NewDirector, Medical Evaluation & Case Processing Oversight CSL BehringDirector, Medical Evaluation & Case Processing OversightKing of Prussia, PAWe use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives. Focused on serving patients’ needs by using the latest technologies, we discover, develop and deliver innovative therapies for people living with conditions in the immunology, hematology, cardiovascular and metabolic, respiratory, and transplant therapeutic areas.
NewCase Management Director Encompass Health Rehabilitation Hospital of MechanicsburgCase Management DirectorHershey, PAJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. - Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
HIV Medical Case Manager (Easton Clinic) St. Luke's Health Network, Inc.HIV Medical Case Manager (Easton Clinic)Bethlehem, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Case management activities include but are not limited to intake and screening, assessment, preparation of service coordination plans, referrals for service and placement, monitoring to assure compliance with and effectiveness of plan, service advocacy, and outcome evaluations.
NewRN - Registered Nurse - Hospital Case Manager GeisingerRN - Registered Nurse - Hospital Case ManagerDanville, PADesigns an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones .
NewRegistered Nurse - Case Manager - Northwest Philadelphia Oak Street HealthRegistered Nurse - Case Manager - Northwest PhiladelphiaPhiladelphia, PA$66,575–$142,576Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members. In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients.
NewTravel Nurse RN - Case Manager - $2,013 per week in Doylestown, PA OneStaff MedicalTravel Nurse RN - Case Manager - $2,013 per week in Doylestown, PADoylestown, PA$2,013.19–$2,013.19Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.
NewTravel Nurse RN - Case Manager - $2,095 per week in Paoli, PA OneStaff MedicalTravel Nurse RN - Case Manager - $2,095 per week in Paoli, PAPaoli, PA$2,094.60–$2,094.60Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.
NewOnsite Medical Representative Amazon.com Services LLCOnsite Medical RepresentativePittston, PACurrent valid Basic Life Support (BLS) certification by an approved emergency cardiac care (ECC) provider; AND must have one of the following: - Current valid Emergency Medical Technician (EMT) OR Paramedic Certification from the Department of Health OR the National Registry of Emergency Medical Technicians (NREMT); OR. The Amazon Workplace Health & Safety (WHS) team sets the strategic direction to provide resources, best practices, and safe environments to proactively manage the health and wellbeing of our workforce.
NewOutreach Case Worker Bell Socialization Services Inc.Outreach Case WorkerYork, PA6) Community Networking: Establish contacts and resources in rural York County with medical providers, township offices, landlords, business owners, etc. that will provide referrals to the program. DUTIES AND RESPONSIBILITIES: This Case Worker position will be responsible for outreaching the rural areas of York County to provide rental counseling to consumers who are homeless or have low to moderate incomes.
NewTravel Nurse RN - Case Manager - $2,433 per week in Doylestown, PA Coast Medical ServiceTravel Nurse RN - Case Manager - $2,433 per week in Doylestown, PADoylestown, PA$2,433–$2,433Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
NewAssistant Medical Director - Hospital Medicine - Mercy Fitzgerald Hospital VituityAssistant Medical Director - Hospital Medicine - Mercy Fitzgerald HospitalDarby, PAStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers.
Case Manager per diem for ARC St. Luke's Health Network, Inc.Case Manager per diem for ARCSellersville, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. This includes assessing, planning, implementing, coordinating, and evaluating health and community related services to meet a patient’s physical, psychosocial, vocational, and health needs in a cost effective, outcomes-oriented, and timely manner.
Case Manager, Behavioral Health (Per Diem) St. Luke's Health Network, Inc.Case Manager, Behavioral Health (Per Diem)Allentown, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains appropriate, timely, and effective communication with patients, families, community agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management.
NewCardiology Medical Assistant ChenMedCardiology Medical AssistantPhiladelphia, PA$20.20–$28.83Ability to effectively collaborate and partner with team members, including physicians and other clinicians, market leaders, center managers, nurses, case managers, front desk staff, center managers, and market leaders. The Cardiology Medical Assistant (Care Promoter, Specialist Cardiology) is an unlicensed medical professional who has received specialized training to perform routine administrative and clinical tasks to support the Specialist PCP and provide a great patient experience.
NewMedical Assistant ChenMedMedical AssistantPhiladelphia, PA$17–$24.26Ability to effectively collaborate and partner with team members, including physicians and other clinicians, market leaders, center managers, nurses, case managers, front desk staff, center managers, and market leaders. The Care Promoter 1, Early Embrace is an integral member of a Physician-lead Care Team that is focused on providing excellent and comprehensive primary care for a specific population of patients.
