ume jobs in Philadelphia

Job DescriptionJob Description$4K SIGN ON BONUSLooking for experienced, Team-oriented, organized, professional LPN to join our team. Able to redirect, educate, and assist staff and residents, able to multi-task, familiar with admission process, and the ability to complete sub-Acute population admissions. Knowledge of point click care a plus!

Radiation Oncology Medical DirectorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture...

Radiation Oncology Medical DirectorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture...

Company :Highmark Inc.Job Description :JOB SUMMARY This is a full-time REMOTE position requiring weekend availability (Saturday and Sunday) in addition to three weekdays. This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

You must reside in one of the following states for this position: AL, AR, AZ, GA, IA, ID, IL, IN, KS, KY, LA, MI, MO, MS, NY, OH, OK, PA, SC, TN, TX, UT, WIAmerican Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care...

Radiation Oncology Medical DirectorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture...

Radiation Oncology Medical DirectorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture...

Discharge Planner/Case Management AssistantThe Discharge Planner/Case Management Assistant facilitates safe, timely, and cost-effective transitions of care by coordinating all post-acute service and appointment needs for patients on the assigned unit. The discharge planner assists the transfer center to ensure timely internal and external transfers. Working...

Lead RPA Developer (UiPath)Location: Philadelphia, PA (Hybrid)Experience: 10+ YearsKey Skills:Strong hands-on experience in UiPath Studio and Orchestrator.End-to-end RPA development, deployment, and production support.PDD and SDD documentation.RPA solution design, process assessment, and automation.Agile project delivery and team leadership.Debugging,...

Number of Positions In Requisition 1 Job Details The Discharge Planner/ Case Management assistant facilitates safe, timely, and cost-effective transitions of care by coordinating all post-acute service and appointment needs for patients on the assigned unit. The discharge planner assists the transfer center to ensure timely internal and external...

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. The Clinical Care Manager must utilize clinical knowledge of best practices and evidence-based...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something...

Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key role in collaborating with our Medical Director to perform benefit and medical necessity reviews and appeals within an NCQA-compliant UM program. Salary:...

Number of Positions In Requisition 1 Job Details The Discharge Planner/ Case Management assistant facilitates safe, timely, and cost-effective transitions of care by coordinating all post-acute service and appointment needs for patients on the assigned unit. The discharge planner assists the transfer center to ensure timely internal and external transfers....

About Company:About Tripoint Solutions We are technology innovators, partnered with state-of-the-art providers, such as AWS, ServiceNow, and UiPath, to drive digital transformation in the federal space. TPS teams are bringing automation and data science into areas of the government that are crying out for fresh tech—making positive impacts felt by tens of...

Morrison HealthcareTake the next step in your career with Morrison Healthcare as a Clinical Dietitian in Largo, MD!Location : Morrison Healthcare at UM Capital Region Health Medical Center in Largo, MDSetting : 225 bed acute care facility and teaching hospital with a level II trauma center.Schedule : Monday-Friday, rotating weekendsRequirement : Registered...

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. The Clinical Care Manager must utilize clinical knowledge of best practices and evidence-based...

ViiV Healthcare is a global specialty HIV company, the only one that is 100% focused on researching and delivering new medicines for people living with, and at risk of, HIV. ViiV is highly mission-driven in our unrelenting commitment to being a trusted partner for all people living with and affected by HIV. Our aim is to think, act, and connect differently...

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. The Clinical Care Manager must utilize clinical knowledge of best practices and evidence-based...

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. The Clinical Care Manager must utilize clinical knowledge of best practices and evidence-based...