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Keywords: Medical Director Utilization Management, Location: Philadelphia, PA

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Registered Nurse-Utilization Management Nurse

that 2-10p shift will be required. Under the general supervision of the Sr. Director, Case Management the Utilization... Utilization Management Nurse assesses the patient's plan of care and progress of the patient throughout an acute care admission...

Posted Date: 31 Oct 2025
Salary: $89840 - 114550 per year

Medical Director - Post-Acute Care Management - Care Transitions - Remote

medicine (EBM) and managed care principles Preferred Qualifications: Hands-on utilization and/or quality management... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...

Company: CPS Solutions
Location: Philadelphia, PA
Posted Date: 12 Sep 2025

Medical Director - Post-Acute Care Management - Care Transitions - Remote

medicine (EBM) and managed care principles Preferred Qualifications: Hands-on utilization and/or quality management... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...

Company: CPS Solutions
Location: Philadelphia, PA
Posted Date: 11 Sep 2025

Manager, Transportation Performance Management

and accountability for the efficient and effective utilization of all transportation management operations supporting both raw material... and inspire. Make history with us. Why Campbell’s… Benefits begin on day one and include medical, dental, short and long-term...

Location: Camden, NJ
Posted Date: 22 Oct 2025
Salary: $97400 - 140100 per year

Manager Case Management, Behavioral Health (Triage) - Remote (PA/NJ/DE)

unit, customer service and utilization management to ensure an integrated approach between behavioral and physical health... and Medical situations requiring higher level management intervention Assured compliance with all legislative and accreditation...

Posted Date: 10 Oct 2025

Care Management Coordinator Behavioral Health (UM) - Remote (PA/NJ/DE)

members BH condition to the Medical Director for their further review and evaluation. The BH Care Management Coordinator...: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria...

Posted Date: 08 Oct 2025

Care Management Coordinator Behavioral Health, ABA services - Remote (PA/NJ/DE)

Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when... Coordinator provides relevant information regarding members BH condition to the Medical Director for their further review...

Posted Date: 27 Aug 2025

Director of Prevention

leadership in the design, implementation and utilization of client management/outcomes measurement system in the prevention... and compassionate service. CORA’s Community Services Division is currently seeking a Director of Prevention to ensure that the...

Company: Cora
Location: Philadelphia, PA
Posted Date: 26 Oct 2025
Salary: $78311 per year

Associate Director, Payer Accounts

: 3777 Role Description Your Role: The Associate Director, Payer Accounts primary responsibilities are to secure..., and New York. Your Responsibilities: Leverage strong account management experience and strategic account planning...

Company: Leo Pharma
Location: Philadelphia, PA
Posted Date: 04 Oct 2025
Salary: $175000 - 225000 per year

Senior Director, Clinical Operations

with stakeholders in medical, regulatory, quality, data management, and executive leadership. Job Details: This position requires...Temple University's Lewis Katz School of Medicine is searching for a Sr. Director of Clinical Operations! Salary...

Location: Philadelphia, PA
Posted Date: 21 Sep 2025
Salary: $130000 - 150000 per year

Senior Director, Advisory Services - Market Access

, contracting, and reimbursement challenges. As Senior Director Market Access, you will lead high-impact engagements across the... industry expertise. The Senior Director, Market Access, will be focused on the following: Lead strategic market access...

Company: IntegriChain
Location: Philadelphia, PA
Posted Date: 11 Sep 2025

Director of Events and Dining

, national origin, race, religion, sex, sexual orientation, veteran status, or any other protected status. The Director... Director ensures delivery of a best-in-class experience for museum visitors, clients, and event guests. The Director...

Posted Date: 24 Aug 2025
Salary: $125000 per year

RN Pre-Post Op Outpatient Surgery-Per Diem: AZURA

direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing... for addressing and acting on adverse events and action thresholds in collaboration with facility management. Maintains integrity...

Posted Date: 28 Oct 2025

RN Pre-Post Op Outpatient Surgery-Per Diem: AZURA

direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing... for addressing and acting on adverse events and action thresholds in collaboration with facility management. Maintains integrity...

Posted Date: 26 Oct 2025

RN Pre-Post Op Outpatient Surgery Per Diem - Azura

direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing... for addressing and acting on adverse events and action thresholds in collaboration with facility management. Maintains integrity...

Posted Date: 17 Oct 2025

Home Modification Specialist

management and specialty pharmacy services, behavioral health services, and other administrative services. Discover.... Provide technical assistance, expertise and consultation for Contractor Apply medical health benefit policy and CHC benefit...

Posted Date: 30 Oct 2025

Pediatrician - Karabots

Management or supervisory experience in an ambulatory care academic setting or medical office setting with developing... Sick/Well Patients, documents medical findings in EPIC, provides support to Patient's/colleagues, collaborates with office...

Posted Date: 17 Oct 2025

Key Account Manager - Cardiovascular - Philadelphia, PA

What you will do The Cardiovascular Account Manager will report into a Cardiovascular Account Director. Their primary responsibility... / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues...

Company: Amgen
Location: Philadelphia, PA
Posted Date: 11 Oct 2025
Salary: $163193 - 194558 per year

Pediatrician - Chestnut Hill

Management or supervisory experience in an ambulatory care academic setting or medical office setting with developing... Sick/Well Patients, documents medical findings in EPIC, provides support to Patient's/colleagues, collaborates with office...

Posted Date: 10 Oct 2025

Aviation Grants Administrator

staff, and serving as a subject-matter expert for all grant-related activities. This position reports to the Director... air service initiatives and capital projects for optimal grant resource utilization. Formulates and submits the five-year...

Posted Date: 10 Oct 2025
Salary: $82509 - 123775 per year