Registered Nurse - Care Management - Medical Center - Northeast Philadelphia
Northeast Philadelphia medical center seeking registered nurse to perform case management including discharge planning. Position requires previous case management and discharge planning experience. In addition, client prefers previous hematology and oncology clinical experience. The position is permanent, full time with benefits. Active Pennsylvania nursing license is required.
Manager, Utilization Management Department
Philadelphia Healthplan seeking RN with PA license to manage UM department. Ideal candidate must have 3 years of demonstrated Utilization Management experience in a Managed Care Environment. Working knowledge of Interqual a must. Candidate will also have a strong clinical background, and several years supervisory/management experience. Please apply for immediate consideration.
Health Service Compliance Manager
Philadelphia Healthplan seeking Compliance Manager. Ideal candidate will have an understanding of Medicare Advantage programs and State and Federal laws and regulations. Understanding of NCQA guildelines and standards preferred. Bachelors degree a must, MBA preferred. Candidate must posess excellent communication and presentation skills.
Director, Health Services for Utilization Management
Philadelphia Healthplan has an immediate need for Director of Utilization Management Department. Ideal candidate will have a minumum of 5 years clincial experience with experience in utilization/medical management/health services activities. 3 years management experience, MA, or MBA preferred.
Medisys is an Equal Opportunity Employer ** ALL NURSING CANDIDATES MUST HAVE ACTIVE NURSING LICENSE TO BE CONSIDERED FOR EMPLOYMENT