- Sanofi Group (Swiftwater, PA)
- …for-cause audits. + During audits, the incumbent has direct access to subject individual data for records review and may have access to unblinded information/ ... **Job Title: Senior Manager , CQA Auditor** **Location** : Swiftwater, PA **About...position will be focused on assessing GCP Compliance in clinical related activities and supporting the Quality Management System… more
- Highmark Health (Wexford, PA)
- …of a specific patient care department under the direction of the Nurse Manager , providing clinical and administrative leadership and expertise. Contributes to ... plans, and implements activities in partnership with the nurse manager in specified clinical departments which ensures...needs assessment of unit/department or network. + Foster peer review participation with staff an d participate in peer… more
- Geisinger (Wilkes-Barre, PA)
- …priorities. Some of those responsibilities include, but are not limited to, daily review of the clinical management guidelines for each patient, direct patient ... various quality performance indicators for accreditation. The Trauma Case Manager will also round with the trauma clinical...forwards initial review to leadership for secondary review and action. + Coordinates data collection… more
- UPMC (Pittsburgh, PA)
- …within the Insurance Services Division. **Responsibilities:** + Present complex members for review by the interdisciplinary team summarizing clinical and social ... UPMC Health Plan is hiring a full-time Telephonic Care Manager to work with families, members, nursing agencies, and...medical, behavioral, pharmacy, and social needs of the member. Review UPMC Health Plan data for services… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …case management services while utilizing professional skill, objectivity, insight, advanced clinical training, and experience to interpret data and identify ... Summary The incumbent, a professional Social Worker, functions as a Case Manager for the Suicide Prevention Program. The Suicide Prevention Program serves to… more
- Penn Medicine (Berwyn, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... each day. Are you living your life's work? Job Title: Associate Practice Manager Department: Cancer Ctr VF Location: Penn Medicine Valley Forge- 1001 Chesterbrook… more
- Evolent (Harrisburg, PA)
- …operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review . + Ensure compliance and quality for all coding ... mission. Stay for the culture. **What You'll Be Doing:** ** Manager , Coding Support Specialist** Evolent Care Partners is seeking...for the Risk Adjustment coding support team. + Use data to identify areas of improvement for individual employees… more
- Highmark Health (Monroeville, PA)
- …to monitor and evaluate interventions and outcomes. Interviews and collects patient specified data and chart review related to readmission. + Knowledgeable of ... and contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates… more
- University of Pennsylvania (Philadelphia, PA)
- …of health and wellness programs and resources, and much more. Posted Job Title Grants Manager A/B (Department of Medicine) Job Profile Title Grants Manager A Job ... activities within the Department of Medicine's Special Operations Unit. The Grants Manager will be responsible for multiple monthly proposal submissions for various… more
- Walgreens (Rochester, PA)
- …and federal laws/regulations allow, accountable for performing day-to-day non- clinical pharmacy operations, administrative activities; Ensures efficient pharmacy ... helps respond to customers' requests in a timely manner and answers non- clinical questions to ensure a positive customer experience. Models and shares customer… more