- UPMC (Altoona, PA)
- …and applies continuous professional improvement. Supports continuous learning in the clinical areas by participating in organizational and system programs. ... based on preparation, knowledge, experience in nursing and competency. Depending on clinical area and training, may provide care and IV therapy following UPMC… more
- WellSpan Health (Mount Gretna, PA)
- …of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the ... based on the nursing process and according to the clinical standards of the hospital. Acts as a primary...primary nurse for patients on the unit. Synthesizes patient data to develop outcome-driven plans. + Safely and independently… more
- UPMC (Pittsburgh, PA)
- …requires three years of coding experience. In this role, you will review clinical documentation within the medical record to ensure that all patient resource ... investigating related admissions, making the appropriate adjustments to the coding system , contacting the Admitting department for registration issues, and reporting… more
- UPMC (Cresson, PA)
- …and applies continuous professional improvement. + Supports continuous learning in the clinical areas by participating in organizational and system programs. + ... based on preparation, knowledge, experience in nursing and competency. Depending on clinical area and training, may provide care and IV therapy following UPMC… more
- Humana (Harrisburg, PA)
- …enter data accurately + Ability to quickly learn new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or ... your best at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best and most appropriate… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems , health insurance, or clinical group practice management + ... put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D...to complex issues where the analysis of situations or data requires a case-by-case consideration of the Medicare rules,… more
- J&J Family of Companies (Horsham, PA)
- …product knowledge, account management capability, territory business acumen, and technical/ clinical proficiency. The individual will apply knowledge of adult ... on healthcare environment, marketplace, and access changes as well as maintain clinical , product and selling skills expertise. The Disease Area Training Manager will… more
- Evolent (Harrisburg, PA)
- …care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical thinking skills to solve new ... our culture. **What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims, membership, and clinical outcomes to… more
- UPMC (Washington, PA)
- …accountable for the following Case Management functions: training, auditing, systems support: Case Management Technology, InterQual, Concurrent Denials and ... trends avoidable day/delay documentation and reports to Director trends/barriers. + Analyzes data for trends related to variation in actual vs. targeted length of… more
- Highmark Health (Monroeville, PA)
- …together and place patients at the center of all they do. This 9 Hospital system , a part of Highmark Health, is transforming the future of healthcare by providing ... Provides peers with both verbal and written feedback regarding clinical practice and role performance. + Shares knowledge and...health status of the individuals and families comparing the data with the norm, when possible, to determine patient… more