- UPMC (Pittsburgh, PA)
- …issues among coding, nursing administration, Patient Business Services, medical staff, case management , and other ancillary departments directly affected by ... for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments. + Assist the Coding Manager… more
- Sedgwick (Erie, PA)
- …resolution of highly complex nature and/or severe injury claims; to coordinate case management within company standards, industry best practices and specific ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents… more
- Genesis Healthcare (Williamsport, PA)
- … management of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization, and patient… more
- Huron Consulting Group (Philadelphia, PA)
- …roles * Liquidity management and business process improvement * Bankruptcy Case Management and Emergence * Business Assessments An indispensable role Huron ... & Turnaround team provides comprehensive solutions to companies and their management teams, lenders, other creditors and stakeholders facing challenges driven by… more
- BluePearl (Philadelphia, PA)
- …meetings. + **Mentor ER Clinicians and new ER/ICU support staff** . Oversee ER Clinician case management and providing guidance as needed on case ... Assist in customer service issues as needed and help management to follow up to resolve issues as appropriate....ER/ICU personnel issues. Assist with performance reviews. + Assist management team with client and pDVM concerns when necessary.… more
- BluePearl (Malvern, PA)
- …meetings. + **Mentor ER Clinicians and new ER/ICU support staff** . Oversee ER Clinician case management and providing guidance as needed on case ... Assist in customer service issues as needed and help management to follow up to resolve issues as appropriate....ER/ICU personnel issues. Assist with performance reviews. + Assist management team with client and pDVM concerns when necessary.… more
- UPMC (Monaca, PA)
- …with internal departments, community partners, and external stakeholders. + Conduct case management , ensuring all documentation is complete, clinical issues ... clinical position responsible for providing individual, family, and parent management treatment in an outpatient multidisciplinary program that targets… more
- Highmark Health (Harrisburg, PA)
- …between the department and the claims processing departments to facilitate care/ case management activities and special handling claims. Communicate benefit ... enterprise to respond to client questions and concerns about care/ case management and high-cost claimants. + Gather information and develop presentation/training… more
- Wellpath (Lemoyne, PA)
- … Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + Knowledge of InterQual ... word, Excel, and Power Point. Licenses/Certifications + Current Nursing Licensure + Case Management Certification preferred **We are an Equal Employment… more
- Geisinger (Wilkes-Barre, PA)
- …state insurance funds. + Review invoices from outside law firms for cost-effective case management and compliance with system policies. + Evaluate, analyze, and ... and provide guidance on internal claims review procedures. + Support management of financially significant and complex claims and litigation through resolution.… more