Medical Case Management Supervisor Public Health Management CorpMedical Case Management SupervisorPhiladelphia, PAPHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent - managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment. Population Bariatric Patients: BMI greater than 40, or greater than 35 with weight related comorbidities Patient with exceptional communication needs Patient with developmental delays Patient at the end of life Patient under isolation precautions All Populations.
Care Management Social Work Supervisor - Pop Health Case Management - Day WellSpan HealthCare Management Social Work Supervisor - Pop Health Case Management - DayYork, PAProvides direct service to patients including psychosocial assessment, interviewing patients and families, identifying barriers to care, care planning, and coordination of appropriate clinical and community resources. Acts as liaison with inpatient teams, ambulatory practices, interdisciplinary clinical partners, and community agencies to facilitate problem solving, care coordination, and service integration.
Care Management Assistant - Case Management York Hospital - Days WellSpan HealthCare Management Assistant - Case Management York Hospital - DaysYork, PAReviews daily patient discharge list, routes incomplete VNA orders, identifies incomplete auth information, reviews final disposition Epic navigator for accuracy and completeness. Initiates SNF authorizations as requested by CMSW/CMRN; followed by documentation of payor determination in EMR/patient record.
Director of Case Management - Care Management Tower Health Medical GroupDirector of Case Management - Care ManagementWest Reading, PA2022-2026: Americas 50 Best Hospitals Award Recipient of Excellence Award: Stroke Care, Neurosciences, Pulmonary Care, and Critical Care Magnet Status Level 1 Trauma Center Ranked Among Top Ten Hospitals in Pennsylvania 5-Star Rating for Overall Hospital Quality Vizient Graduate Nurse Residency Program for all new RN grads Comprehensive benefits to include earned time off, enhanced tuition assistance, retirement savings with employer match and so much more! Additionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area.
Field Medical Case Manager I CorVel CorpField Medical Case Manager IPARemote$63,739–$95,264 / yearIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Field Medical Case Manager I CorVel Healthcare CorporationField Medical Case Manager IAllentown, PARemote$63,739–$95,264 / yearPart timeIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Insurance Specialist - Case Management - Full Time Indiana Regional Medical CenterInsurance Specialist - Case Management - Full TimePAConduct insurance benefit investigations and communicate coverage details, patient responsibility, and financial obligations to patients, families, and hospital staff as appropriate. Coordinate with clinical staff, case management, utilization review, and physicians to obtain required clinical information for authorizations and appeals.
Director, Case Management Prime Healthcare Services IncDirector, Case ManagementPALocated in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery. Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians.
NewRegistered Nurse Case Management Prime Healthcare Services IncRegistered Nurse Case ManagementPAThe methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license Grandfathered prior to April 1, 2015.
Registered Nurse - Case Management Roxborough Memorial HospitalRegistered Nurse - Case ManagementPhiladelphia, PennsylvaniaFull timeThe methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. The hospital has been serving the medical and health care needs of the Roxborough, Manayunk, East Falls and northwest section of Philadelphia communities for more than a century, having first opened its doors in 1890.
NewProduct Owner II (Case Management Platforms), PNC BankProduct Owner II (Case Management Platforms),Pittsburgh, PennsylvaniaIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
Medical Case Manager Philadelphia FightMedical Case ManagerPhiladelphia, PA$58,000–$60,000 / yearIdentifies and advocates for clients engaged in care within one or more of Philadelphia FIGHT's Community Health Centers sites related to shelter/housing, utility assistance, food assistance, clothing banks, medication assistance programs, substance use and/or behavioral services, etc. Maintains client files by accurately and timely documenting all client interactions medical records to the electronic medical record system, including benefit applications, appointment adherence, medical treatment plans, medication adherence, and any subsequent follow up.
Medical Case Manager Public Health Management CorpMedical Case ManagerPhiladelphia, PAPHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent - managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment. EDUCATION: • Must meet ONE of the following: • Bachelor's degree in social work or a related field from an accredited school of social work • Associate's degree in social work or a related field, with the intent and desire to obtain a bachelor's degree in social work or a related field.
NewProduct Owner II (Case Management Platforms), The PNC Financial Services Group IncProduct Owner II (Case Management Platforms),Pittsburgh, PA$75,000–$137,500 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
Registered Nurse - CASE MANAGER - Utilization Management Meadville Medical CenterRegistered Nurse - CASE MANAGER - Utilization ManagementMeadville, PennsylvaniaThis Clinical Liaison would be expected to meaningfully impact length of stay, quality of care, and discharge experience by working to develop a multi-disciplinary plan for successful transition to the next level of care and determining appropriate discharge disposition while also driving the elimination of barriers. Uses appropriate communication skills for specific ages, education, and cognitive level and is aware of psychosocial status and cognitive abilities of patient when facilitating discussions regarding discharge-planning needs.
