Allentown, Pennsylvania, United States · Remote OK
Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recove…
Skills: Utilization review, ASAM requirements, Medical terminology, Data entry, Microsoft Office
Yardley, Pennsylvania, United States · On-site
$87k–$105k/yr
Company Description At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is commit…
Skills: Project management, Client engagement, Operational management, Account management, Life sciences industry
Lewisburg, Pennsylvania, United States · On-site
General Summary Plays a crucial role in the implementation and ongoing training of Epic Systems within WellSpan. Collaborates closely with subject matter experts, analysts, trainers and project managers to develop high-q…
Skills: Instructional design, Curriculum development, Epic systems, Healthcare training, Problem solving
East Marlborough Township, Pennsylvania, United States · On-site
Overview Role: Housekeeper Join Healthcare Services Group (HCSG) as a Housekeeper, where you will play a vital role in maintaining a clean and safe environment in a long-term care facility. At HCSG, we are passionate abo…
Skills: Housekeeping, Sanitation, Infection Control, Customer Service, Cleaning
Gettysburg, Pennsylvania, United States · On-site
2026 Winter Nurse Externship for the Emergency Department and Med/Surg Units - Gettysburg Hospital At least 48 hours of paid clinical experiences during winter break 1:1 experienced RN preceptor Full-Time or Part-Time Ho…
Skills: Patient Care, Data Collection, Clinical Documentation, Therapeutic Interventions, Basic Life Support
Butler, Pennsylvania, United States · On-site
$25/hr–$30/hr
Part Time= 29 hrs/week or less FREE Complimentary Y Membership Discounted Y Programs The Personal Trainer at the Butler YMCA intentionally instructs, supervises, and reinforces proper strength training procedures and wil…
Skills: Strength training, Nutrition knowledge, Behavior modification, CPR, First aid
Butler, Pennsylvania, United States · On-site
$15/hr–$17/hr
PART TIME EMPLOYEE BENEFITS Less than 29 hours/week Free Membership to the Y Discounted Y Programs The Group Exercise Instructor instructs group classes in a safe, enjoyable, and positive environment that welcomes people…
Skills: Group exercise instruction, Fitness training, Class management, Relationship building, Communication
York, Pennsylvania, United States · On-site
Full-Time - 0.9 FTE/72 Hours Biweekly Day Shift - 0700-1900 Every 3rd Weekend; 1 Major, 1 Minor and 1 Split Holiday Eligible for Shift Differential General Summary Provides professional nursing care at the beginner pract…
Skills: Professional Nursing Care, Patient-Centered Care, Care Planning, Acute Care, Clinical Standards
Philadelphia, Pennsylvania, United States · Remote OK
Customer Care Specialists: Make a Great Living, Help your Community As our community evolves, so does the need for compassionate care. If your position was recently impacted, Greater Philadelphia Health Action, Inc., inv…
Skills: Call Center Operations, Customer Service, Electronic Systems Navigation, Active Listening, Data Entry
Philadelphia, Pennsylvania, United States · On-site
Position: Direct Support Professional Schedule: 2nd shift with Weekends, Week 1 Mon-Thurs, Sat 2:30pm -11pm/ Week 2 Sun, Mon, Wed-Sat 2:30pm-11pm Pay Rate: Earn up to $17.69/hour with election of Enhanced Pay option. Are…
Skills: Direct support, Personal care, Mentoring, Coaching, Communication skills
Philadelphia, Pennsylvania, United States · On-site
Position: Direct Support Professional Pay Rate: $17.69 Schedule: 3rd shift with weekends, Week 1 Sun, Mon Wed-Fri 11p-7:30am. Week 2 Mon-Thurs, Sat 11p-7:30am Are you looking for an opportunity to advance your career whi…
Skills: Direct support, Personal care, Hygiene assistance, Mentoring, Coaching
Philadelphia, Pennsylvania, United States · On-site
Position: Direct Support Professional Schedule: Double Shift Weekends, Every Sat & Sun 3:30-7:30am Pay Rate: $17.69 Are you looking for an opportunity to advance your career while working with an extraordinary team? At M…
Skills: Caregiving, Mentoring, Coaching, Communication skills, Personal care
Philadelphia, Pennsylvania, United States · On-site
Position: Direct Support Professional Schedule: Double Shift Weekends, Every Sat & Sun 7AM-11PM Pay Rate: $17.69 Are you looking for an opportunity to advance your career while working with an extraordinary team? At Mera…
Skills: Caregiving, Mentoring, Coaching, Personal care, Hygiene assistance
Philadelphia, Pennsylvania, United States · On-site
Position: Direct Support Professional Pay Rate: Earn up to $18.75/hour with election of Enhanced Pay option. Shifts available: 1st shift with weekends Are you looking for an opportunity to advance your career while worki…
Skills: Caregiving, Mentoring, Coaching, Communication skills, Personal care
Hollidaysburg, Pennsylvania, United States · On-site
The Program Lead plays a critical role in the day-to-day management and oversight of specific programs or services within their identified Division. Reporting to the Program Manager, this position is responsible for coor…
Skills: Staff supervision, Program management, Client care, Conflict de-escalation, Medication administration
West Chester, Pennsylvania, United States · On-site
When you work at Bellingham West Chester, you have a front-row seat to the amazing life stories of the wisest people on earth. What’s more, you are part of an extraordinary company – one that’s investing in the future of…
Skills: Housekeeping, Laundry services, Sanitation, Organization, Hospitality
Chambersburg, Pennsylvania, United States · On-site
Overview At Chambersburg Skilled Nursing & Rehab, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, …
Skills: Nutrition care plans, Diet modification, Clinical nutrition, Nutrition assessment, Geriatric nutrition
Chambersburg, Pennsylvania, United States · On-site
Overview At Chambersburg Skilled Nursing & Rehab, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, …
Skills: Nursing, Clinical operations, Staff supervision, Regulatory compliance, Care delivery
Erie, Pennsylvania, United States · On-site
UPMC's Ortho and Sports Medicine is seeking a Surgery Scheduler to join their team! This full-time position will work day-shift, Monday through Friday. No holidays, evenings or weekends are required. Occasional travel to…
Skills: Surgery scheduling, Medical terminology, Epic practice management, Insurance verification, Patient communication
Harrisburg, Pennsylvania, United States · On-site
THIS PART-TIME POSITION IS WEEKEND NIGHTS. UPMC is committed to investing in nurses like you –financially, personally, and professionally –starting on day one of your career. From tackling student loans to advancing your…
Skills: Registered nursing, Perianesthesia care, Patient assessment, Critical thinking, Clinical judgment
Allentown, Pennsylvania, United States • Remote OK
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The Utilization Review Coordinator performs admission, continued stay, and discharge reviews while maintaining positive relationships with insurance companies and referral sources. They also manage client financial liabilities, track ASAM requirements, and collaborate with the billing department to ensure accurate funding.
