- Walgreens (North Huntingdon, PA)
- …of healthcare services offered through Walgreens (eg patient consultation, medication management , drug therapy reviews, and perform clinical , or wellness ... knowledge of pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management , and point of… more
- UPMC (Pittsburgh, PA)
- …for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments. + Track and report quality ... issues among coding, nursing administration, Patient Business Services, medical staff, case management , and other ancillary departments directly affected by… more
- Devereux Advanced Behavioral Health (Berwyn, PA)
- …to make an impact on the lives of adults?_ _Are you looking for a clinical position that uses the most current evidenced-based practices in the field of psychology ... to offer your expertise to a multidisciplinary team to develop plans to address clinical or mental health, behavioral and daily living needs of our individuals. a… more
- CVS Health (Harrisburg, PA)
- …and prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case summaries ... + Gives presentations to internal and external customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years investigative experience in… more
- Datavant (Harrisburg, PA)
- …judgment in the performance of job responsibilities. + Communicate with co-workers, management , and hospital staff regarding clinical and reimbursement issues. + ... positive manner. + Adhere to the American Health Information Management Association's code of ethics. + Be customer-service focused...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Harrisburg, PA)
- …from our solutions. As such, we need an experienced account and/or relationship management individual who can drive success for our customers. This role includes ... adoption, advocacy, retention, etc.). **You Will:** + Own account management and value management for a dedicated...life sciences space + Understanding of drug development and/or clinical trials \#LI-BC1 We are committed to building a… more
- Humana (Harrisburg, PA)
- …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... Seasoned RN with a **minimum of 3 years of clinical nursing experience.** + Demonstrated clinical knowledge...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
- Datavant (Harrisburg, PA)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... + Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc. + Other...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Public Consulting Group (Harrisburg, PA)
- …all investigative activities, including discovery of all elements of the incident in the case tracking management system. + Prepare case mailings, ie record ... in Medicaid billing, Medicaid programs, incident investigation, quality assurance, and/or clinical risk management **Working Conditions** + Office or Remote… more
- St. Luke's University Health Network (Allentown, PA)
- …nurses, providers, liaisons, and care management with an integrated approach to case management and community outreach. The CHW provides social support and ... care management with an integrated approach to case management and community outreach. The CHW...team, under the direction of Network Director Community Health Clinical Operations to follow processes and protocols, promoting comprehensive… more