- Deloitte (Philadelphia, PA)
- …nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG Validation and ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders + Other… more
- Commonwealth of Pennsylvania (PA)
- Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5144215) ... Apply Drug & Alcohol Case Management Specialist (Local Government) - Delaware...WORK The primary responsibility of this position is to review referrals for substance use inpatient treatment services as… more
- WellSpan Health (Chambersburg, PA)
- …completion of admission, continued stay, and discharge reviews, using medical care review criteria. Provides third party payors with status reports and enters ... Upon Hire Preferred **Courses and Training:** + Certification in specialty and/or case management field. Upon Hire Preferred **Knowledge, Skills, and Abilities:** +… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
- University of Pennsylvania (Philadelphia, PA)
- …levels and ensures audit/inspection readiness of assigned projects. The Regulatory Affairs Specialist C would review complex exemption requests (protocols that ... levels and ensures audit/inspection readiness of assigned projects. The Regulatory Affairs Specialist C would review complex exemption requests (protocols that… more
- University of Pennsylvania (Philadelphia, PA)
- …programs and resources, and much more. Posted Job Title Clinical Research Quality Specialist B (Department of Office of Clinical Research) Job Profile Title Clinical ... Research Quality Specialist B Job...facilitate and conduct high quality compliance reviews, which include review preparation, conduct, close out and reporting, to ensure… more
- Commonwealth of Pennsylvania (PA)
- Drug and Alcohol Treatment Specialist 2 - SCI Chester Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5141973) Apply Drug and Alcohol ... Treatment Specialist 2 - SCI Chester Salary $63,301.00 - $96,225.00...self-help groups. You will also be responsible for maintaining case files and utilizing progressive disciplinary measures to address… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor. The Lost Time… more
- Datavant (Harrisburg, PA)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need for additional… more
- US Army Security Assistance Command (New Cumberland, PA)
- Summary About the Position: This position serves as a Logistics Management Specialist for the US Army Security Assistance Command. The Army's Face to the World, the ... Manage the foreign military sales (FMS) program for assigned country from case implementation through case closure. Maintains surveillance over and ensures… more