- UPMC (Pittsburgh, PA)
- …treated, monitored and evaluated and procedures that were performed during an episode of care . + Review billing data when conducting focused chart audits to ... role requires three years of coding experience. In this role, you will review clinical documentation within the medical record to ensure that all patient resource… more
- WellSpan Health (York, PA)
- …meetings on a regularly scheduled basis with individual staff to ensure safe quality care , progress towards goals, and proper utilization of services. * Provides ... rotation **General Summary** Responsible for delivery and evaluation of patient care services throughout the WellSpan VNA service area. Assists in implementing… more
- Commonwealth of Pennsylvania (PA)
- …help lead our nursing staff and assure the planning, implementation, and evaluation of patient care at the center. If you are ready to take your career to the next ... include planning and organizing work under direction of Nurse Manager , as well as serving as a supervisor involved...services. You can expect to participate in the development, review , training and implementation of center policies and procedures.… more
- Guthrie (Sayre, PA)
- …(ie, RN's, Social Workers, etc) or an Associate's degree and 1 year of health care experience may be considered * High school diploma or GED and 2 years of ... knowledge by participation in continuing education, reading journals, resource utilization , vendor resources, and attending any required courses as observed… more
- Highmark Health (Harrisburg, PA)
- …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- JPMorgan Chase (Philadelphia, PA)
- …and payers for every healthcare payment transaction. The Customer Success Manager requires a self-motivated, problem-solving healthcare professional who wants to ... be challenged in a fast paced, team-oriented environment. The Customer Success Manager is responsible for helping healthcare providers maximize the utilization … more
- Guthrie (Sayre, PA)
- …physicians and patients. + Assist physicians in protocol development. + Advise department manager on resource utilization and training needs. + Perform other ... research facility or hospital setting. Essential Functions: + Collaborate with the manager and director for the development of department research programs. This is… more
- Guthrie (Sayre, PA)
- …is scheduled and accomplished in a manner that least impacts patient care . Exercises leadership and management responsibility over all functions, delivering smooth ... or related health field highly considered. License: Certified Healthcare Facility Manager ; affiliated with ASHE, NFPA, and/or Certified Energy Manager ,… more
- Prime Therapeutics (Harrisburg, PA)
- …post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review . + Meets Credentialing criteria. ... facility.Discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial… more
- Sunrise Senior Living (Montgomery, PA)
- …best place that I've ever worked, simply because of the people. We provide quality care in an environment that feels like home. Our focus is doing what's right for ... in setting standards of excellence; we strive to provide care & services to seniors better than anyone. The...achieving customer engagement. + Leads the development and regular review of the engagement improvement plan. + Effectively resolves… more