- UPMC (Media, PA)
- …+ Work in tandem with the UPMC Health Plan . + Acts as a physician reviewer for cases referred by care management staff. + Focus on clinical documentation ... providers in its network. + Ensures the quality of clinical care provided to Community Care...care . + Ability to implement programs of quality care analysis, peer review , and professional education.… more
- UPMC (Pittsburgh, PA)
- …treatment team meetings to review progress and plan continuing care . + Tracks daily clinical productivity. + Develops comprehensive treatment plans ... quality assurance and performance improvement efforts. + Completes same-day clinical documentation and supports insurance authorization processes. + Regularly… more
- UPMC (Pittsburgh, PA)
- … services for prevention, health maintenance, therapeutic intervention, and rehabilitative nursing care . They are a clinical resource and consultant for the ... to create a healing environment. Formulates goal and a plan of care for applicable patients that...for nursing units and other members of the health care team Participates in policy review and… more
- UPMC (Mechanicsburg, PA)
- … team Contributes to the professional development of the unit base skin care committee by participation in clinical development of the unit representatives. ... to create a healing environment. Formulates goal and a plan of care for applicable patients that...to the professional development of the unit base skin care committee by participation in clinical development… more
- Humana (Harrisburg, PA)
- …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient… more
- Pfizer (Collegeville, PA)
- …Oncology Medical Affairs Asset(s) Lead to develop and deliver the integrated evidence generation plan (IEP) for 1 or more oncology assets + Acts as single point of ... for 1 or more oncology assets, ensuring appropriate strategic and technical review occur for all evidence generation tactics + Ensure adequate MEG representation… more
- UPMC (Pittsburgh, PA)
- …and the quality of patient care . Makes recommendations for the improvement of clinical care and the health of the workplace and welcomes and participates in ... UPMC as the premier educational setting for producing excellence in patient care delivery through an innovative and world-class clinical curriculum specifically… more
- Penn Medicine (Lancaster, PA)
- …Evidence Based Practice and Research, Leadership, Person and Family Centered Care , Professionalism, Safety, Teamwork and Technology/Informatics. The Clinical ... this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today...as an independent and interdependent member of the health care team as defined in unit based Plan… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time UM Care Manager to support our UM Clinical Operations team. This role will primarily work Monday - Friday standard ... (UM) Care Manager is responsible for utilization review of health plan services and assessment...members and providers. + Review and document clinical information from health care providers including… more
- UPMC (Pittsburgh, PA)
- …responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC Health Plan members. They oversee adherence to ... Pa. Code 27.1 et seq. + Daily interventions support implementation of the Health Plan 's Quality Improvement and Care Management Programs. + Represent the Health … more