icims.com-1 week ago

preferred. • Previous experience with the patient population served by the facility preferred. • Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: • CPR and de-escalation/restraint...