Coordinator Utilization Management Program jobs - Philadelphia, PA

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May 06 Program Manager Global Digital Agency Philadelphia, PA

management and stakeholders Identify cross-program and project dependencies, resource ... risk management, and change management Proficiency using project management... more

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May 25 Clinical Care Nurse - Utilization Management Arbor Health Plan Philadelphia, PA

This medical necessity review helps to decrease over/under utilization ... in the correct setting. The Utilization management department assists the company to... more

May 25 Coordinator, Case Management (RN or Children's Hospital of Philadelphia Careers Philadelphia, PA

-RN/PA licensure -BSN from an accredited program strongly preferred -Registered Nurse ... preferred. -Prior experience as a Case Manager or Utilization Reviewer... more

May 24 Center Human Resources Manager Genesis Healthcare Wyncote, PA

and participate in bi-weekly Welcoming Program. Establish and monitor Performance ... pro-actively in effective performance management techniques to improve employee... more

May 22 Utilization Management Nurse Physicians Care Surgical Hospital Royersford, PA

Perform the activities of Case Management/Utilization Management to include but not limite ... Minimum three (3) years of Case Management/Utilization management experience... more

May 18 UM COORDINATOR Main Line Health System Lima, PA

A Utilization Management Coordinator is responsible for conducting all level of reviews ... detox, rehab, and IOP programs. The UM Coordinator collaborates with the treatment... more

May 16 Performance Improvement/Patient Safety Coordinator, Nurse, RN BSN MSN Nemours Wilmington, DE

Nemours is seeking a Performance Improvement / Patient Safety (PIPS) Coordinator Lead to j ... National Surgical Quality Improvement Program Pediatric (NSQIP/P) data on... more

May 14 Proposal Coordinator AmeriHealth Administrators Horsham, PA

industry. Proposal Coordinator The Proposal Coordinator is chiefly responsible for ... such topics as utilization management, case management, network development and... more

May 11 Director, Quality Management (RN) AmeriHealth Mercy Family of Companies Philadelphia, PA

to Quality, Care Management and Utilization Management. This includes ... Information Solutions, Care Coordination, Utilization Management, and Public Affairs... more

May 11 Correctional Program Administrator Regional Correctional Programs Administrator Justice Philadelphia, PA

Job Title:Correctional Program Administrator (Regional Correctional Programs ... and administers case management, unit management and correctional program... more

May 08 Center Human Resources Manager Genesis Rehabilitation Wyncote, PA

and participate in bi-weekly Welcoming Program. Establish and monitor Performance ... pro-actively in effective performance management techniques to improve employee... more

May 04 Clinical Manager (33) Fresenius Philadelphia, PA

activities. * Responsible for efficient utilization of medication, laboratory, ... building, motivating employees, performance management, and decision making. *... more

May 03 Case Manager Aetna Blue Bell, PA

This program, custom care management, will be following a Flexible Case Management(CM) Lev ... - 2 years managed care case management and/or utilization management experience... more

May 01 Application Development Manager CIGNA Philadelphia, PA

Evaluates project status and resource utilization and implements changes to improve ... and has direct responsibility for people management. Disciplines: Mainframe Platform,... more

Apr 26 COORDINATOR CASE MANAGEMENT Children's Hospital of Philadelphia Philadelphia, PA

RN/PA licensure. BSN from an accredited program strongly preferred. Registered Nurse with ... Prior experience as a Case Manager or Utilization Reviewer preferred. Excellent... more

Apr 26 Health Information Exchange Program Assistant Camden Coalition of Healthcare Providers Camden, NJ

The Program Assistant will also work closely with the HIE's Program Manager to schedule me ... Assist HIE Program Manager with system utilization and miscellaneous reporting Work... more

Apr 21 Utilization Review Coordinator Universal Health Services Ambler, PA

you send your resume. The Utilization Review Coordinator evaluates patient medical records ... Must possess knowledge of psychiatric care, utilization review, insurance reimbursement... more

Apr 20 Director, Surgical Services - Spend/Cost Mgt/Clinical Utilization MATCH Resources Philadelphia, PA

Project Management. Track and manage initiatives in an organized and proficient manner. ... requirements. 7. Accountable for day-to-day management, professional development,... more

Apr 16 Government Programs Clinical Director - UnitedHealthcare Specialty Benefits UnitedHealth Group Philadelphia, PA

to claim review, utilization review and management, including monitoring the ... requirements, participate in the Fraud/Abuse program, quality review and management, as... more

Apr 06 Store Operations Human Resource Manager Family Dollar Stores Philadelphia, PA

CTM program compliance through the utilization of reporting procedures and other ... contemporary and effective approaches to HR management and to improve program... more

Apr 06 UTILIZATION MGMNT RN Mercy Health System East Norriton, PA

Utilization Management RN-Mercy Suburban Hospital, an operating unit within the Mercy ... opportunity available for a Utilization Management RN. This is a per diem/ pool... more

Mar 26 Health Information Exchange (HIE) Program Manager Catholic Health East Newtown Square, PA

in CHE IS Management Team Prepares management reports on quality indicators ... utilization. Review reports with CHE IS management teams. Participates in and support... more

Feb 24 MDS Coordinator RNAC Golden Living Philadelphia, PA

Coordinator, RNAC, Minimum Data Set, MDS Coordinator, MDS Nurse, MDS, Americal ... RNAC, Certified Registered Nurse Assessment Coordinator, Registered Nurse, RN, Clinical... more

Jan 24 Sr. Manager, Marketing Communications & PR Precyse Solutions Wayne, PA

oversight and collaboration with marketing coordinator for internal communications ... pre-show planning, logistics and on-site management of events, including... more

May 18 Program Manager - Temp to Perm Procom Mount Laurel, NJ

Requirements: (1) Banking/Financial/Commercial Lending experience as a Program Manager (pr ... estimating project life spans. Manages the utilization of project management tools and... more

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