- Humana (Harrisburg, PA)
- …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Utilization Management ( Behavioral Health) who will utilize ... of behavioral health services and/or benefit administration determinations. The Manager , Utilization Management ( Behavioral Health) applies… more
- CVS Health (Harrisburg, PA)
- …virtually Preferred Qualifications - Crisis intervention skills - Managed care or utilization review experience - Case management and discharge planning ... nights, no weekends, no holidays and no on call. The Clinical Case Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate… more
- CVS Health (Harrisburg, PA)
- …Health Counselor) Preferred Qualifications + Crisis intervention skills preferred Managed care/ utilization review experience preferred + Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- CVS Health (Harrisburg, PA)
- …broadband service. Preferred Qualifications- Crisis intervention skills preferred - Managed care/ utilization review experience preferred - Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- Highmark Health (Harrisburg, PA)
- …Inc. **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 (Harrisburg, PA)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... ER visits, readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management programs with primary… more
- Centene Corporation (Harrisburg, PA)
- …healthcare environment Required 3+ years of experience in managed care, plus utilization management , care coordination, disease management , Medicare, ... on a regular basis.** **Position Purpose:** Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners… more
- Ford Motor Company (Harrisburg, PA)
- …is best-in-class. **In this position ** The Accessories eCommerce Merchandising Manager is responsible for deeply understanding customer needs and optimizing the ... business value daily by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion, and customer… more
- Ford Motor Company (Harrisburg, PA)
- …is best-in-class. **In this position ** The Non-Vehicle eCommerce Operations Senior Manager is responsible for deeply understanding B2C and B2B Parts and Accessories ... efficiency and customer satisfaction by pulling, analyzing, and translating analytics and behavioral data into actionable insights with forecasted values for each to… more
- Nestle (Mechanicsburg, PA)
- …with governmental regulation (local, state, and federal) + Responsible for the Management of the Following Programs: Behavioral Based Safety, Chemical Approval, ... accident, zero defect, zero waste mentality. As a Safety Manager , you will lead the implementation of policies and...Industrial Hygiene, Workers Compensation, Incident Case Management , Bloodborne Pathogen, Hearing Conservation, PPE Management ,… more
- Highmark Health (Harrisburg, PA)
- …Description :** **JOB SUMMARY** This job provides Epic application software development management for IT projects. Creates plans and manages activities, within an ... available options, comparing costs and benefits, and recommending solutions. 2 Management Consulting + Identify issues and recommend solutions. + Create presentation… more
- Highmark Health (Harrisburg, PA)
- …data analysis projects within the department. **ESSENTIAL RESPONSIBILITIES** + Performs management responsibilities to include, but not limited to: involved in ... and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. + Plan, organize, staff, direct and… more
- CenterWell (Harrisburg, PA)
- …health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management , care management , clinical information ... the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post-acute care, transitions of care) at a population… more
- WellSpan Health (Mount Gretna, PA)
- …+ Engages assigned patients using Motivational Interviewing strategies in the active management of their health by encouraging participation in their care and ... planning. Assistance, as needed, with patient understanding of medication management , outpatient follow up treatment, discharge transportation needs, and identifying… more
- CenterWell (Harrisburg, PA)
- …optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national clinical program leader ... This role reports to the National Director, High Risk Patient Management . Responsibilities will include: + Lead comprehensive clinical pharmacy service development,… more
- Sharecare, Inc. (Harrisburg, PA)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more