- AmeriHealth Caritas (Philadelphia, PA)
- …medical policies and procedures adhere to contractual obligations. + Performs clinical case reviews in conjunction with Medical Excellence Department. ... throughout the provider network. + Overseeing the quality of clinical care for network and non-network providers. + Engaging...associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures that… more
- CenterWell (Lancaster, PA)
- … case management for each patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial plan of ... Health Registered Nurse** , you will: + Provide admission, case management, and follow-up skilled nursing visits for home...of the patient in accordance with physician orders, under Clinical Manager 's supervision. Revise plan in consultation… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... to charge nurse. ▪ Reports exposure to communicable diseases and infections. Clinical Aseptic Technique Demonstrates principles of aseptic technique in clinical … more
- Prime Therapeutics (Harrisburg, PA)
- …for drug infusion services versus the hospital outpatient facility.Discusses financial and clinical considerations with members who are considering care at a higher ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...these cases in web-based application and spreadsheets. + Supports clinical services such as the appeals program. + Participates… more
- The Hershey Company (Hershey, PA)
- …obtain within 1 year of start date or internal transfer to Sr. OHN Case Manager role. * Current certification in BLS (basic life support) for healthcare ... Location: Hershey, PA The Sr. Occupational Health Nurse (Incident/ Clinical Management and Early Intervention) position is responsible for managing the Global… more
- Gentiva (Pittsburgh, PA)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and… more
- Datavant (Harrisburg, PA)
- …and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion documentation improvement opportunities and coding ... accuracy rate for MS-DRG assignments + Maintain a minimum production of 1 chart per hour or site-specific productivity benchmarks + Foster professional communication… more
- Penn Medicine (West Chester, PA)
- …primary nurse or supervisor. + Facilitate communication between patients' families, the RN Case Manager , and Scheduling Coordinator. Plan of Care: + Follow the ... this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today...Provide care as outlined unless instructed otherwise by the Case Manager . + Review the care plan… more
- Datavant (Harrisburg, PA)
- …injection and infusion coding experience. Must have experience at a trauma level 1 or academic facility. Surgery coding experience needed as well. Experience with ... responsibilities. + Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Function in a professional, efficient,… more
- WellSpan Health (Lancaster, PA)
- …- 3 years living in select counties in Pennsylvania. The Autism Program Manager will have opportunities to provide both clinical and administrative support ... will primarily serve in the role of Autism Program Manager for CADD's Autism Diagnosis Clinic (ADC). The ADC...helps with care coordination. + Provides brief therapy interventions, case management and community linkage and crisis management, both… more