NewDrug & Alcohol Case Management Specialist Trainee (Local Government) Commonwealth of PennsylvaniaDrug & Alcohol Case Management Specialist Trainee (Local Government)Cambria County, PAMinimum Experience and Training Requirements: A Bachelor's Degree in Chemical Dependency, Sociology, Social Welfare, Psychology, Nursing or a related field; or a Bachelor's Degree which includes or is supplemented by successful completion of 18 college credits in sociology, social welfare, psychology, criminal justice or other related social sciences; or. Join our team as a Drug and Alcohol Case Management Specialist Trainee and help individuals navigate recovery, rebuild their lives, and connect with the resources they need to achieve lasting success.
Case Management Director Encompass Health CorpCase Management DirectorMechanicsburg, PAJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
Medical Case Manager - Workers' Compensation ForzaCareMedical Case Manager - Workers' CompensationPhiladelphia, PAPart timeThis role is ideal for licensed nurses or certified rehabilitation counselors with prior experience working in a role where the primary responsibility was coordinating medical care and case management for individuals with active workers' compensation claims. Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care.
Senior Case Management Assistant - Days GeisingerSenior Case Management Assistant - DaysDanville, PAProvides seamless appointment scheduling services to patients and referring physician offices by matching physician-specific scheduling guidelines with patient appointment preferences using technology. Facilitates positive multi-channel communications among patients, physicians, clinical staff, outreach sites, and internal departments to serve patient and referring physician needs.
Senior, Case Management Assistant - Days GeisingerSenior, Case Management Assistant - DaysDanville, PennsylvaniaProvides seamless appointment scheduling services to patients and referring physician offices by matching physician-specific scheduling guidelines with patient appointment preferences using technology. Facilitates positive multi-channel communications among patients, physicians, clinical staff, outreach sites, and internal departments to serve patient and referring physician needs.
Case Manager, Registered Nurse - Field - Geisinger Community Medical Center, PA CVS Health CorpCase Manager, Registered Nurse - Field - Geisinger Community Medical Center, PAPA$60,522–$129,615 / yearThrough compassionate engagement and strong communication, our care teams collaborate with members, providers, and community organizations to address the full continuum of healthcare needs, including medical, behavioral, and social determinants of health. This is an on‑site, hospital‑based role supporting members receiving care at Geisinger Community Medical Center and requires consistent in‑person engagement with members, providers, and multidisciplinary care teams.
Director Case Management ElwynDirector Case ManagementElwyn, PennsylvaniaFull timeIMMEDIATE SUPERVISOR: Executive Director ICFs/IID and Quality InitiativesEDUCATION/EXPERIENCE/SKILLS REQUIREMENTS:CONTACTS: Elwyn staff, individuals supported, parents, guardians, community agency representatives, providers, government officials & vendors DIRECT REPORTS: Qualified Intellectual Disability Professionals (QIDP) EDUCATION/EXPERIENCE/SKILLS REQUIREMENTS:At least one year of experience working directly with persons with intellectual disabilities or other developmental disabilities AND is either a human services professional possessing at least a bachelor's degree in a human services field, including but not limited to sociology, special education, rehabilitation counseling, psychology, all professional disciplines (e.g., Occupational Therapist, Physical Therapist, physical therapy assistant, speech-language pathologist, audiologist), academic disciplines associated with the study of human behavior (e.g., speech communication, gerontology), human skill development (e.g., counseling, human development), humans and their cultural behavior (e.g. With support from the Quality Improvement Department, train QIDPs on the role of primary advocate for individuals supported; the process of assessing for, developing, integrating, coordinating and monitoring the Active Treatment program, interdisciplinary team meetings, comprehensive functional assessments, development and implementation of the Individual Program Plan (IPP) with specific training objectives, interventions toward increased independence, continuous review and revision of goals; and implementation of the individual transition planning with the integration of the medical care plan into the IPP.
Case Management Supervisor MerakeyCase Management SupervisorPAThe Blended Case Management Supervisor role blends hands‑on leadership, collaboration, and a recovery‑focused approach to strengthen services, support staff growth, and positively influence outcomes for individuals and the community. The Blended Case Management Supervisor's responsibilities include but are not limited to: Staff Supervision & Development: Oversee BCM staff performance, personnel actions, training, on‑call coverage, and provide ongoing coaching, supervision, and recovery‑focused guidance.
