• Rehabilitation Liaison- Good Samaritan Hospital-…

    WellSpan Health (York, PA)
    …and need for inpatient level rehabilitation services. Assessment includes chart review , clinical physical assessment and interaction with the physician, ... assessments of patients to determine and recommend the most appropriate post-acute care setting to meet the patient's needs for maximizing independence and health… more
    WellSpan Health (07/08/25)
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  • Insurance Pre-Cert Coord at Infusion Services…

    Penn Medicine (Philadelphia, PA)
    …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 ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (08/07/25)
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  • Lead Respiratory Therapist,RRT

    UPMC (Mechanicsburg, PA)
    …2 approved projects from the department's Project List during each annual performance review period. + Respiratory Care Practitioner (RCP) license in the ... Therapist, RRT and under indirect supervision, coordinates diagnostic and therapeutic clinical procedures to best meet the needs of the patient, physician,… more
    UPMC (07/11/25)
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  • Insurance Pre Cert Coordinator

    Penn Medicine (Sellersville, PA)
    …future each day. Are you living your life's work? **Entity: Clinical Care Associates** **Department: Sellersville Cardiology** **Location: Sellersville ... 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
    Penn Medicine (08/07/25)
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  • Associate Director, Correspondence Project…

    Evolent (Harrisburg, PA)
    …to adeptly negotiate internally and externally around interpretation and application of utilization review law, accreditation standards and policy. + Ensures ... initiatives. **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/ care management (CM) correspondence development, internal and… more
    Evolent (08/14/25)
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  • Certified Medical Assistant - CMA

    Geisinger (Bellefonte, PA)
    …patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and ... appropriate measures to assure patient's safety and privacy. + Provides direct patient care as directed by provider based on competency and needs of clinic, such… more
    Geisinger (07/20/25)
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  • Dental Network Service Representative

    Highmark Health (Harrisburg, PA)
    …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
    Highmark Health (07/31/25)
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  • Lead-Medicaid Customer Success

    CenterWell (Harrisburg, PA)
    …+ Monitor plan performance and proactively bring issues to the forefront for review + Support new business implementations with a goal of ensuring all pharmacy ... and present to client + Escalate issues for immediate review and action whenever necessary + Request, review...internal partners and the Medicaid market to manage pharmacy utilization and spend + Manage escalated member, client and… more
    CenterWell (08/08/25)
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  • Addictions Counselor - Penn Presbyterian Medical…

    Penn Medicine (Philadelphia, PA)
    …to assigned patient caseload. The Addictions Counselor is responsible for ensuring all clinical care guidelines, standards and regulations are upheld in the ... monthly individual counseling services to patients.Conducts intakes, assessment and utilization review services.Ensures compliance with all documentation… more
    Penn Medicine (08/07/25)
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  • Global MDR Submission Analyst III

    Olympus Corporation of the Americas (Center Valley, PA)
    …relevant scientific discipline. + A minimum of 3 years of experience on the healthcare/ clinical setting or other points of care ; OR + An equivalent combination ... True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill their desires, dreams, and lives. ​ Our… more
    Olympus Corporation of the Americas (06/19/25)
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