- Evolent (Harrisburg, PA)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Harrisburg, PA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- UPMC (Media, PA)
- …Plan. + Acts as a physician reviewer for cases referred by care management staff. + Focus on clinical documentation improvement efforts thereby improving ... 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
- Evolent (Harrisburg, PA)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Guthrie (Troy, PA)
- …and educational activities. a) Incorporates available current evidence-based data for clinical care management. b) Demonstrates knowledge of federal, state ... in an acute care setting with strong care management, utilization review , and payer knowledge....with the patient and family/caregivers, physician and other health care providers to achieve designated clinical , operational… more
- Penn Medicine (Philadelphia, PA)
- …Practice Nurses' clinical skills and competence as part of their annual performance review . Hours of work determined by the Clinical Service to meet the ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- St. Luke's University Health Network (Bethlehem, PA)
- …mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care ... the communities we serve, regardless of a patient's ability to pay for health care . Provides comprehensive care of patients admitted to the inpatient acute… more
- St. Luke's University Health Network (Hamburg, PA)
- … related education courses preferred. Knowledge of health information system (epic) preferred. HOURS: Per Diem, hours as needed. The Care Now is open seven days ... mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care… 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
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …to all patients, functioning as a member of the inter-disciplinary team providing clinical care to the patients at VA Wilkes-Barre Healthcare System in ... a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of… more