- Highmark Health (Harrisburg, PA)
- …Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk ... policies, state, CMS, and federal regulations. This role serves as a clinical subject matter expert, providing insights and guidance to internal departments. The… more
- Genesis Healthcare (Mechanicsburg, PA)
- … management of the rehabilitation department, including oversight related to case management, quality improvement, care planning, clinical utilization, and ... team members. + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping...in identifying and removing barriers to treatment and providing clinical education to meet the needs of the patient.… more
- University of Pennsylvania (Philadelphia, PA)
- …conferences and Nuclear Radiology fellow lecture series. Attendance and teaching at case conferences, as well as participation in journal club meetings, is required. ... of Pennsylvania, Penn Presbyterian Medical Center, and Pennsylvania Hospital. Clinical responsibilities may include conducting and interpreting diagnostic general… more
- St. Luke's University Health Network (Allentown, PA)
- …Work Queues for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office. + Monitors retro denials to ensure ... level and final decision with revenue impact. + Assists Case Management as necessary to ensure that documentation is...preferred. TRAINING AND EXPERIENCE: Minimum of 2-5 years of clinical nursing experience in an acute care hospital setting… more
- Penn State Health (Hershey, PA)
- …and to reduce the risk of litigation to the organization. Work with clinical and non- clinical staff to address patient feedback regarding compliments, complaints ... claims. + Identify appropriate level of risk for each case and determine when escalation to Patient Safety, Quality,...ensure regulatory requirements are met or surpassed. Work with clinical and non- clinical staff at all levels,… more
- Stanford Health Care (Connellsville, PA)
- …DBT, etc. Additionally, the BHC will monitor patients for changes in clinical symptoms and treatment side effects/complications, and consult with the psychiatrist ... **This is a Stanford Health Care job.** **A Brief Overview** Licensed Clinical Social Worker is fully qualified and full-proficiency level of professional social… more
- UPMC (Altoona, PA)
- …professionals to join our team. Position Purpose: + Assist in consumer and clinical services under the Crisis Program Coordinator. + Respond to mobile crisis calls ... in Blair County. + Answer questions, obtain clinical information, schedule evaluations, and document duties. Responsibilities: + Manage a caseload for the shift. +… more
- Humana (Harrisburg, PA)
- …are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports ... **Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some… more
- University of Pennsylvania (Philadelphia, PA)
- …teaching medical students and residents in the outpatient clinic and instructing clinical fellows in allied specialties such as ENT, pain management, internal ... and schedule appropriate speakers and topics for the weekly general neurology group case conference and for the resident lecture series and assist with the virtual… more
- University of Pennsylvania (Philadelphia, PA)
- …clinician track. Expertise is required in the specific area of of the clinical practice of molecular genetics and genomic pathology with broad experience in the ... must have excellent communication skills, a thoughtful and consistent approach to clinical data review and reporting and be proactive in identifying and solving… more