Candidates must possess an Associate degree or equivalent, with a Bachelor of Science in Behavioral Health preferred. A minimum of 3-5 years of experience in utilization review or a related healthcare setting is required.
Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.
Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.
Deliverables/Principal Results Expected:
Perform admission, continued stay and discharge reviews on all managed care clients.
Maintain positive relationships with referral sources and insurance companies.
Track admissions, continued stay and discharge ASAM requirements for county referrals.
Maintain organized system of reporting to counselors when ASAM’s are due and when review calls are to be made.
Maintain current insurance eligibility information through EVS, Navinet, etc.
Monitor Census for accuracy of funding.
Attend clinical staffing to obtain information for client reviews.
Maintain daily UR database accurately.
Perform Act 106 reviews and follow up appeals.
Track all county referrals for documentation of admission calls.
Maintain and participate in chart reviews to ensure proper paperwork is in place.
Work directly with Billing Department to reduce uncovered days of funding. Investigate cases with insurance and referral sources to recuperate lost days of funding.
Report to the Assessment Manager on a weekly basis.
Manage all self-pay clients and clients with copays, deductibles, coinsurance and liabilities.
Reduce client balances.
Other duties as assigned.
Technical Competencies:
Provide the company with accurate information to ensure full financial coverage for each client day. Provide the referral source(s) with timely information to ensure good customer focus. Maintain client confidentiality and provide a safe therapeutic treatment. Knowledge of local, state and federal regulations. Knowledge of facility contracts and agreements. Knowledge of medical terminology, appeal and denial process, composition of medical records. Knowledge of data entry (primarily Excel) and mathematics. Knowledge of pre-certification process and ASAM. Knowledge of CARF standards, release of information and confidentiality. Knowledge of DSM V, private care managers and county referral sources.
Education, Experience:
Associate Degree or equivalent required; Bachelor of Science in Behavioral Health. Intermediate knowledge of computer skills and the internet, Microsoft Office experience, Excel- Intermediate level, Word- Intermediate level. 3-5 years’ experience in Utilization Review or related position in a healthcare setting.
Job-related Behavioral Characteristics:
Demonstrates professionalism, leadership, confidentiality, strong social communication skills, time-management, organized. Must possess skills to communicate effectively and interact well with people of diverse backgrounds. Excellent oral and written communication and interpersonal skills. Ability to problem solve by gathering and analyzing information, working well in an individual/ group problem solving situation, and showing initiative in problem solving. Maintains professionalism and does not show favoritism. Maintains consistency with clients, staff, visitors, and the public. Ability to handle a crisis situation and react appropriately. Flexibility and adaptable. Ability to make decisions in an objective and ethical manner. Calm and decisive in crisis situations. Ability to sustain a team environment, drive continuous improvement projects, confidentiality, excellent problem-solving skills and excellent communicator within the team framework. Self-starter, takes initiative.
We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.
To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: https://bit.ly/Pyramid-Careers.
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
Overcome addiction to reclaim your health & well-being
Welcome to Pyramid Healthcare. A premier provider of high quality, behavioral health care founded in 1999 and headquartered in central Pennsylvania, we operate over 80 facilities across the Commonwealth, New Jersey, Maryland, Ohio, Virginia and West Virginia and offer a full continuum of mental health, substance use and and recovery services for adults and teens. Our dedicated admissions representatives are available to schedule confidential assessments and admissions, recommend appropriate treatment options, assist with insurance verification and facilitate complimentary transportation to and from our detoxification and inpatient program locations. Our facilities are accredited by CARF or The Joint Commission and staffed by licensed and qualified professionals.
Offices: P.O. Box 967, Duncansville, Pennsylvania 16635, US · 3055 Kettering Blvd, Suite 101, Moraine, Ohio 45439, US · 3094 Charles Town Rd, Kearneysville, West Virginia 25430, US · 245 Chesapeake Ave, Newport News, Virginia 23607, US · 6226 University Park Dr, Radford, Virginia 24141, US
Based on 2619 listings with disclosed salaries, most healthcare jobs in Pennsylvania pay between $63k–$182k per year. Individual offers vary with seniority, company size, and specialization.
There are currently 27,050 open healthcare positions in Pennsylvania listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include UPMC, CVS Health, Temple Health – Temple University Health System, Allegheny Health Network, BAYADA Home Health Care, among others. Browse the listings above to see every active employer.
Yes — 2623 of the 27050 open healthcare positions offer remote or hybrid work (849 remote, 1774 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
