- UPMC (Pittsburgh, PA)
- …to determine medical necessity or the clinical appropriateness for inpatient admissions , outpatient facility, office services, durable medical equipment, and drugs ... in terms of type, frequency, extent, site and duration, and considered effective for the patient's illness, injury, or disease. + 3. Ensures accurate coding of the diagnosis, procedure, and services being rendered using ICD-9-CM, CPT, and HCPCS Level II. + 4.… more
- UPMC (Pittsburgh, PA)
- …and communicates with hospital personnel to obtain approval for hospital admissions . + Discuss and coordinate financial arrangements before surgery including the ... collection of pre-payments. + Ensure that informed consent is signed. + Provide patients with pre- and postoperative instruction according to service specific guidelines. + Coordinate patient education seminars and schedule physicians accordingly. + Collect… more
- YesCare Corp (Philadelphia, PA)
- …Health Unit. Provide individual and/or group therapy as appropriate. + Approve all admissions and discharges into the Mental Health Unit. Approve, sign and monitor ... the implementation and efficiency of treatment plans. + Provide in-service education to the Mental Health Unit staff as needed. + Be available on a scheduled basis for the on-call needs of the Mental Health Unit. + Participate in Treatment Audit Committee.… more
- Surgery Care Affiliates (Newtown, PA)
- …including (but not limited to): Medical Records, Credentialing, Admissions /Intake, Accounts Payable, Billing, Collections, Insurance Verification, Transaction, ... Posting, Clinical Logs and other duties as needed Qualifications + Education Requirements: A Bachelor's Degree is preferred, or equivalent work experience will be considered. + Years of Experience: The ideal candidate should have a minimum of 1-3 years of… more
- WellSpan Health (Lewisburg, PA)
- …by top-tier hospitalists and critical care physicians; no direct patient admissions . + **Regional Leadership** : WellSpan Health leads value-based care across ... 5 counties, with 5 cancer centers and 1 satellite infusion center. + **Multidisciplinary Collaboration** : Work with radiation oncologists, breast surgeons, thoracic surgeons, and surgical oncologists. + **Career Advancement** : Engage in tumor boards,… more
- University of Pennsylvania (Philadelphia, PA)
- …visits from prospective applicants and admitted students. Liaise with College Admissions to support recruitment efforts. Prepare and distribute materials for events. ... Reserve spaces and organize logistics for student-facing events, including Majors Fairs and other recruitment activities. Maintain student listservs. Coordinate student receptions. Liaise with Career Services partners to help connect students with relevant… more
- UPMC (Pittsburgh, PA)
- …patients. As a comprehensive stroke and trauma unit, we manage step-down admissions for stroke and trauma patients transitioning from intensive care. Our nurses ... are equipped with NIH Stroke Scale training and ACLS certification, and they have the opportunity to pursue advanced certifications in neuroscience and trauma nursing. About UPMC Presbyterian Neuroscience: The UPMC Neuroscience service line provides… more
- Penn Medicine (Berwyn, PA)
- …Schedules surgeries, outpatient diagnostic test, outpatient appointments and admissions as requested. Obtain procedural authorizations. Prepare and process ... surgical billing. Prepare and process correspondence. Responsibilities: Clinical Duties * Greets, screens, schedules and directs patients in a prompt, positive, pleasant, and helpful manner at all times even in the most adverse circumstances; acts as primary… more
- Geisinger (Danville, PA)
- …the next level of care. Job Duties + Screens for patients who are new admissions and who are identified using specified criteria. + Completes the Care Management 55 ... Flow Document and Survey within scope: reviews the Electronic Medical Record, identifies admission diagnosis, identifies managing providers, validates insurance coverage and patient demographic information, and reviews the Care Team to determine if enrolled in… more
- ChenMed (Philadelphia, PA)
- …measured to help PCP's become successful and reach partnership status: patient admissions /thousand, using between 18-21 appointment slots per day (each new patient ... count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for these metrics and will be expected to work towards those targets with their center and market… more