- Actalent (Philadelphia, PA)
- Job Title: Clinical Research Coordinator - Drug or Device study experience required Job Description Join our dynamic research team to assist with study coordination ... recruitment for investigator-initiated studies, multi-center research studies, and patient-oriented clinical and translational research projects. You will work closely… more
- Cardinal Health (Harrisburg, PA)
- **What Clinical Operations contributes to Cardinal Health** As a PRN, this individual will work on the assigned practice's PPS Analytics portal inputting specific ... assigned patients as well as placing patients into correct clinical stages. **Location / Hours** - Fully remote, this...**Benefits:** Paid time off in compliance with applicable laws. ** Application window anticipated to close** : 09/15/2025 * if… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent and timely documentation ... RESPONSIBILITIES: + Review medical record(s) for completeness, accuracy, consistency and clinical evidence for severity of illness (appropriate capture of true… more
- CVS Health (Pittsburgh, PA)
- …Insurance Audits and Market Checks** + Ensure template formularies design and application of utilization management (UM) criteria align with MHPAEA and other ... and maintain CVS Caremark's template formularies including drug tiering and UM application that meet or exceed regulatory requirements. + Evaluate consistency in UM… more
- CVS Health (Harrisburg, PA)
- …for our best-in-class Employee Assistance Program (EAP), Resources for Living. The Clinical Counselor plays a vital role in Aetna Mental Wellbeing's commitment to ... nationwide. **Key Responsibilities:** + Deliver on-demand single session consultations, clinical assessments, triage, and informational services. + Leverage advanced… more
- Highmark Health (Wexford, PA)
- …pharmacy utilization management (UM) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical director when required. (20%) + ... facts, and cites applicable internal policies and guidelines. (20%) + Resolves non- clinical issues independently and acts as a liaison between our customer and… more
- Highmark Health (Monroeville, PA)
- …the process of assessment, planning, implementation, and evaluation; coordinates the daily clinical and operational components of the unit. Provides clinical ... quality and satisfaction measures. (15%) + Serves as the clinical expert and role model for staff. Monitors and...accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation… more
- LifePoint Health (Johnstown, PA)
- …your well-being so you can provide exceptional care to others. As a Clinical Associate joining our team, you're embracing a vital mission dedicated to/making ... care to our communities. ** *How you'll contribute* A Clinical Assoicatewho excels in this role: * Receptionists: answer...*Connect with a Recruiter* Not ready to complete an application , or have questions? Please contact Alexis Feathers by… more
- Highmark Health (Pittsburgh, PA)
- …pain, transient ischemic attacks (TIAs), and trauma. The unit operates as a Clinical Decision Unit (CDU) or Observation Unit, providing a bridge between the ... of assessment, planning, implementation, and evaluation; coordinates the daily clinical and operational components of the unit. **ESSENTIAL RESPONSIBILITIES:** +… more
- Highmark Health (Jefferson Hills, PA)
- …:** **GENERAL OVERVIEW:** Manages the daily operations related to clinical activities for designated sites. **ESSENTIAL RESPONSIBILITIES:** + Responsible for ... the clinical professional services for designated sites. + Manage the...accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation… more