Adheres to established departmental policies, procedures, and objectives. Enhances professional growth and development by accessing educational programs, job related literature, in service meetings, and workshops/seminars. Enhances professional growth and development through participation in educational programs, current literature, in service meetings and workshops. Main

Supervision and Leadership Lead and manage the utilization management team, including recruitment, training, performance management, and coaching to ensure optimal team performance and productivity. Utilization Review Oversee the utilization review process, including evaluating medical necessity, appropriateness of care, and compliance with clinical guidelines and policie

The Tepper School of Business is home to many programs and research programs that cross subject areas. We approach scientific problems from fresh angles using creative interdisciplinary approaches while drawing on our strengths in the core social sciences. Tepper faculty members are nationally and internationally recognized for their research in a variety of fields, includ

The Tepper School of Business lives at the heart of Carnegie Mellon University, guided by a mission to transform the world, pioneering and innovating at the intersection of business, technology, and analytics. The Tepper School offers a future focused business school experience, tailored for the complexity of today's marketplace. Where others see challenges, we see opport

Assist in the discovery and planning phase of EMSI projects to appropriately identify problems and optimal solutions. Complete the lifecycle of a project while staying abreast of new technologies and enhancements to existing solutions. Create and deliver testing solutions to minimize inaccuracy and aid in adoption of tools across EM division. Document standard business pr

Associate Dean of Graduate Administration, Operations and Finance Apply now Job no 503074 Work type Full Time Location University City Philadelphia, PA Categories College of Medicine Job Summary The Associate Dean is responsible for the fiscal and academic health of the Graduate School of Biomedical Sciences and Professional Studies and will ensure the Dean has the necess

The primary responsibility of the Billing and Registration Specialist is to be able to proactively monitor the billing and claims resolution of the Outpatient programs and provide support to the Central Registration Department Call Center. Billing and Registration Specialist Duties and Responsibilities Billing Review and Management The Billing and Registration Specialist

Program Planning & Quality Management Promotes and embraces person centered supports by ensuring plans of service are based on the expressed interests, needs, hopes and dreams of persons served as well as their strengths and abilities in order to achieve desired outcomes. Promotes the integrity of people with disabilities into the most beneficial community based residenti

Horizon House is an Equal Opportunity Employer (M/F/Veteran/Disability/Sexual Orientation/Gender Identity). Start Over with Job Search Returning Applicant? Login Now Administrative Assistant Req Code 2024 2881 006 County Philadelphia County, PA FT/PT Full Time Location 2881 New Keys Schedule M F, 9am 5pm Job Description/Essential Functions Horizon House, a non profit orga

Provides medical care and management to members served by the program and participates in gathering clinical information for medical necessity determinations for service requests. Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management p

Provides medical care and management to members served by the program and participates in gathering clinical information for medical necessity determinations for service requests. Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management p

Provides medical care and management to members served by the program and participates in gathering clinical information for medical necessity determinations for service requests. Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management p

Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing Understands and complies with long term care policies and procedures, including those that regulate nursing facilities and assisted living communities Establishes and maintains effective relationships with members and their legal representatives, faci

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Facilitates the flow of patients 24/7 by monitoring the status of and coordinating bed assignments. Manages

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o