Medical Case Manager (HIV/AIDS) - Bebashi -Transition to Hope - Phila., PA Midatlantic Employers' AssociationMedical Case Manager (HIV/AIDS) - Bebashi -Transition to Hope - Phila., PAPhiladelphia, PAWorking collaboratively with medical providers, community partners, and internal program staff, the Medical Case Manager conducts assessments, develops individualized service plans, and advocates to reduce barriers to care. Make appropriate referrals to link clients with supportive services, including, but not limited to: transportation, emergency resources, housing, medical care, support groups, counseling and nutritional assistance.
Blended Enhanced Targeted Case Management Supervisor WES Health SystemBlended Enhanced Targeted Case Management SupervisorPhiladelphia, PA$42,000–$42,000In conjunction with the Director, the individual is also responsible for tracking and monitoring staff productivity to ensure compliance with regulatory agencies’ requirements and WES policies and procedures. 4. Assists the Director in managing the annual budget allocation with the responsibility of keeping the expenditures within the allocated projections.
Case Management Support Intern Pennsylvania State UniversityCase Management Support InternPAExamples of situations with which the office can assist are academic distress, financial insecurity, housing/food insecurity, death of an immediate family member, family emergency/crisis, mental health concerns, medical emergency and/or hospitalization, long-term illness, being named in allegations of misconduct, navigating a university misconduct process, and/or unexpected events or challenges. The Student Care & Advocacy case management intern serves as a support for the case management team in addressing unforeseen student situations such as complex behavioral and/or psychological challenges, social or adjustment problems, academic related challenges, and financial insecurity.
Director, Case Management Lower Bucks HospitalDirector, Case ManagementBristol, PennsylvaniaFull timeLocated in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery. Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians.
Registered Nurse - Case Management Lower Bucks HospitalRegistered Nurse - Case ManagementBristol, PennsylvaniaFull timeThe methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Located in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery.
HIV Medical Case Manager (Easton Clinic) St. Luke's University Health NetworkHIV Medical Case Manager (Easton Clinic)Bethlehem, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Case management activities include but are not limited to intake and screening, assessment, preparation of service coordination plans, referrals for service and placement, monitoring to assure compliance with and effectiveness of plan, service advocacy, and outcome evaluations.
NewMedical Case Manager - (Remote) Highmark IncMedical Case Manager - (Remote)PARemoteLicensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Bachelor's degree in nursing or RN certification in lieu of bachelor"s degree or Master's degree in Social Work, Counseling, Education, or related field and 3 years" experience in Acute or Managed Care/ experience with Medicaid or Medicare populations.
Chief Medical Officer, Vice President - Quality Management University Health Services IncChief Medical Officer, Vice President - Quality ManagementKING OF PRUSSIA, PAOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. The Chief Medical Officer - Vice President, Quality Management provides leadership and expertise for clinical integration and alignment, hospital and clinical effectiveness, quality management, medical staff operations, physician leadership development and physician hospital relations.
Medical Director Utilization Management Veterans Sourcing GroupMedical Director Utilization ManagementPittsburgh, PARemoteThis role supports Utilization Management activities within a health insurance/payer environment and is responsible for conducting medical necessity reviews, appeals, and escalated case evaluations using established medical policy criteria. Preference will be given to candidates with direct health insurance plan / payer-side UM experience involving medical necessity reviews, appeals, grievances, and managed care operations.
Associate Director, Safety Systems Lead, Medical Safety & Risk Management - Remote Agios PharmaceuticalsAssociate Director, Safety Systems Lead, Medical Safety & Risk Management - RemotePhiladelphia, PARemote$153,541–$230,312 / yearThe Associate Director, Safety Systems Lead will be responsible for all technical aspects of the safety database environment, supporting business requirements for case processing and submission compliance, facilitating and managing interfaces with other systems, providing data to all relevant parties, serving as the safety systems technical subject matter expert and overseeing relevant safety systems vendors. Ensure safety systems remain continuously compliant, validated, and inspection-ready by overseeing computer system validation (CSV) deliverables (e.g., Validation Plans, Summary Reports, UAT), partnering with QA on audit trails/evidence, and maintaining adherence to SOPs, GxP, ICH, FDA regulations, EU Annex 11, and 21 CFR Part 11.
NewNurse Practioner/Physican Assistant - Cardiac Surgery Inpatient Medical Management Penn MedicineNurse Practioner/Physican Assistant - Cardiac Surgery Inpatient Medical ManagementLancaster, PAOur program is a regional leader in the implementation of newer techniques and technologies, including complex repair of both the mitral and aortic valve, TAVR, transcatheter edge-to-edge mitral valve repair, transcatheter mitral valve replacement and surgical treatment of atrial fibrillation. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole.