- UpvoteDownvoteShare Job
- Suggest Revision
The Director of Care Management has overall responsibility for all utilization review activities on the TUH Jeanes Campus as defined by TUHS contracts, as falls within the scope of practice of the Care Management Department and is necessary to meet the financial needs of the organization.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
This experience typically includes: monitoring occupant space utilization, energy and water conservation, sustainability and environmental hazards programs; coordinating alteration and renovation projects; gathering information to assess the level of customer satisfaction, i.e., surveys, interviews with tenant contacts, focus groups; monitoring real property budgetary and financial data; and, administration of repair and/or operation and maintenance contracts.
$72,553 - $86,962 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Under the general supervision of the Sr. Director, Case Management the Utilization Management Nurse provides comprehensive assessment, coordination, implementation and reporting of complex clinical data.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Blended Case Management Supervisor is responsible for assuring that the staff under their supervision are making every attempt to complete the documentation in a timely fashion and that it meets the general guidelines of legibility, it is signed, dated and that the content follows the DAP format and explains the nature of the contact.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
General Description The Associate Dean, Student Success & Engagement supports the Associate Vice President/Dean of Students in the management of administrative and operational efficiencies with the Student Support & Engagement division.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Utilization Management (UM) Coordinator PositionFairmount Behavioral Health System is seeking a Utilization Management (UM) Coordinator to reviews patient medical records to determine severity of patient’s illness and the appropriateness of level of care.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client’s product. The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Transitional Care Manager will be is responsible for a broad range of skills, clinical expertise and proficiency in complex case management, utilization review, and care coordinator of at-risk members during admission and set-up transition plans post discharge 7-14 days from an inpatient facility.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The IBHS Clinical Care Manager – Neurodevelopmental Services (CCM-ND) is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring.
$65,600 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
The Biosolids Practice Leader will lead the development and implementation of business strategies across North America in coordination with Wastewater Market Sector leadership and other technical Business Class Directors (e.g. wastewater treatment, biogas utilization, conveyance, asset management, etc.
$130,410 - $242,190 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
At least one year of long-term care clinical nursing experience required Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management preferred Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Interact with insurance companies for pre-certification and utilization management. Interact with insurance companies for pre-certification and utilization management. State license (or license-eligible) in a counseling field (e.g., Psychologist, LMFT, LCSW, LPC.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN*Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses.
$680 a weekExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Assistant Director of Nursing (ADON) provides assistance to the CNO in administrative and clinical supervision over Nursing Services including effective utilization of the nursing process to provide quality patient care, establish standards of practice, and provide effective fiscal management.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Senior Financial Analyst will provide support in the management of $4 billion in revenue of internal reinsurance operations. Utilization of COGNOS to run queries and analyze reinsurance activity globally to expected forecast versus actuals and contract renewals terms Serves key role in preparing global intercompany detail reviews and findings for Global Treaty’s 3 business units.
$4Full-timeExpandApply NowActive JobUpdated Today
utilization management jobs in Philadelphia, PA
FEATURED BLOG POSTS
How to Create a Job-Winning Restaurant Manager Resume
You can manage customer needs, take on administrative responsibilities, and effectively lead your staff. But can you write a job-winning resume? If you’re a restaurant manager looking for a new job, grab your pen and paper as we reveal the secrets to writing a convincing restaurant manager resume.
6 Store Management Resume Tips (with Example)
A retail store manager's job responsibilities aren't easy. Regardless of the parent company's size, it is the store manager's duty to ensure ALL store-related operations run smoothly. Because being an effective leader in retail management can be tough, it is automatically assumed that getting a job is even tougher. But even though the job responsibilities can be tasking, landing a retail store manager position is a little easier... but only if you have the right tools. Most companies do not expect prospective store managers to have a sophisticated educational background. Instead, they select people with convincing skill-set and experience. So, how do you convince recruiters that you're the best candidate for the job? Start by writing a compelling retail store management resume!
How to Maximize Action Verbs in Your Resume
Writing a resume that stands out takes more than using keywords and savvy formatting. It’s not just about having an impressive list of accomplishments. It’s also about how you position them using action verbs and deliberate word choice. So if you are looking for a way to craft a resume that stands out and gets calls back? Start by sprucing up your resume with captivating action verbs.
What is Your Desired Job Title?
You’ve decided to look for a new job. So now comes the question — what is your desired job title? There are lots of considerations to think through when deciding on the right title for your next role.
How to Write a Property Manager Resume
Property management experts have a variety of responsibilities, such as ensuring the safety and durability of commercial and residential buildings. During recruitment for such a position, recruiters assess your skills first-hand. This begins with how well you organize and tailor your property management resume. In other words, they can't afford to bring you onboard if your resume does not impress them.
Finally! Answers to 9 Job Search Questions You've Been Wondering About
There’s no college course on how to job search effectively. If schools offered “Job Searching: 101,” we wouldn’t have to write this article. Unfortunately, there’s nothing straightforward about a job hunt, and researching the best job searching methods is basically limited to sourcing peer advice and internet articles. Don’t worry; we’ve got your back. Here are definitive answers to the most common questions you’ve been dying to ask.
How to Successfully Make a Career Change in the New Year
The beginning of a new year is often a time for reflection and introspection. Millions of people use this time to come up with new resolutions to help them live happier and healthier lives. Pursuing our career ambitions is among the top five, right up there with exercising more and eating better.