- St. Luke's University Health Network (Bethlehem, PA)
- …to ensure documentation of all medical conditions to accurately reflect the patient's clinical status and care needs. + Maintains accuracy rate of coding ... 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
- WellSpan Health (Mount Gretna, PA)
- …Summary** Supervises the workflow of the department. Responsible for resource utilization for behavioral health hospitals, admissions, and acute patient support. ... and System needs. Manages assignment of staff to provide safe, effective quality care services. + Oversees staff scheduling and participates in the shift's workflow… more
- CSL Behring (King Of Prussia, PA)
- Northeast region- Manchester The Area Manager is responsible for promotion and utilization of CSL Behring products and for managing all aspects of territory business ... and maintain relationships with key customers to include: Health Care Professionals (HCP), hospital decision makers/influencers, specialty pharmacies and… more
- CSL Behring (King Of Prussia, PA)
- …Detroit; Manager of Coagulation Products (MCP) is responsible for promotion and utilization of CSL Behring's hemophilia product portfolio and for managing all ... and maintain relationships with key customers to include: Health Care Professionals (HCP), hospital decision makers/influencers, specialty pharmacies and… more
- Humana (Harrisburg, PA)
- …ABMS Medical Specialty + Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
- Fresenius Medical Center (Malvern, PA)
- …is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral ... and presents reports including, but not limited to, Medical Record Delinquency Rates, Clinical Pertinence, H & P Compliance, Operative Note Compliance + Develops and… more
- Humana (Harrisburg, PA)
- …+ Excellent written and communication skills + 5 years of established, post-residency clinical experience + Knowledge of the managed care industry including ... first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on… more
- Highmark Health (Pittsburgh, PA)
- …intensive outpatient or community agencies, or resources to provide/establish appropriate care . + Initiates and maintains current clinical records to ... in planning/marketing strategy to ensure referral sources. + Participates in peer utilization and/or review and assists in coordination of related quality… more
- BriteLife Recovery (Hanover, PA)
- …of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit setting for behavior, ... facility. The ability to follow the direction of the Clinical Director and BHT Supervisor and safely transport clients...of the clients in the facility and demonstrate exceptional care when transporting clientele. What tasks are required? +… more
- St. Luke's University Health Network (Allentown, PA)
- …near vision, visual monotony. TRAINING AND EXPERIENCE: + Minimum of 2-5 years of clinical nursing experience in an acute care hospital setting required. + Prefer ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment… more